Copenhagen 2016 Registration Programme Exhibitor Information Virtual Exhibition Satellite Meetings Glaucoma Day 2016 Hotel Star Alliance
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10 - 14 Sept. 2016, Bella Center, Copenhagen, Denmark

This Meeting has been awarded 27 CME credits

 

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Verisyse aphakic iris-enclaved IOL results and complications in vitrectomised eyes

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Session Details

Session Title: Presented Poster Session: Combined Cataract Surgery

Session Date/Time: Saturday 10/09/2016 | 15:00-16:30

Paper Time: 15:40

Venue: Poster Village: Pod 1

First Author: : M.Gunda UK

Co Author(s): :    H. Manzar   S. Ali Ahmad   C. Demosthenous   M. Saeed     

Abstract Details

Purpose:

To evaluate the indications, visual outcomes and complication rate after anterior chamber iris-claw apakic intraocular lens in vitrectomised eyes

Setting:

Department of Ophthalmology, Queen Elizabeth Hospital, Kings Lynn Norfolk, United Kingdom

Methods:

Single surgeon retrospective case series of eyes lacking in adequate posterior capsular or zonular support as a result of complicated cataract surgery, trauma or late IOL dislocation were included in this study. Verisyse (AMO Abbott, USA) / Artisan (Ophthec, Switzerland) had anterior chamber intra-ocular lens implantation (verisyse/ Artisan) between 2010-2015. We reviewed visual outcome and post-operative complications.

Results:

The study comprised of 28 eyes (27 patients). The mean follow up was six months (1-60 months). The IOLs were in inserted following pars plans vitrectomy (PPV) for complicated cataract surgery in 14 eyes (50%), during IOL exchange procedure for dislocated or subluxated posterior chamber IOL in 10 eyes (35.7%), cloudy lens exchange in 2 eyes (7.14%), congenital cataract surgery in 2 eyes (7.14%).The final mean corrected distance visual acuity CDVA (0.4 logMAR) was significantly better than preoperatively (0.85 logMAR). In all eyes the post operative refractive errors were within ±2 dioptres of emmetropia. Complications included CMO in 3 eyes (10.71%), retinal detachment 1 eye (3.57%), elevated IOP 2eyes (7.14%), vitreous hemorrhage in 1 eye (3.57%).

Conclusions:

Verisyse anterior chamber iris enclaved IOL provided an effective and practical option for visual rehabilitation in aphakia associated with vitrectomised eyes. The surgical technique is relatively easy and less time consuming compared to scleral fixated IOL. The technique also has the advantage of being reversible, if required, although explantation was not required in any case. Results show good visual outcomes with acceptable complication rate.

Financial Disclosure:

NONE

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