A retrospective multicenter study of sutureless scleral fixation of the three-piece posterior chamber intraocular lenses

Session Details

Session Title: IOL Dislocation & Opacification

Session Date/Time: Tuesday 25/09/2018 | 14:00-16:00

Paper Time: 14:24

Venue: Room A3, Podium 1

First Author: : M.Czajka SWEDEN

Co Author(s): :    G. Jakobsson   A. Frajdenberg   T. Pabin   M. Stopa           

Abstract Details

Purpose:

To report the results of two techniques, with or without trocars, for sutureless scleral fixation with 3 standard three-piece posterior chamber intraocular lenses (PC IOL)

Setting:

Department of Ophthalmology and Department of Clinical and Experimental Medicine, University Hospital, Linköping, Sweden Department of Ophthalmology, Sahlgren´s University Hospital, Gothenburg, Sweden Department of Ophthalmology, Heliodor Swiecicki UniversityHospital, Poznan, Poland

Methods:

Retrospective multicenter consecutive series of patients who underwent sutureless scleral fixation of 3 different three-piece PCIOL with concurrent pars plana vitrectomy between January 2014 and December 2017. Scleral fixation was performed either by transconjunctival fixation through trocar cannulas or by the creation of scleral tunnels using the blade from the trocar systems or 25 gauge needle.

Results:

A total of 94 patients (96 eyes) from 3 institutions ( 3 surgeons) were included in the study. The average age was 69 years (range, 20-94). The median follow-up was 9,5 months (range, 0,5-44). Indications for surgery included aphakia 46 eyes (48%), IOL dislocation 34 eyes (35%) and natural lens dislocation 16 eyes (17%). The most common complications included corneal decompensation (n= 7), IOL dislocation (n = 6), elevated intraocular pressure (n= 6), cystoid macular edema (n = 5) and vitreous hemorrhage (n = 2). Mean best corrected visual acuity improved from logMAR 0,62 to 0,38 at the final visit (p< 0,0001)

Conclusions:

Overall results were similar to previous smaller studies, however lower risk of complications was observed. Both techniques showed similar anatomical and functional outcomes. The fixation of the three-piece PCIOL with larger diameter might be associated with less risk for postoperative IOL dislocation.

Financial Disclosure:

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