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Corneal power change following sutureless intrascleral fixation of posterior chamber IOL: case report

Poster Details

First Author: S.Tolees SAUDI ARABIA

Co Author(s):    A. Hong   D. Ritterband   J. Seedor              

Abstract Details

Purpose:

To report a case of a closed globe repositioning of dislocated IOL using Glued intrascleral fixation technique with a postoperative significant increase in with the rule keratometric astigmatism

Setting:

New York Eye and Ear Infirmary

Methods:

A 64-year-old myopic man underwent uneventful cataract surgery with insertion of posterior chamber IOL (SI30NB - Allergan, Inc.) in the left eye in September 1995. In December 2013 he presented with a sudden drop of vision OS. No history of antecedent trauma. Examination revealed posterior, complete dislocation of the IOL/capsular complex. PPV was done at which time the lens was freed of capsule and on inspection appeared to be intact. The haptics were exteriorized under scleral flaps in the 12 and 6 o’clock meridians. One 1 mm. paracentesis was created to manipulate the lens. No sutures were placed.

Results:

Preoperatively the axial length was 27.45mm by IOL Master (Zeiss Inc.). Preoperative keratometry measurements were: 47.00/48.25 @ 85. Pre- subluxation refraction was -3.00 D sph. One month postoperatively the UCVA was 20/400 correcting to: -3.00 -3.25 @ 170= 20/40+3, and keratometry readings were 45.60/48.90@ 80. On the three month visit corrected vision improved to 20/25 with -3.5 -2.25@ 170. Keratometry readings were 46.00 /48.5 @ 80. The axial length was unchanged.

Conclusions:

The glued intrastromal IOL fixation technique does yield good anatomic and refractive outcomes in most patients. Significant refractive change can occur however when repositioning is performed, the etiology of which is uncertain.

Financial Disclosure:

NONE

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