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Comparative evaluation of suture-assisted and fibrin glue-assisted scleral fixated intraocular lens implantation

Poster Details

First Author: S.Ganekal INDIA

Co Author(s):    S. Kodur   V. Jhanji   S. Dorairaj              

Abstract Details

Purpose:

To compare the visual outcomes and complications after suture-assisted and fibrin glue-assisted scleral fixated intraocular (IOL) implantation

Setting:

Davangere Netralaya,Karnataka,India

Methods:

Scleral fixated IOL implantation was performed in patients with inadequate capsular support. Intraocular lens fixation was achieved using sutures or fibrin glue. Main parameters evaluated were visual outcomes and complications

Results:

Fifty patients included (n=25 suture, n=25 glue). Common indication for scleral fixated IOL implantation was posterior capsule rupture (58%). No differences noted between demographic characterstics, indications and pre operative vision in either group . No intraoperative complications related to IOL fixation . At 6 months, CDVA 20/40 or better in 88% and 84% of patients in the suture and glue groups, respectively.Postoperative inflammation (48% vs 16%) and glaucoma (40% vs 16%) seen more frequently in eyes with sutures as compared glue. significantly higher number of complications encountered in eyes with suture fixation (56% vs 28%) (P=.045).

Conclusions:

Although visual outcomes were similar at the end of 6 months in eyes that underwent suture- and glue-assisted scleral fixated IOL implantation, fibrin glue was associated with fewer complications.

Financial Disclosure:

NONE

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