Clinical outcome of iris vs scleral intraocular lens fixation

Session Details

Session Title: Cataract Surgery Complications

Session Date/Time: Monday 16/09/2019 | 16:30-18:00

Paper Time: 16:36

Venue: Free Paper Forum: Podium 2

First Author: : S.Levy-Neuman ISRAEL

Co Author(s): :    O. Reitblat   A. Marcovich   A. Bukelman   G. Kleinmann                    

Abstract Details

Purpose:

To compare the safety and efficacy of scleral fixation of posterior chamber intraocular lenses (SFIOL) and iris fixation of posterior chamber intraocular lenses (IFIOL).

Setting:

Department of Ophthalmology, Kaplan Medical Center, Rehovot, Israel.

Methods:

A retrospective chart review of 119 eyes of 113 patients that underwent SFIOL or IFIOL at Kaplan Medical Center between 2008 and 2018, and had at least 3 weeks of follow-up; eighty eyes had SFIOL and 39 eyes had IFIOL. The main outcome measures were: operation time, postoperative visual acuity, and intra and post-operative complications.

Results:

The mean operation time was similar for both groups. The mean follow-up time was significantly longer for IFIOL compared with SFIOL (34±31 vs. 13±19 months, respectively [P>0.001]). Postoperative corrected distance visual acuity (CDVA) at the last follow-up was significantly better than the preoperative CDVA in both groups (SFIOL: 0.54±0.51 vs. 1.20±0.85, [P<0.001], and IFIOL: 0.75±0.88 vs. 1.31±0.81 [P=0.001], respectively [LogMar]). No difference in DCVA was found between the groups. Irregular pupil was found in 59% IFIOL vs. 21.3% in SFIOL [P<0.001]). No other differences in complications were found between the groups.

Conclusions:

IFIOL and SFIOL resulted both in a significant improvement in CDVA and showed similar complications rate except for ovalization of the pupil that was more common in the IFIOL group. Longer follow-up was noticed at the IFIOL group.

Financial Disclosure:

None