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Iris-sutured posterior chamber intraocular lens implants: visual outcomes and complications

Poster Details

First Author: D.Dzhaber USA

Co Author(s):    Y. Daoud                    

Abstract Details

Purpose:

To report the predisposing risk factors, visual outcomes and intra-operative and post-operative complications of patients that received iris-sutured posterior chamber intraocular lens (IOL) in eyes with aphakia and malpositioned IOLs.

Setting:

Cornea division, Wilmer Eye Institute, Johns Hopkins University School of Medicine.

Methods:

Retrospective chart review and data analysis of patients that underwent iris fixation of IOL for correction of aphakia, dislocated and subluxed IOLs. Data included clinical risk factors, associated eye conditions, pre-operative and post-operative vision, intraocular pressure (IOP), previous surgeries, concomitant procedures, intra-operative and post-operative complications including corneal edema, pupil irregularity, uveitis, hyphema, suprachoroidal hemorrhage, elevated IOP, secondary IOL dislocation, macular edema (ME), epiretinal membrane formation (ERM), retinal detachment (RD) and endophthalmitis.

Results:

90 cases were analyzed. Mean follow-up was 19 months. The most common predisposing risk factor was high myopia in 22 eyes. Mean pre-op best corrected visual acuity (BCVA) was 0.44 logMAR. Mean post-op BCVA was 0.27 logMAR. The most common post-operative complications included IOL re-dislocation in 10 eyes, transient IOP elevation in 10 eyes, ERM formation in 6 eyes, ME in 5 eyes, hyphema in 4 eyes, corneal edema in 2 eyes. Glaucoma developed in 3 eyes postoperatively, 2 of which were medically managed. There was 1 case of postoperative RD and 1 case of sterile endophthalmitis.

Conclusions:

Iris-sutured posterior chamber IOLs can be a good treatment option for eyes with inadequate capsular support. In our study, it led to long-term stability of the IOLs in 88.9% with few complications.

Financial Disclosure:

NONE

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