Perioperative predictors of success in scleral-fixated intraocular lens implantations

Session Details

Session Title: Presented Poster Session: After Surgery

Venue: Poster Village: Pod 1

First Author: : A.Young HONG KONG

Co Author(s): :    K. Kam                       

Abstract Details

Purpose:

To review visual and refractive outcomes of scleral fixated intraocular lens implantation and identify perioperative predictors for better visual outcomes.

Setting:

Tertiary University Teaching Hospital Prince of Wales Hospital, The Chinese University of Hong Kong.

Methods:

A retrospective review of all patients undergoing scleral fixated intraocular lens implantation at the Prince of Wales Hospital, Hong Kong between May 2012 and April 2017. Data collected included age, gender, affected eye, preoperative and postoperative visual acuities, refractive target and outcome, surgeon profile, operative details including method of scleral fixation, intraoperative and postoperative complications and length of follow-up.

Results:

Ninety eyes of 90 patients were included for analyses. The mean LogMAR visual acuities were 1.17±0.70 at postoperative week 1, 0.81±0.56 at one month, 0.66±0.55 at three months, 0.56±0.59 at 6 months, and 0.51±0.60 at one year respectively. After adjusting for age at operation, operative time, axial length, subspecialty of the surgeon and preoperative LogMAR, surgeon seniority was not significantly associated with final visual outcomes. There was no statistically significant difference between the mean improvement in visual acuities between eyes operated by consultants and fellows under direct supervision of a senior surgeon.

Conclusions:

Scleral-fixated intraocular lens implantation is safe and effective in improving visual acuities in aphakic adults without capsular support. Under good supervision, fellows were able to produce comparable results compared with experienced specialists.

Financial Disclosure:

None