Glued intraocular lens implantation for eyes with defective capsules: A retrospective analysis of anatomical and functional outcome
Identifieur interne : 002B70 ( Main/Exploration ); précédent : 002B69; suivant : 002B71Glued intraocular lens implantation for eyes with defective capsules: A retrospective analysis of anatomical and functional outcome
Auteurs : Dhivya A. Kumar ; Athiya Agarwal ; Amar Agarwal ; Gaurav Prakash ; Soosan JacobSource :
- Saudi Journal of Ophthalmology [ 1319-4534 ] ; 2011.
Abstract
To analyze the anatomical and functional outcome of glued intra ocular lens (IOL) implantation technique and its modifications.
Retrospective observational case series.
This is a retrospective analysis of the patients who underwent glued intra ocular lens implantation from December 2007 to August 2010. Post operative uncorrected vision, best corrected visual acuity (BCVA), intra ocular pressure, IOL position, endothelial cells and anterior chamber reaction at their last follow up are analyzed from their concerned case sheets documentation. Subjective changes are analyzed via individual questionnaire. Immediate and late postoperative complications are also evaluated. Surgical modifications and the difference in the operated eyes are analyzed.
Total 210 glued IOL eyes have been reviewed. Out of this 210, there are 152 (PMMA glued IOL), 21 (three piece foldable IOL), 5 (multifocal foldable IOL), 12 (pediatric glued IOL), 5 (20G sutureless vitrectomy), 2 (glued iris prosthesis) and 3 (transposition of posterior chamber IOL into anterior chamber). In combined surgeries there are, 5 (optical penetrating keratoplasty), 2 (descemet’s stripping endothelial keratoplasty) and 3 (iridoplasty). The modifications in glued IOL are handshake technique, injectable or foldable glued IOL, Multifocal glued IOL and intraoperative 23/25G trocar cannula infusion. Decentration (1.97%), macular edema (1.97%) and optic capture (2.63%) are the post operative complications encountered in rigid glued IOL. Good patient satisfaction is seen in the eyes with IOL repositioning, IOL exchange and multifocal glued IOL. There is significant improvement in BCVA in PMMA IOL (
Glued IOL seems to be a good alternative in IOL implantation in eyes with deficient capsules. The modifications in the existing technique decrease the learning time and risk for complications.
Url:
DOI: 10.1016/j.sjopt.2011.04.001
PubMed: 23960932
PubMed Central: 3729651
Affiliations:
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Kumar</name></author><author><name sortKey="Agarwal, Athiya" sort="Agarwal, Athiya" uniqKey="Agarwal A" first="Athiya" last="Agarwal">Athiya Agarwal</name></author><author><name sortKey="Agarwal, Amar" sort="Agarwal, Amar" uniqKey="Agarwal A" first="Amar" last="Agarwal">Amar Agarwal</name></author><author><name sortKey="Prakash, Gaurav" sort="Prakash, Gaurav" uniqKey="Prakash G" first="Gaurav" last="Prakash">Gaurav Prakash</name></author><author><name sortKey="Jacob, Soosan" sort="Jacob, Soosan" uniqKey="Jacob S" first="Soosan" last="Jacob">Soosan Jacob</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">23960932</idno><idno type="pmc">3729651</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3729651</idno><idno type="RBID">PMC:3729651</idno><idno type="doi">10.1016/j.sjopt.2011.04.001</idno><date when="2011">2011</date><idno type="wicri:Area/Pmc/Corpus">001565</idno><idno type="wicri:Area/Pmc/Curation">001565</idno><idno type="wicri:Area/Pmc/Checkpoint">001B35</idno><idno type="wicri:Area/Ncbi/Merge">002880</idno><idno type="wicri:Area/Ncbi/Curation">002880</idno><idno type="wicri:Area/Ncbi/Checkpoint">002880</idno><idno type="wicri:doubleKey">1319-4534:2011:Kumar D:glued:intraocular:lens</idno><idno type="wicri:Area/Main/Merge">002C08</idno><idno type="wicri:Area/Main/Curation">002B70</idno><idno type="wicri:Area/Main/Exploration">002B70</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Glued