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5 year follow-up results of the bag-in-the-lens implantation technique in the Lithuanian University of Health Sciences Hospital

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Session Details

Session Title: Presented Poster Session 03: Cataract Surgery Outcomes 2

Session Date/Time: Saturday 13/09/2014 | 09:30-11:00

Paper Time: 10:15

Venue: Pod 3 (Poster Village)

First Author: : R.Pikturnaite LITHUANIA

Co Author(s): :    K. Asselineau   V. Jasinskas           

Abstract Details


Analyzing the results after 14 implantations of the Morcher 89A intraocular lens (IOL), including two toric IOL using the bag-in-the-lens technique.


14 eyes from 10 adult patients who underwent cataract surgery performed by a single surgeon between January 2008 and December 2013 in the Ophthalmology department Hospital of Lithuanian University of Health Sciences` were included in the research.


Several parameters were investigated, including the best corrected visual acuity (BCVA), stability of the IOL, complications, presence of posterior capsular opacifications. The pre-operative data were collected using the patients’ medical records and each patient underwent a series of controls after the operation.


The female: male ratio was 1.5:1; the average age at operation was 38.6 years (±9.1). The patients underwent on average 3.5 follow ups, the first one was on the first day postoperatively and the last one after 1073.9 (±934.6) days. The average BCVA before surgery was 6/20 (±6/30); it was 6/6.5 (±6/60) 1 day after the surgery and on the last control. The day after the surgery, 50% (N=7) of the operated eyes presented with a 6/6 visual acuity, 28.6% (N=4) with a 6/6.5 visual acuity, 7.1% (N=1) with a 6/7.5 visual acuity and 14.3% (N=2) with a 6/8.5 visual acuity. On the last follow up, the BCVA was stable in 64.3% (N=9), improved in 14.3% (N=2) and decreased in 21.4% (N=3) when compared to the first control. Postoperative astigmatism was present in 4 eyes (28.6%). All 14 eyes benefited from the surgery, the average BCVA was increased by 6/10 up to the last control. 14 implanted IOL (100%) were rotationally stable. There were no operative or postoperative complications. Posterior capsular opacification (PCO) wasn’t identified in any of the patient.


1) VA improved for all patient after surgery. 2) IOL were rotationally stable. 3) No PCO and operative and postoperative complications were identified in any implanted eyes, up to 5 years after the surgery.

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