Long-term safety and functional outcome of sutureless and glueless scleral fixated intraocular lens in post-traumatic vitrectomised eyes

Session Details

Session Title: Cataract Surgery Special Cases

Session Date/Time: Tuesday 25/09/2018 | 08:00-10:00

Paper Time: 08:06

Venue: Room A3, Podium 1

First Author: : N.Agrawal NEPAL

Co Author(s): :    L. Agarwal   A. Anand                 

Abstract Details

Purpose:

In the absence of capsular support anterior chamber intraocular lens (IOL), Iris fixated IOL and sutured scleraL fixated intraocular lens(SFIOL) implantation has been performed since years. Recently sutureless glued SFIOL have been used as a primary or secondary procedure to correct aphakia. In this study we have used sutureless and glueless technique of SFIOL implantation in post traumatic vitrectomised eyes with the aim to evaluate its long-term safety and functional outcome.

Setting:

Biratnagar Eye Hospital, Biratnagar, Nepal

Methods:

A prospective interventional case series was conducted. Aphakic post traumatic vitrectomised eyes with absence of capsular support, who consented were enrolled in the study between 1st April 2014 and 31th March 2015. Patients with poor preoperative best distance corrected visual acuity (BCVA), non-dilating pupil and glaucoma were not included. We evaluated the preoperative and postoperative BCVA, intraocular pressure, intraoperative and postoperative complications.The enrolled patients were followed up for 2 years.

Results:

Thirteen of 15 enrolled patients completed the 2 years follow up. 10 eyes had undergone vitrectomy for posteriorly dislocated lens, and 3 for intraocular foreign body followed by silicone oil removal. Mean BCVA in logMAR units improved significantly from 0.54± 0.2 to 0.37 ±0.26 (p=0.01). The common early postoperative complications were hypotony (n=6) and corneal edema (n=2). There was 1 case of dislocated haptic with cavity hemorrhage which was repositioned on the first postoperative day itself. No complications such as IOL tilt, IOL dislocation, persistent cavity hemorrhage, endophthalmitis and retinal detachment were seen till 2 year follow-up.

Conclusions:

The surgical procedures were performed safely in all patients. Most postoperative complications were minor and transient: significant one requiring haptic repositioning in 1 case. Sutureless and glueless technique of SFIOL implantation showed good visual outcome in vitrectomised eyes without any serious long-term complications.

Financial Disclosure:

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