Fibrin glue-assisted sutureless intrascleral fixation of 3-piece hydrophobic acrylic posterior chamber IOL in vitrectomised eyes with deficient capsular support

Poster Details

First Author: D.Mahajan INDIA

Co Author(s):    S. Azad   S. Sain   R. Sinha   R. Azad     

Abstract Details

Purpose:

To evaluate the post-operative outcome of fibrin glue-assisted sutureless intrascleral fixation of 3-piece hydrophobic acrylic posterior chamber intraocular lens (IOL) implantation in vitrectomised eyes with deficient capsular support.

Setting:

Tertiary Eye Care Centre

Methods:

Retrospective data evaluation was performed for 21 consecutive eyes with aphakia, with deficient capsular support for in-bag or in-sulcus IOL placement, which had already, underwent primary pars plana vitrectomy without IOL implantation for various indications. All these underwent fibrin glue-assisted 3-piece hydrophobic acrylic posterior chamber IOL implantation with intrascleral fixation. The pre- and post-operative best spectacle-corrected visual acuity (BCVA), uncorrected visual acuity (UCVA), intraocular pressure (IOP), central macular thickness (CMT), and specular count were evaluated. The early (<6 weeks) and late (>6 weeks) post-operative complications were made note of.

Results:

Mean age of patient population was 57.5 ± 8.8 years (Range: 42-74 years) with 14 males (66.7%). The mean duration of follow-up after surgery was 8.2 ± 2.4 months (Range 5-12 months). At the final follow-up, there was significant improvement in UCVA (p<0.001) and BCVA (p<0.05) when compared to pre-operative values. There was no significant change noted in IOP from the pre-operative values (p>0.05). The percentage loss of endothelial cells noted at 4 months follow-up was 6.12 ± 3.0 % (p<0.05). The early post-operative complications (<6 weeks) noted were decentration (2 cases, 9.5%), transient vitreous cavity hemorrhage (2 cases, 9.5%), pigment dispersion (2 cases, 9.5%) and transient IOP rise (3 cases, 14.3%). The late complication noted was healed macular oedema (3 cases, 14.3%). No serious complications such as retinal detachment, endophthalmitis or uncontrolled glaucoma were noted during follow-up period.

Conclusions:

Results obtained from study indicate that fibrin glue-assisted intrascleral fixation of posterior chamber IOL is a viable option with good visual outcome in vitrectomised eyes with deficient capsular support with low rate of complications. FINANCIAL DISCLOSURE?: No