Posters

IOL scaffold in phacoemulsification to prevent posterior capsule tear

Poster Details

First Author: A.Ridoy BANGLADESH

Co Author(s):    N. Rahman   M. Chowdhury   M. Chowdhury              

Abstract Details

Purpose:

To prevent posterior capsule tear and evaluate the post-operative outcomes of phacoemulsification with IOL scaffold technique.

Setting:

Single-center, prospective, interventional, non-comparative, consecutive case series.

Methods:

A total of 17 eyes of 17 patients with morgagnian (04 eyes) and hard (nuclear sclerosis grade – IV of 13 eyes) cataract who had undergone phacoemulsification with IOL scaffold technique to prevent posterior capsule tear in a tertiary clinic. All surgeries were performed by a single surgeon. 6.0 mm optic, acrylic, foldable IOL was implanted in all eyes. The pre-operative and post-operative parameters evaluated were uncorrected distance visual acuity, corrected distance visual acuity, cornea status, intraocular pressure and anterior segment inflammation.

Results:

Posterior capsule tear were prevented in all eyes. At 1-month follow-up, a significant improvement was noted in uncorrected distance visual acuity post-operatively (P-value <0.0001) and 6/6 visual acuity achieved in 71% eyes. Corrected visual acuity 6/6 achieved in 18% eyes. Mean post-operative IOP at 1-day and 1-month follow-up without any medication were 12.79 mmHg and 13.06 mmHg respectively. Immediate post-operative grade-2 anterior segment reaction (02 eyes) and minimal corneal edema (03 eyes) noted which were resolved by 1-month.

Conclusions:

IOL scaffold provides a safe and effective way to prevent posterior capsule tear in phacoemulsification of morgagnian and hard cataracts, with a good visual outcome.

Financial Disclosure:

None