intraocular lens implantation for eyes with defective capsules: A retrospective analysis of anatomical and functional outcome</title><author><name sortKey="Kumar, Dhivya A" sort="Kumar, Dhivya A" uniqKey="Kumar D" first="Dhivya A." last="Kumar">Dhivya A. Kumar</name></author><author><name sortKey="Agarwal, Athiya" sort="Agarwal, Athiya" uniqKey="Agarwal A" first="Athiya" last="Agarwal">Athiya Agarwal</name></author><author><name sortKey="Agarwal, Amar" sort="Agarwal, Amar" uniqKey="Agarwal A" first="Amar" last="Agarwal">Amar Agarwal</name></author><author><name sortKey="Prakash, Gaurav" sort="Prakash, Gaurav" uniqKey="Prakash G" first="Gaurav" last="Prakash">Gaurav Prakash</name></author><author><name sortKey="Jacob, Soosan" sort="Jacob, Soosan" uniqKey="Jacob S" first="Soosan" last="Jacob">Soosan Jacob</name></author></analytic><series><title level="j">Saudi Journal of Ophthalmology</title><idno type="ISSN">1319-4534</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Purpose</title><p>To analyze the anatomical and functional outcome of glued intra ocular lens (IOL) implantation technique and its modifications.</p></sec><sec><title>Design</title><p>Retrospective observational case series.</p></sec><sec><title>Methods</title><p>This is a retrospective analysis of the patients who underwent glued intra ocular lens implantation from December 2007 to August 2010. Post operative uncorrected vision, best corrected visual acuity (BCVA), intra ocular pressure, IOL position, endothelial cells and anterior chamber reaction at their last follow up are analyzed from their concerned case sheets documentation. Subjective changes are analyzed via individual questionnaire. Immediate and late postoperative complications are also evaluated. Surgical modifications and the difference in the operated eyes are analyzed.</p></sec><sec><title>Results</title><p>Total 210 glued IOL eyes have been reviewed. Out of this 210, there are 152 (PMMA glued IOL), 21 (three piece foldable IOL), 5 (multifocal foldable IOL), 12 (pediatric glued IOL), 5 (20G sutureless vitrectomy), 2 (glued iris prosthesis) and 3 (transposition of posterior chamber IOL into anterior chamber). In combined surgeries there are, 5 (optical penetrating keratoplasty), 2 (descemet’s stripping endothelial keratoplasty) and 3 (iridoplasty). The modifications in glued IOL are handshake technique, injectable or foldable glued IOL, Multifocal glued IOL and intraoperative 23/25G trocar cannula infusion. Decentration (1.97%), macular edema (1.97%) and optic capture (2.63%) are the post operative complications encountered in rigid glued IOL. Good patient satisfaction is seen in the eyes with IOL repositioning, IOL exchange and multifocal glued IOL. There is significant improvement in BCVA in PMMA IOL (<italic>p</italic> = 1.35 × 10<sup>−5</sup>) and foldable IOL (<italic>p</italic> = 0.000).</p></sec><sec><title>Conclusion</title><p>Glued IOL seems to be a good alternative in IOL implantation in eyes with deficient capsules. The modifications in the existing technique decrease the learning time and risk for complications.</p></sec></div></front></TEI><affiliations><list></list><tree><noCountry><name sortKey="Agarwal, Amar" sort="Agarwal, Amar" uniqKey="Agarwal A" first="Amar" last="Agarwal">Amar Agarwal</name><name sortKey="Agarwal, Athiya" sort="Agarwal, Athiya" uniqKey="Agarwal A" first="Athiya" last="Agarwal">Athiya Agarwal</name><name sortKey="Jacob, Soosan" sort="Jacob, Soosan" uniqKey="Jacob S" first="Soosan" last="Jacob">Soosan Jacob</name><name sortKey="Kumar, Dhivya A" sort="Kumar, Dhivya A" uniqKey="Kumar D" first="Dhivya A." last="Kumar">Dhivya A. Kumar</name><name sortKey="Prakash, Gaurav" sort="Prakash, Gaurav" uniqKey="Prakash G" first="Gaurav" last="Prakash">Gaurav Prakash</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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