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Analysis of intraocular pressure changes after surgical management of 171 cases of in-the-bag intraocular lens dislocation

Poster Details

First Author: B.Lorente SPAIN

Co Author(s):    V. de Rojas   P. Vazquez de Parga   R. Lorente              

Abstract Details

Purpose:

To evaluate the changes in intraocular pressure after surgical correction of late in the bag IOL dislocation.

Setting:

Complexo Hospitalario Universitario de Ourense, Spain. Complexo Hospitalario Universitario de A Coruña, Spain.

Methods:

Retrospective (2005-2014) interventional case series including cases of late spontaneous in-the-bag IOL dislocation from two referral centers. The main outcome measure was preoperative/postoperative intraocular pressure (IOP) and type of surgery.

Results:

134 cases of surgeries to correct in-the-bag IOL dislocation were identified. Dislocation was corrected: repositioning using scleral fixated IOL (SFIOL) (66 cases); IOL exchange for angle supported IOL (ACIOL) (33 cases); iris claw IOL (ICIOL) (27 cases) and 8 cases with other techniques (IOL removal, anterior relaxing capsulotomy and iris suturing). Mean IOP decreased significantly after surgery from 20.25 ± 7.52 to 16.26 ± 4.05 in the whole group (p=0.000). Mean pre and postoperative intraocular pressure was 21.57 ± 8.86 and 16.21 ± 4.52 (p=0.000), 19.19 ± 7.58 and 16.6 ± 5.93 (p=0.039), 19.12 ± 3.95 and 15.96 ± 2.90 (p=0.017) mmHG in SFIOL, ACIOL and ICIOL groups respectively.

Conclusions:

In the largest series reported to date, a significant trend towards a decrease in intraocular pressure was found after the surgical management of in the bag dislocated IOLs. This decrease was independent of the technique used to correct the dislocation.

Financial Disclosure:

NONE

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