Surgical outcome of intrascleral fixation of in-the-bag dislocated intraocular lens with or without replacement

Session Details

Session Title: Free Paper Session 5: Anterior/Posterior Segment Surgery

Session Date/Time: Thursday 07/09/2017 | 11:00-12:30

Paper Time: 11:54

Venue: Room 117

First Author: : T.Baba JAPAN

Co Author(s): :                                 

Abstract Details

Purpose:

To compare the surgical outcomes after intra-scleral haptics fixation of an intraocular lens (IOL) with or without replacement for cases with an in-the-bag dislocation of the IOL.

Setting:

This was a retrospective, non-randomized case series conducted at a single ophthalmological institution.

Methods:

Cases with an in-the-bag dislocation of an IOL were treated by pars plana vitrectomy with intrascleral haptics fixation of the IOL. The same dislocated IOL was used in 6 eyes (Group A) and the IOL was replaced with another IOL in the other 9 eyes (Group B). The pre- and postoperative parameters analyzed included the visual acuity, refractive error, reduction of corneal endothelial cells density, and intraocular pressure.

Results:

There was no significant difference between the two groups in the postoperative visual acuity (P=0.388), refractive error (P=0.955), intraocular pressure (P=0.529), gap between targeted and postoperative refractive error (P=1.000), and endothelial cell density (P=0.940). A breakage or a titling of the IOL was observed in two eyes in Group A and required replacement.

Conclusions:

The in-the-bag dislocated IOL can be used with the intra-scleral haptics fixation technique. However, a careful monitoring for postoperative complications should be performed.

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