DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20201335

Safety and efficacy of glued intraocular lens implantation in eyes with inadequate capsular support

Payal P. Gonde, Sagar Aghadate

Abstract


Background: Aim of the study was to analyze the postoperative visual outcomes, complication rate of fibrin glue-assisted, suture-less posterior chamber (PC) intraocular lens (IOL) implantation technique in eyes with inadequate capsule support at a tertiary eye care hospital.

Methods: This is a retrospective, nonrandomized case series. This study analyzes 50 eyes which underwent PC-IOL implantation by fibrin glue-assisted, suture-less technique. All patients who had IOL implants by the fibrin glue-assisted PC-IOL technique from 2017 to 2019 were included in the study. Intra- and post-operative complications were analyzed. The postoperative best corrected visual acuity (BCVA) was evaluated and recorded at the end of 6 months.

Results: Mean age of distribution are 42.94 years in glued IOL implantation. Among 50 cases 30 are males and 20 are females. There is significant difference in BCVA between preoperatively and postoperatively, p value for pre-operative to post-operative vision in glued intraocular lens group is <0.0001 i.e. there is definite improvement in vision  in glued intraocular group. BCVA ≥6/24 was 18 (48%) in Glued IOL subjects.

Conclusions: Glued IOL implantation is a feasible option in rehabilitating patients with aphakia without adequate capsular support.


Keywords


Best corrected visual acuity, Fibrin glue, Intraocular lens, Implantation/glued intraocular lens, Intraocular pressure, Posterior chamber, Pars Plana vitrectomy Scleral fixated Intraocular lens

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References


Choragiewicz T, Rejdak R, Grzybowski A, Nowomiejska K, Moneta-Wielgoś J, Ozimek M, et al. Outcomes of Sutureless iris-claw lens implantation. J Ophthalmol. 2016;2016.

Agarwal A, Kumar DA, Jacob S, Baid C, Agarwal A, Srinivasan S. Fibrin glue–assisted sutureless posterior chamber intraocular lens implantation in eyes with deficient posterior capsules. J Cataract Refractive Surg. 2008 Sep 1;34(9):1433-8.

Lagoutte FM, Gauthier L, Comte PRM. A fibrin sealant for perforated and preperforated corneal ulcers. Br J Ophthalmol. 1989;73:757-61.

Falavarjani KG, Modaress M, Foroutan A, Bakhtiari P. Reply: Fibrin glue-assisted sutureless scleral fixation. J. Cataract Refract. Surg. 2009;35:795-6.

Kumar DA, Agarwal A, Agarwal A, Prakash G, Jacob S. Glued intraocular lens implantation for eyes with defective capsules: A retrospective analysis of anatomical and functional outcome. Saudi J Ophthalmol. 2011 Jul 1;25(3):245-54.

Kumar DA, Agarwal A. Glued intraocular lens: a major review on surgical technique and results. Curr Opin Ophthalmol. 2013 Jan 1;24(1):21-9.

Hazar L, Kara N, Bozkurt E, Ozgurhan EB, Demirok A. Intraocular lens implantation procedures in aphakic eyes with insufficient capsular support associated with previous cataract surgery. J Refract Surg.2013 Jul 30;29(10):685-91.

Ganekal S, Venkataratnam S, Dorairaj S, Jhanji V. Comparative evaluation of suture-assisted and fibrin glue-assisted scleral fixated intraocular lens implantation. J Refrac Surg. 2012 Apr 1;28(4):249-52.

Agarwal A, Kumar DA, Nair V. Cataract surgery in the setting of trauma. Curr Opin Ophthalmol. 2010 Jan 1;21(1):65-70.

Maheshwari R, Vaishnavi T, Revanasiddappa I, Joseph J, Kalikivayi V, Cherian Jacob S. Safety and efficacy of trans-scleral glued intraocular lens implantation. Ann Eye Sci. 2017 Jul 14;2(7).

Mohan S, John B, Rajan M, Malkani H, Nagalekshmi SV, Singh S. Glued intraocular lens implantation for eyes with inadequate capsular support: Analysis of the postoperative visual outcome. Ind J Ophthalmol. 2017 Jun;65(6):472.

Kang JJ, Ritterband DC, Tolees SS, Seedor JA. Outcomes of glued foldable intraocular lens implantation in eyes with preexisting complications and combined surgical procedures. J Cataract Refract Surg. 2015 Sep 1;41(9):1839-44.

Song A, Scott IU, Flynn Jr HW, Budenz DL. Delayed-onset bleb-associated endophthalmitis: clinical features and visual acuity outcomes. Ophthalmol.2002;109: 985-91.

Price MO, Price Jr FW, Werner L, Berlie C, Mamalis N. Late dislocation of scleral-sutured posterior chamber intraocular lenses. J Cataract Refract Surg. 2005;31:1320-6.

Heilskov T, Joondeph BC, Olsen KR, Blankenship GW. Late endophthalmitis after transscleral fixation of a posterior chamber intraocular lens. Arch Ophthalmol. 1989;107:1427.

Jacobs PM, Cheng H, Price NC. Pseudophakodonesis and corneal endothelial contact: direct observations by high-speed cinematography. Br J Ophthalmol. 1983;67:650-4.

Jacobi KW, Jagger WS. Physical forces involved in pseudophacodonesis and iridodonesis. Albrecht Von Graefes Arch Klin Exp Ophthalmol. 1981;216:49-53.

Uthoff D, Teichmann KD. Secondary implantation of scleral-fixated intraocular lenses. J Cataract Refract Surg. 1998;24:945-50.

Vote BJ, Tranos P, Bunce C, Charteris DG, Da Cruz L. Long-term outcome of combined pars plana vitrectomy and scleral-fixated sutured posterior chamber intraocular lens implantation. Am J Ophthalmol. 2006;141:308-12.

Ferguson AW, Malik TY. Pseudophakic posterior iris chafing syndrome. Eye. 2003;17:451-2.

John G, Stark W. Rotation of posterior chamber intraocular lenses for management of lens-associated recurring hyphemas. Arch Ophthalmol. 1992;110:963-4.

Nicholson D. Occult iris erosion: a treatable cause of recurrent hyphema in iris-supported intraocular lenses. Ophthalmol.1982;89:113-20.

Amino K, Yamakawa R. Long-term results of out-of-the-bag intraocular lens implantation. J Cataract Refract Surg. 2000;26:266-70.