Incidental discovery of retinal pathology on preoperative assessment of ICL candidate patients: diagnosis and management

Session Details

Session Title: Posterior chamber Phakic IOLS for correction of Myopia

Session Date/Time: Monday 15/09/2014 | 08:00-10:30

Paper Time: 09:49

Venue: Capital Hall B

First Author: : S.Eissa SAUDI ARABIA

Co Author(s): :    M. Kotb   M. Eldeeb           

Abstract Details

Purpose:

Analysis of retinal pathologies incidentally discovered on preoperative preparation of ICL patients.

Setting:

Magrabi Aseer hospital -KSA. Cairo University hospitals,Cairo-Egypt.

Methods:

Retrospective analysis of patients presenting with refractive error and being prepared for implantable contact lens surgery (ICL). Any documented retinal pathology, whether required treatment or not, affected the decision of ICL implantation surgery or not, was included in the retrospective analysis.Data recruited for patients presented between 5/2012 and 1/2014.

Results:

Among 304 eyes prepared for ICL surgery, 297 eyes performed the procedure, 23 eyes had retinal pathologies on preoperative assessment, 2 eyes with stage 3 macular hole, 2 eyes with myopic CNV scar,2 eyes with white without pressure,1 eye with perforated lattice degeneration and history of RD surgery in contralateral eye with Laser barrage done around lattice, 4 eyes with active myopic CNV and required intravitreal Avastin injection, 5 eyes with peripheral retinal flat holes and required Laser barrage,4 eyes NPDR with dry maculae,1 eye with perforated lattice degeneration and required Laser barrage,2 eyes had peripapillary old toxoplasma scar.7 eyes were excluded ( after discussion with the patient ) due to their retinal pathology ; 2 eyes with stage 3 macular hole and required pars plana vitrectomy , 2 eyes myopic CNV scar,2 eyes with peripheral retinal flat holes and required Laser barrage with ICL surgery cancelled (upon patient request),1 eye with perforated lattice degeneration and history of RD surgery in contralateral eye.

Conclusions:

Preoperative retinal assessment of ICL patients is crucial to detect non diagnosed myopic retinal changes and other latent pathologies not related to myopia.

Financial Interest:

NONE