Implantation Of Glued Intraocular Lens In Eyes With Inadequate Capsular Support: Analysis Of The Postoperative Visual Outcome And Complications

To explore the outcomes and complications of the transscleral glued IOL fixation as an alternative technique due to inadequate posterior capsular support at a tertiary eye specialist center(KKESH).

tertiary eye specialist center(KKESH)

This is a retrospective case series. The case records of patients who underwent posterior chamber scleral fixated IOL (SFIOL) using a glued technique from June 2014 to March 2010 were reviewed.  

We compared preoperative and postoperative uncorrected visual acuity (UCVA) and best-corrected visual acuity (BCVA). In addition, early and late postoperative complications such as IOL position and centration and occurrence of sight-threatening complications such as cystoid macular edema (CME), rhegmatogenous retinal detachment (RRD), and endophthalmitis were analyzed.

40 eyes of 39 patients were analyzed. Mean age of included cases was 50.8±21.1 years. Early postoperative complications were corneal edema (n=7, 28%), IOL decentration (n=4, 16%), IOL tilt (n=4, 16%), IOL dislocation (n=2, 8%), high intraocular pressure (n=2, 8%), haptic exposure(n=2,8%), and others. In the late postoperative period, one case had CME, and two cases had RRD. Endophthalmitis  was not reported. The odds of increased risk of IOL tilt/dislocation/decentration do not increase with the increase of the eye's axial length. There was a significant improvement in UCVA (P=0.03) at six months postoperatively. 

 

The use of a transscleral glued IOL fixation technique is a practical and safe approach for managing Aphasia and eyes with weak zonules. The rate of complication is similar to other published studies.