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Long-term outcomes following secondary intraocular lens implantation in eyes with primary aphakia

Poster Details

First Author: V.Vasavada INDIA

Co Author(s):    A. Vasavada   S. Vasavada   V. Vasavada   S. Srivastava           

Abstract Details


Secondary IOL implantation is often performed for visual rehabilitation of children who are aphakic in one or both eyes. The purpose is to report longterm outcomes following secondary intraocular Lens(IOL) implantation in children left aphakic during primary congenital cataract surgery


Iladevi Cataract & IOL Research Centre, Ahmedabad, India


Retrospective study in 20 eyes of 20 aphakic children who underwent secondary IOL implantation between January 2012 to December 2014. Intraoperatively, site of IOL implantation was noted (in the bag vs sulcus implantation). Records were reviewed for following outcome measures at every followup : best corrected visual acuity(BCVA),IOP,IOL centration, visual axis obscuration, glaucoma and other complications.


Mean age of 20 patients(20 eyes) was 5.91�Â�±2.51 years with mean followup of 36.02�Â�±1.8 months. In 2 eyes(13.3%) single piece hydrophobic acrylic IOL implanted in the bag. In 11 eyes(86.7%),3 piece hydrophobic IOL was implanted in the sulcus. In 1 eye sutured scleral fixation of PMMA IOL was implanted. Postoperatively 5 eyes (33.3%) developed secondary glaucoma of which 2 eye required trabeculectomy. All eyes had well -centred IOL. Mean postop visual acuity was:0.48�Â�±0.24Logmar.


Longterm outcomes of secondary IOL suggest that it is safe,however achieving in the bag fixation of IOL maybe difficult. The incidence of glaucoma postoperatively needs to be kept in mind when planning for secondary IOL implantation.

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