Posterior chamber IOL fixation using fibrin glue in Indian eyes: long-term results

Session Details

Session Title: Cataract Surgery Special Cases II

Session Date/Time: Monday 15/09/2014 | 16:30-18:30

Paper Time: 17:26

Venue: Auditorium

First Author: : M.Sachdev INDIA

Co Author(s): :    A. Gupta   C. Khurana           

Abstract Details

Purpose:

To evaluate the results and complications of glued IOLs in eyes with subluxated or dislocated cataracts or IOLs or with deficient/ absent capsular support

Setting:

Tertiary care centre in North India

Methods:

204 eyes underwent glued IOL implantation for various indications including traumatic subluxated cataracts, subluxated/ dislocated IOLs and aphakia with absent posterior capsule. An IOL was placed in the eye and the haptics brought out through a sclerotomy created under scleral flaps made 180 degrees away from each other. The IOL haptics were tucked into a scleral pocket to prevent any side-wards or up-down movement. This was re-enforced with fibrin glue, scleral flaps repositioned and conjunctiva closed with the same glue. In 14 patients who had a dislocated IOL, the same IOL was retrieved and re-fixated with glue

Results:

BCVA at 6 weeks of surgery was ≥ 6/12 in 160 of the 204 eyes. Surgical time was reduced and sutures were eliminated. There was no significant anterior chamber inflammation in any of the patients after 1 week of surgery. No case of IOL tilt, hyphema, glaucoma or corneal edema was noted. Transient hypotony was seen in 15 eyes which recovered after 1 week. Vitreous hemorrhage which resolved within 2 weeks occured in 26 eyes. Two cases of haptic exposure was seen which was replaced in an alternative scleral tunnel under the scleral flap. Till last follow up all patients had a stable IOL

Conclusions:

Fixating a posterior chamber IOL using Fibrin Glue is a viable option in patients with deficient capsular support. After an initial learning curve, excellent results are obtained in terms of IOL stability and centration, reduced incidence of CME, elimination of sutures and lesser surgical time. Greater follow up is required to assess long term results

Financial Interest:

NONE