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Corneal endothelial cells in patients with anterior chamber IOL implantation: patients with IOL and capsular bag subluxation

Poster Details

First Author: A.Vicente PORTUGAL

Co Author(s):    V. Lemos   A. Cabugueira   M. Santos   D. Amado   N. Marques   J. Feijao

Abstract Details

Purpose:

The authors describe a study of the corneal endothelium in patients with spontaneous IOL and capsular bag subluxation submitted to anterior chamber IOL implantation.

Setting:

Centro Hospitalar Lisboa Central, Lisbon, Portugal

Methods:

A retrospective study of 12 eyes of 10 patients. All the patients were operated by the same surgical team in the last 4 years. Corneal endothelium cell counts were obtained with specular microscopy. Anterior segment OCTs (OCT Visante®, Carl Zeiss®) were also performed and corneal thickness was determined. Demographic data, visual outcome and refractive outcome were studied. Complications during the follow-up period were described.

Results:

Endothelial cell counts were reduced in all patients. A safe endothelial to IOL distance was secured in all patients. There were no complications during the surgical procedures. 7 patients had 3 piece AR-40® lenses, 4 patients had Alcon Acrysof® monobloc lenses and one had a Bausch & Lomb MI60® lens which were removed. The procedure included a pars plana victrectomy with detachment of the IOL and capsular bag followed by IOL removal through a corneal incision and implantation of a Verisyse® lens. Complications rate during the follow-up period was 25% and included desenclavated lens haptic, macular oedema and high IOP.

Conclusions:

One of the main concerns associated with anterior chamber IOL implantation is endothelial cell count reduction. In our patients a decrease in cell count was present but it was not clinically significant. Therefore the combination of a technique that is safe and has a good efficacy with good visual recovery rates makes this surgery a valid and good option in treating these patients.

Financial Disclosure:

NONE

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