Comparison of three different techniques in the treatment of late spontaneous intraocular lens subluxation

Session Details

Session Title: Cataract Surgery Complications. IOL Dislocations

Session Date/Time: Monday 07/09/2015 | 17:00-18:30

Paper Time: 17:32

Venue: Room 10

First Author: : A.Liaska GREECE

Co Author(s): :    S. Stamelou   V. Dimopoulou   K. Andrianopoulou   E. Makri           

Abstract Details

Purpose:

To describe the results of surgical treatment of late spontaneous intraocular lens(IOL) subluxation with three different techniques (a)replacement with anterior chamber IOL (AC IOL) (b) IOL repositioning and iris suturing of the haptics (c) IOL repositioning and sulcus suturing of the haptics.

Setting:

Department of Ophthalmology, General Hospital of Lamia, Lamia, Greece

Methods:

Case series chart review. 15 eyes with late spontaneous IOL subluxation were treated in the General Hospital of Lamia in the years 2013-2014. All eyes were grouped according to the technique that was used: (A) replacement with anterior chamber IOL (AC IOL): 8/15 (B) IOL repositioning and iris suturing of the haptics: 3/15 (C) IOL repositioning and sulcus suturing of the haptics: 4/15. The postoperative course was recorded and the results were analyzed with aparametric method (Fisher's exact test).

Results:

Six months postoperatively, visual acuity was 0.6-0.8 (group A), 0.7-0.8 (group B) and 0.7-0.8 (group C). In two eyes from group A there was vitreous prolapse (p=0.695) and in one of them retinal detachment occurred by the end of the 1st postoperative month. Surgical time between uncomplicated cases in group A and in cases of groups B and C was similar. Postoperative treatment was necessary for two months in group A and three weeks in groups B and C (p value less than 0.001).

Conclusions:

in IOL subluxation all three techniques (replacement with AC IOL, IOL repositioning and iris suturing of the haptics, IOL repositioning and sulcus suturing of the haptics) offer visual restoration, however the last two appear safer and provide faster visual rehabilitation.

Financial Interest:

NONE