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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A 'double glazed' eye: case report

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Session Details

Session Title: Presented Poster Session: Pre/post-op special cases

Session Date/Time: Sunday 11/09/2016 | 15:00-16:30

Paper Time: 16:00

Venue: Poster Village: Pod 1

First Author: : I.Careba UK

Co Author(s): :    I. Akram              

Abstract Details

Purpose:

To describe a less invasive surgical option of a case of dropped IOL in a quiet eye of an elderly 82 years old patient.

Setting:

Rennie Eye Clinic, St Helens Hospital – St Helens, UK

Methods:

The patient presented in November 2015 in our clinic with decreased VA in his LE (LE BCVA=HM) for the past 3 weeks.He had cataract surgery in 2005(RE) and 2000(LE) and VA recorded in June 2015 were 6/6 for BE.Anterior segment examination revealed right pseudophakia and left:iridodonesis,aphakia with no cells in the AC and no signs of inflammation.Retinal examination of the RE was normal;for the LE revealed dislocated IOL on the lower retina with no signs of vitritis.We discussed with the patient the options of fitting a CL that would balance the anisometropia or surgery.

Results:

But due to ocular surface abnormalities and the patient’s age the option of fitting a CL was not viable.The surgical option would mean posterior vitrectomy,removal of dropped IOL and scleral fixation of a PC IOL.Given the patient’s age and the absence of any signs of inflammation caused by the dropped IOL we decided to only do anterior vitrectomy,iridectomy and insert a secondary AC IOL leaving the dropped IOL in place.The patient had no complications after the anterior vitrectomy and insertion of a secondary AC IOL.VA has improved (LE BCVA=6/18),anterior segment examination for the LE is quiet with no signs of inflammation, retinal examination is also quiet.We are observing the patient for the time being every 2 months.

Conclusions:

We conclude that a secondary IOL inserted in a quiet eye with a dropped IOL might be a good option in certain cases when we want to avoid any long term CL use or extensive surgery in an elderly patient.

Financial Disclosure:

NONE

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