Official ESCRS | European Society of Cataract & Refractive Surgeons
London 2014 Registration Visa Letters Programme Satellite Meetings Glaucoma Day 2014 Exhibition Hotel Booking Virtual Exhibition Star Alliance
london escrs

Course handouts are now available
Click here

Come to London


WATCH to find out why

Site updates:

Programme Updates. Programme Overview and - Video Symposium on Challenging Cases now available.


Search Abstracts by author or title
(results will display both Free Papers & Poster)

Corneal endothelial cells in patients with anterior chamber IOL implantation: patients with IOL and capsular bag subluxation

Poster Details

First Author: A.Vicente PORTUGAL

Co Author(s):    V. Lemos   A. Cabugueira   M. Santos   D. Amado   N. Marques   J. Feijao

Abstract Details


The authors describe a study of the corneal endothelium in patients with spontaneous IOL and capsular bag subluxation submitted to anterior chamber IOL implantation.


Centro Hospitalar Lisboa Central, Lisbon, Portugal


A retrospective study of 12 eyes of 10 patients. All the patients were operated by the same surgical team in the last 4 years. Corneal endothelium cell counts were obtained with specular microscopy. Anterior segment OCTs (OCT Visante®, Carl Zeiss®) were also performed and corneal thickness was determined. Demographic data, visual outcome and refractive outcome were studied. Complications during the follow-up period were described.


Endothelial cell counts were reduced in all patients. A safe endothelial to IOL distance was secured in all patients. There were no complications during the surgical procedures. 7 patients had 3 piece AR-40® lenses, 4 patients had Alcon Acrysof® monobloc lenses and one had a Bausch & Lomb MI60® lens which were removed. The procedure included a pars plana victrectomy with detachment of the IOL and capsular bag followed by IOL removal through a corneal incision and implantation of a Verisyse® lens. Complications rate during the follow-up period was 25% and included desenclavated lens haptic, macular oedema and high IOP.


One of the main concerns associated with anterior chamber IOL implantation is endothelial cell count reduction. In our patients a decrease in cell count was present but it was not clinically significant. Therefore the combination of a technique that is safe and has a good efficacy with good visual recovery rates makes this surgery a valid and good option in treating these patients.

Financial Disclosure:


Back to Poster listing