Authors :
Sujit Kumar Biswas; Soma Rani Roy; Aparajita Raihan; Tangila Mohona
Volume/Issue :
Volume 8 - 2023, Issue 10 - October
Google Scholar :
https://tinyurl.com/mxtefdrw
Scribd :
https://tinyurl.com/39du4jrz
DOI :
https://doi.org/10.5281/zenodo.10046980
Abstract :
Aim:
To observe the visual outcome and complications of
late implanted anterior-chamber intraocular lens
(ACIOL) in eyes with insufficient or absent posterior
capsular support.Material and Methods:
Observational study of 52 eyes of 51 patients over a
period of 2 years. All eyes underwent late implantation
of ACIOL after 3 months of primary surgery (aphakia),
which were not eligible for posterior chamber IOL
implantation due to different causes. Patients were kept
aphakic with good anterior vitrectomy or pars plana
vitrectomy for 3 months to reduce inflammation. ACIOL
was then implanted with clear corneal incision after that
period. Patients were observed for 18 to 48 months.Result:
Mean age of the patients was 57.69±14.64 years
with a female predominance (55.8%). Major indications
for surgery were posterior capsular tear (57.70%) and
subluxated crystalline lens (19.2%). Pre- and post-
operative LogMar visual acuity was 1.51±0.29 and
0.31±0.28 respectively. Ninety percent (90.04%) eyes
achieved 6/18 or better vision in the Snellen chart. A
total of 9 eyes (17.30%) developed some complications.
No patients developed persistent raised IOP finally.Conclusion:
Late implantation of secondary ACIOLs results in
good visual outcome and greatly reduced some
complications such as persistent rise of intraocular
pressure (IOP), persistent uveitis and cystoid macular
edema.
Keywords :
Late Implanted Anterior Chamber Intraocular Lens (ACIOL), Posterior Capsular Support, Persistent Rise of IOP, Persistent Uveitis and Cystoid Macular Edema.
Aim:
To observe the visual outcome and complications of
late implanted anterior-chamber intraocular lens
(ACIOL) in eyes with insufficient or absent posterior
capsular support.Material and Methods:
Observational study of 52 eyes of 51 patients over a
period of 2 years. All eyes underwent late implantation
of ACIOL after 3 months of primary surgery (aphakia),
which were not eligible for posterior chamber IOL
implantation due to different causes. Patients were kept
aphakic with good anterior vitrectomy or pars plana
vitrectomy for 3 months to reduce inflammation. ACIOL
was then implanted with clear corneal incision after that
period. Patients were observed for 18 to 48 months.Result:
Mean age of the patients was 57.69±14.64 years
with a female predominance (55.8%). Major indications
for surgery were posterior capsular tear (57.70%) and
subluxated crystalline lens (19.2%). Pre- and post-
operative LogMar visual acuity was 1.51±0.29 and
0.31±0.28 respectively. Ninety percent (90.04%) eyes
achieved 6/18 or better vision in the Snellen chart. A
total of 9 eyes (17.30%) developed some complications.
No patients developed persistent raised IOP finally.Conclusion:
Late implantation of secondary ACIOLs results in
good visual outcome and greatly reduced some
complications such as persistent rise of intraocular
pressure (IOP), persistent uveitis and cystoid macular
edema.
Keywords :
Late Implanted Anterior Chamber Intraocular Lens (ACIOL), Posterior Capsular Support, Persistent Rise of IOP, Persistent Uveitis and Cystoid Macular Edema.
