Session Title: Cataract II
Session Date/Time: Sunday 05/02/2012 | 08:30-11:00
Paper Time: 09:05
Venue: Grand Ballroom
First Author: : E.Patsoura GREECE
Co Author(s): : K. Diamadopoulou B. Neureiter S. Georgaras
Purpose:
To assess the safety and efficacy of dislocated IOL repositioning with iris fixation sutures.
Setting:
OPHTHALMOS Research and Therapeutic Institute Athens, Greece.
Methods:
Retrospective observational case series of 22 eyes (22 patients)operated on between 2007-2010. Patients presented with spontaneous in or out of the bag IOL dislocation. All cases were managed with placement of either one or two iris fixation sutures using a modified McCannel or Siepser technique. RESULTS 9/22 eyes (40,9%) presented with subluxed IOL-bag complex, 13/22 eyes (59,1%) with IOL dislocation. Mean time to dislocation from initial surgery was 86,6 months. 4/22 eyes (18,18%) had tolerable pupil ovalization postoperatively, 2/22 eyes (9%) were complicated with anterior chamber haemorrhage due to iridodialysis. 2/22 eyes (9%) had poor centration, one (4,5%) due to suture rupture postoperatively while the other (4,5%) had eventually an IOL replacement with an anterior chamber iris claw lens (Artisan), due to recurrent dislocation. All eyes maintained good centration at the end of the follow up. Corrected visual acuity (CDVA) remained the same or improved in 20/22 eyes (81%).
Conclusions:
Management of in and out of the bag IOL dislocation with iris fixation sutures is a safe and effective technique. Nevertheless it is technically demanding and careful planning is needed to avoid perioperative complications.
Financial Disclosure:
No
