THREE PIECE IOL WITH OPTIC CAPTURE IN MICROPHTHALMIC EYES WITH CATARACT
Published 2024 - 28th ESCRS Winter Meeting
Reference: FP14 | Type: Submission | DOI: 10.82333/5db8-0259
Authors: Ipsita Barman* 1 , Deeksha Rani 1 , Sudarshan Khokhar 1
1Ophthalmology,Dr. Rajendra Prasad Centre for Ophthalmic Sciences,New Delhi,India
Purpose
To describe the role of three-piece IOL with optic capture in microphthalmic eyes with cataract.
Setting
Tertiary care hospital in North India
Methods
A prospective study was conducted between January 2020 to January 2022 including 20 eyes of 10 patients of congenital or developmental cataract with microphthalmos. All children were less than 12 years of age. Children with WTW greater than 9.5 mm and smaller than 8.5 mm were excluded. All children underwent lens aspiration with posterior continuous curvilinear capsulorhexis and anterior vitrectomy with a three-piece IOL in sulcus with optic capture.
Results
The mean age was 64 + 28 months. 60 percent of the participants were males. Majority (60%) of the children had a partially absorbed cataract. 10% had associated iridofundal coloboma. The mean WTW was 9.2 +0.4 mm, STS was 8.8 +0.5 mm, and the bag diameter was 7.2 +0.9 mm. Examination under anaesthesia at 3 months follow up revealed a well centered IOL on ultrasound bio microscopy in all kids. At 6 months follow up, none of the patients had glaucoma, corneal decompensation or anterior segment inflammation on follow up. None of the kids developed visual axis opacification.
Conclusion
Three-piece IOL with optic capture is a safe and viable option of IOL implantation in eligible microphthalmic eyes with cataract.