LONG-TERM OUTCOMES OF SULCUS IMPLANTATION OF HYDROPHILIC SINGLE-PIECE ACRYLIC INTRAOCULAR LENS

Published 2022 - 26th ESCRS Winter Meeting

Reference: FP13 | Type: Abstracts | DOI: 10.82333/z6cp-fp22

Authors: Khaled Elubous* ¹ , Mouna Al-Sa’ad ¹ , Muawyah AL- Bdour ¹ , Abedalaziz Elubous ² , Sarah Qawasmeh ¹ , Mohammed Abu-Ameereh ¹

¹Ophthalmology,Jordan University Hospital,Amman,Jordan, ²Surgery,University Of Jordan,Amman,Jordan

Purpose

There are limited data on the outcomes of sulcus implantation of hydrophilic single-piece acrylic intraocular lens (IOL), with wide controversies in their conclusions. This study aims to evaluate the long-term outcomes of the sulcus implantation of these types of IOLs.

Setting

All the eyes were operated on at a single institution (Jordan University Hospital, Amman, Jordan) between January 2015 and June 2020.

Methods

This is a retrospective medical chart review. In this study, we included eyes that underwent sulcus implantation of hydrophilic single-piece acrylic IOL. Phacoemulsification and anterior-vitrectomy were performed in all cases. Two types of IOL had used, namely the RayOne Aspheric (RAO600C) and the Medicontur (Bi-Flex HL 677AB). Patients having a follow-up duration of fewer than six months have been excluded. We also excluded patients having a history of uveitis, glaucoma, or ocular trauma. The outcome measures were adverse events, IOL stability, intraocular pressure (IOP), corrected distance visual acuity (CDVA), and the risk of a second surgery.

Results

Twenty-four eyes (24 patients) were included. The mean follow-up duration was 19.7 months ± 12.8 (SD). There was a statistically significant improvement in CDVA (p-value = .0005), with 75% of eyes achieving visual acuity ≥ 20/40. Excluding two eyes with preoperative chronic maculopathy, 81.8% achieved CDVA above or equal to 20/40. There was no significant difference between preoperative and postoperative IOP (p-value =0.41). Postoperative complications were persistent elevation of IOP in four cases (17%), IOL instability (decentration, tilt, or dislocation) in 4 cases (17%), and 1 case (4%) of retinal detachment. Three patients (13%) required surgical interventions for IOL dislocation, retinal detachment, or uveitis-glaucoma-hyphema syndrome.

Conclusion

The sulcus implantation of hydrophilic single-piece acrylic IOL resulted in favorable long-term visual outcomes. Elevated intraocular pressure due to pigment release was the most worrisome complication, particularly in eyes at risk of glaucoma.