Posters

Sealed implantation of foldable intraocular lenses

Poster Details

First Author: D.Nath INDIA

Co Author(s):    E. Blumenthal                    

Abstract Details

Purpose:

To evaluate the safety and efficacy of sealed implantation, a simple technique for implanting foldable intraocular lenses (IOLs).

Setting:

1 Cataract Services, Center for Sight, Agra - India 2 Department of Ophthalmology, Rambam Health Care Campus and the Technion-Israel Institute of Technology, Haifa - Israel 3 Department of Ophthalmology, Tirupati Eye Center, Noida - India

Methods:

Sealed implantation in which a single-piece, foldable IOL is implanted without viscosurgical device or continuous infusion BSS. A 3-step 2.75-mm incision was performed 0.5 mm anterior to the limbus with 1.75 mm length as well as a 0.9 mm side port incision. Prior to insertion of the IOL, the capsular bag and anterior chamber are filled with BSS. Hydroxypropyl methylcellulose 2% is applied external to the main corneal incision. The foldable IOL injector tip is introduced into the main incision in one quick jabbing motion and the IOL injected. The IOL is dialed with a irrigating Simcoe cannula.

Results:

Of 50 charts reviewed, sealed implantation was attempted in 40 (80%), with success in all cases. The injection of the IOL was performed without anterior chamber loss in 92% of the cases (n = 36) and no complications were recorded. There were no events of postoperative hypotony or wound leakage.

Conclusions:

Sealed implantation is a safe and efficient alternative to hydroimplantation without the need for OVDs in suitable cases.

Financial Disclosure:

None