Early Lens Aspiration With Posterior Chamber Intraocular Lens And Capsular Tension Ring In Microspherophakia To Avoid Lens-Induced Complications
Published 2023 - 41st Congress of the ESCRS
Reference: PO0443 | Type: Free paper | DOI: 10.82333/3pmy-f417
Authors: Enmar Mazyad Almazyad* 1 , Ali AlRajhi 2
1Cornea, External Disease & Refractive Surgey ,King Khaled Eye Specialist Hospital,Riyadh,Saudi Arabia, 2Cornea, External Disease & Refractive Surgey ,King Khaled Eye Specialist Hospital,Riyadh,Saudi Arabia;Cornea, External Disease & Refractive Surgey ,Specialized Experts Center,Riyadh,Saudi Arabia
Purpose
To report the surgical outcome of early lens aspiration, posterior chamber intraocular lens (PC IOL), and capsular tension ring (CTR) in a case series of microspherophakia (MSP) and secondary glaucoma.
Setting
Retrospective chart review of ten consecutive MSP cases (18 eyes) at King Khaled Eye Specialist Hospital (KKESH). Eighteen eyes who underwent primarily lens aspiration with CTR and PC IOL by one ophthalmologist were included in this study. The Institutional Review Board approved the study in KKESH.
Methods
Case series of 18 eyes of MSP cases presented with lenticular myopia and secondary glaucoma that underwent early lens aspiration, PC IOL and CTR by one ophthalmologist. Baseline, long-term postoperative outcomes, and complications were documented.
Results
All cases underwent successful surgery without intraoperative complications. One of the 18 cases was a delayed referral which had broad anterior synechiae and following lens aspiration developed corneal decompensation. In one eye, CTR implantation was not possible hence, lens aspiration with scleral fixation (SF) of 3 piece IOL was performed (excluded from the analysis). Overall there was an improvement in visual acuity (from 0.3 ± 0.1 to 0.2 ± 0.2 LogMar, P = 0.006), intraocular pressure (IOP), and most notably, deepening of the anterior chamber. Some cases required subsequent glaucoma surgery to control IOP. After a long duration of follow-up, all cases had stable capsular lens complex and no capsular phimosis.
Conclusions
Early Lens aspiration with CTR and PCIOL alone in MSP with lens subluxation has a significant impact on the patient's quality of vision, deepening the anterior chamber and preventing complications or poor outcomes. In addition, good capsular-lens complex stability and absence of capsular phimosis or phacodonesis on long-term follow-up were obtained.