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Sulcus placement of single piece hydrophobic foldable intraocular lens: how safe is it?

Poster Details

First Author: S.Prasad INDIA

Co Author(s):    R. Kumar   S. Tiwary           

Abstract Details



Purpose:

To analyse the result and complications of Sulcus placement of single piece hydrophobic foldable intraocular lens(IOL) in event of insufficient capsular bag

Setting:

In a Private Eye Hospital

Methods:

18 patients who were implanted single piece hydrophobic IOL after posterior capsular rupture(PCR) during phacoemulsification with insufficient capsular bag from Jan 2006 to Dec 2012 were retrospectively studied.All patients were operated by single surgeon(Author). Stage at which PCR occurred were noted.In case of vitreous prolapse anterior vitrectomy was done.Single piece IOL were implanted in sulcus and optic capture with anterior capsular rim was done when ever possible.Patients were followed up at day one,two weeks,four weeks,three months and last at six months.At each visit patient were examined for visual acuity,IOP,Slit lamp examination for anterior chamber inflammation,IOL position and fundus examination especially Indirect ophthalmoscopy of retinal periphery.

Results:

Mean age of patients were 65 years (range, 50 to 81 years).10 were male and 8 patients were female.PCR occured during IA in 13 patients and during fragment removal in 5 cases.Anterior capsular rim was intact in 15 cases and extension of anterior capsular rim in 3 cases.Anterior vitrectomy was needed in 14.Acrysof IQ (SN60WF) was implanted in 14 eyes,Acrysof single piece (SA60AT) in 3 and Acrysof Toric (SN6ATT) in 1 patients.Best corrected final visual acuity after 6 months ranged from 6/12 to 6/6.Three patients had recurrent iritis and needed steroid eye drops for 3 months.Two patients had deposits on optics of IOL which needed Yag Laser sweeping.Two patients without optic capture developed secondary glaucoma controlled on beta blocker,two patients CME. Slight decentration in one without capture.No decentration with optic capture even with Toric IOL was seen.

Conclusions:

Though literature suggests multipiece IOL a better option for sulcus placement,single piece hydrophobic foldable intraocular lens can be implanted in sulcus with optic capture in case of insufficient bag without any serious complications . FINANCIAL INTEREST: NONE

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