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First Author: M.kamel diaab EGYPT
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To evaluate the utility and safety of combining secondary intraocular lens (IOL) placement and endocyclophotocoagulation (ECP) laser in patients with aphakia, glaucoma, and an inability to tolerate aphakic contact lens (CL) or spectacles.
Faculty of Medicine AIN Shams Univeristy Cairo Egypt and also Magrabi Hospital KSA
Retrospective case series of children undergoing simultaneous secondary IOL placement and ECP. Outcomes included control of intraocular pressure (IOP), postoperative vision, and surgical complications
Eleven eyes of 7 children were included. All were CL or spectacle intolerant. Pre-operatively, 10 eyes were being treated medically for glaucoma; 7 had poorly controlled IOP (range 20 to 39). IOLs were sulcus-placed 3-piece lenses. There were no intra-operative complications. During a median postoperative follow-up of 10 months (range 2-48), IOP was controlled in 8 eyes without medication, in 1 eye with medical treatment, and 2 eyes required additional glaucoma surgery. Ten eyes had stable sulcus lenses and minimal postoperative refractive error; 1 had IOL dislocation. All eyes had stable or improved visual acuity
In our series, this combined procedure had rare complications, improved refractive correction, and improved glaucoma control.