ISTANBUL escrs

Subluxated Intraocular lenses – what to do and what to expect?

Session Details

Session Title: Refractive
Session Date/Time: Sunday 22/02/2015 | 08:30-11:00
Paper Time: 10:42
Venue: Sadirvan A
First Author: : R.Bastos-Amorim PORTUGAL
Co Author(s): :    R. Couceiro   N. Ferreira   E. Neto   M. Faria   M. Monteiro-Grillo  

Abstract Details

Purpose:

The authors describe and compare two different surgical techniques in patients with subluxated intraocular lenses (IOL).

Setting:

Hospital Santa Maria, Lisbon.

Methods:

Retrospective study based on 28 patients with subluxated IOL, without any associated retinal pathology, who underwent surgery in the last two years in our clinic. In 20 cases, intraocular lenses (AR-40, 3-piece architecture IOL) were adjusted with retro-iris fixation (Group 1). In the remaining 8 cases (Group 2), the primary IOL was removed and a Verysise® retro-pupillary was implanted. Causes of IOL subluxation, visual acuity (VA) before and after surgery, intraocular pressures (IOP) and intra/postoperative complications were evaluated.

Results:

The average age of patients was 64.88 ± 21.42 years old, 19 males and 9 females. The most common subluxation IOL cause was the spontaneous cause, followed by trauma. Pseudoexfoliation was detected in 26% of patients. A significant decrease in IOP values was observed in both groups but OHT was the most post-surgical complication, observed in 7 patients (35%) of group 1, which was medically controlled. There were no intraoperative complications. VA obtained at 3 months follow-up were similar regardless the surgical technique, showing an average +17 letters improvement in group 1 and +15 letters in group 2 (ETDRS chart).

Conclusions:

Both surgical techniques have proven to be effective in the treatment of IOL subluxation, being relatively simple and quick to perform. The visual recovery obtained in both techniques was very similar and meaningful.

Financial Disclosure:

NONE

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