Aphakia Without Capsular Support Following Complicated Cataract Surgery. Refractive Outcomes And Complications With Soleko Carlevale Intraocular Lens
Published 2023 - 41st Congress of the ESCRS
Reference: PO0384 | DOI: 10.82333/rm86-ep66
Authors: Pablo González De Los Mártires* 1 , Gonzalo Guerrero Pérez 1 , Iñigo Salmerón Garmendia 1 , Ana Jiménez Alonso 1 , Santiago López Arbués 1 , Juan Ferreiro López 1
1Ophthalmology,Hospital Universitario de Navarra,Pamplona,Spain
To describe and characterize mid-term outcomes of the posterior chamber sutureless scleral fixation intraocular lens, Soleko FIL SSF/Carlevale, in patients with aphakia in absense of capsular support following complicated cataract surgery.
Ophthalmology department, Hospital Universitario de Navarra (Iruña/Pamplona, Spain)
Retrospective observational study at the University Hospital of Navarra with patients included from January 2021 to March 2022, with 6 months minimum follow-up. All patients underwent a complete vitrectomy. Refractive outcomes were analysed [best corrected visual acuity (BCVA) at 1, 3 and 6 months; preoperative, postoperative, and surgically induced astigmatism; difference between predicted spherical equivalent by biometry (SRK/T) and postoperative spherical equivalent], as well as corneal endothelial cell count gap, surgical duration, and peri-procedure complications.
12 eyes of 12 patients were included. The BCVA was 1.29±1.85 LogMAR preoperatively and improve to 0.28±0.64 LogMAR at 6 months (p-value: 0.002). Outcomes in preoperative (-1,81±0,93 dioptres), postoperative (-1.63±0.70 dioptres) and surgically induced (-0.28±0.38 dioptres) astigmatism. Difference between predicted vs postoperative spherical equivalent was -0.54±0.58 dioptres. The corneal endothelial cell count decreased from 1833.16±611.99 to 1441.25±484.35 cells/mm2 (p-value: 0.002). Surgical lenght duration of 68,83±4,82 minutes. Regarding complications, there was a macular oedema controlled with topical medication, a corneal decompensation requiring DSAEK, and a bilateral haptic extrusion needing an escleroconjuntival coverage.
The Soleko FIL SSF/Carlevale IOL seems to be a promising surgical option in patients without capsular support after complicated cataract surgery, as it combines a minimally invasive implantation with a good functional recovery and complications profile. However, more follow-up in larger sample size and comparison with other similar type intraocular lenses are required to confirm the data presented in our study.