Retro-Pupillary Intraocular Lens Implantation In Patients Undergoing Glaucoma Surgery With Anterior Chamber Tubes And Pseudoexfoliation.
Published 2024 - 42nd Congress of the ESCRS
Reference: PO983 | Type: Poster | DOI: 10.82333/tr8c-6450
Authors: Marina Potau Bermejo* 1 , Nathalie Gutiérrez Lemus 1 , Júlia Nash Monsó 1 , Julieta Carolina Stefani Vargas 1 , Javier Santos Gutiérrez 1
1Ophtalmology,Corporació Sanitària Parc Taulí,Sabadell,Spain
Purpose
Setting
Ophthalmology department in a tertiary-level hospital in Sabadell, Barcelona, Spain.
Methods
An 85-year-old male with a history of cataract surgery more than 10 years ago and under follow-up for pseudoexfoliative glaucoma in both eyes well controlled with Lumigan and Duokopt, during a routine examination, he presented an intraocular pressure (IOP) of 28 mmHg in the left eye, prompting us to perform surgery with a Preserflo Microshunt, which was uneventful.
Results
On the first postoperative day, the patient had an IOP of 3 mmHg without choroidal detachment or athalamia. A week later, the IOP was 10 mmHg. During the one-month visit, the patient reported a 3-day history of visual acuity (VA) loss with hand motion vision. Examination revealed subluxation of the intraocular lens. Fundus examination was normal. It was decided to perform lens and complex bag extraction surgery with intense anterior vitrectomy and implantation of a retro-pupillary Artisan lens. One month after surgery, the patient maintained a pressure of 10 mmHg.
Conclusions
In conclusion, pseudoexfoliation is a risk factor for lens luxation during cataract surgery and also for intraocular lens luxation in patients undergoing cataract surgery. In the literature, we find that in most cases, luxation is spontaneous in patients with pseudoexfoliation, although up to 4% of cases can occur after glaucoma surgery. Retro-pupillary intraocular lens implantation is a quick and safe option to consider in patients undergoing glaucoma surgery with anterior chamber tubes.