Posters

Glued IOL technique: implantation of intraocular lens attached to the sclera in the absence of capsular support – our experience with Dr A. Agarwal technique

Poster Details

First Author: A.Urkia SPAIN

Co Author(s):    J. Alberdi   E. Vazquez   E. Corcostegui   I. Lopez           

Abstract Details

Purpose:

We have carried out a retrospective and descriptive analysis to demonstrate that this technique is a good option for the implantation of the intraocular lens (IOL) in cases of aphakia and absence of capsular support, specially when iris fixation is not possible. In this regard, we have evaluated the results obtained at Galdakao-Usansolo Hospital following the steps first described by Dr. A. Agarwal in 2007.

Setting:

Galdakao-Usansolo Hospital. Bizkaia.

Methods:

We have included 23 aphakic eyes of 23 patients who have undergone surgery by the implantation of an IOL attached to the sclera and placement of biological glue to adhere the haptics. The most frequent causes of aphakia were the complication of a previous phacoemulsification, and IOL-bag complex luxation secondary to a pseudoexfoliation syndrome. An anterior 23G vitrectomy have been performed in all cases with a posterior vitrectomy and extraction of nucleus fragments, when necessary. We have analyzed the anatomical appearance (stability, haptics and cornea) and functional results from six months to one postoperative year.

Results:

We have found a lower learning curve with this technique compared to other techniques for secondary IOL fixation. In relation to the stability of the IOL, the results have been excellent as well as the postoperative appearance of the cornea. The haptics have remained sub-scleral in most cases, although displacement to subconjunctival space happened and an extrusion of one haptic that required a fascia lata placement. The refractive results have been surprisingly good. Complications have been minimal, with some cases of iris capture of the IOL, solved by patient positioning and miotic drops treatment.

Conclusions:

The IOLs adhered to sclera with biological glue and without sutures can be an excellent tool for aphakia and absence of capsular support, especially if there is no iris to anchor the IOL. The learning curve with Dr. A. Agarwal technique is lower compared to other techniques. We found no toxicity in relation to the biological glue and thus, the use of sutures that can be degraded with time is avoided.

Financial Disclosure:

None