Ultrasound biomicroscopic analysis of the sutureless scleral fixated intraocular lens
What:
Paper Presentation | Présentation d'article
Part of:
When:
2:20 PM, Sunday 3 Jun 2018
(10 minutes)
Where:
How:
Authors: David Plemel, Steven Lapere, Jaspreet Rayat, Donna Bong, Deana Breum, Rizwan Somani
Author Disclosure Block: D. Plemel: None. S. Lapere: None. J. Rayat: None. D. Bong: None. D. Breum: None. R. Somani: None.
Abstract Body:
Purpose: To determine the association between ocular dimensions and sutureless scleral fixated intraocular lens (SFIOL) position with visual acuity outcomes and postoperative complications.
Study Design: Prospective observational case series of eyes with aphakia or subluxated intraocular lenses that had placement of a SFIOL.
Methods: Ultrasound biomicroscopy (UBM) was performed prior to SFIOL surgery to determine ocular dimensions. Repeat UBM was performed at a minimum of two months after surgery to locate SFIOL position.
Results: Nineteen (19) eyes were included. Visual acuity improved from a mean of LogMAR 1.25 ± 0.78 (20/356 Snellen equivalent) at presentation to 0.58 ± 0.49 (20/76 Snellen equivalent) at a mean of 2.63 months postoperatively (P = 0.006). Sixteen haptics (44.4%) were visualized in the ciliary sulcus postoperatively. Optic tilt was associated with increased postoperative complications (P = 0.05). Postoperative complications including cystoid macular edema, vitreous hemorrhage and uveitisglaucoma-hyphema syndrome were not associated with ciliary sulcus diameter (P = 0.74), haptic placement (P = 0.67), floppy iris (P = 0.95), or iris touch (P = 0.69). There were no cases of subsequent SFIOL dislocation or endophthalmitis. Visual acuity outcome was not associated with axial length (P = 0.65), ciliary sulcus diameter(P=0.35), postoperative haptic location (P = 0.47) or iris touch (P = 0.54).
Conclusions: Optic tilt is associated with an increased risk of postoperative complications. Ocular dimensions and haptic placement are not associated with visual outcomes or postoperative complications in eyes with a SFIOL.
Author Disclosure Block: D. Plemel: None. S. Lapere: None. J. Rayat: None. D. Bong: None. D. Breum: None. R. Somani: None.
Abstract Body:
Purpose: To determine the association between ocular dimensions and sutureless scleral fixated intraocular lens (SFIOL) position with visual acuity outcomes and postoperative complications.
Study Design: Prospective observational case series of eyes with aphakia or subluxated intraocular lenses that had placement of a SFIOL.
Methods: Ultrasound biomicroscopy (UBM) was performed prior to SFIOL surgery to determine ocular dimensions. Repeat UBM was performed at a minimum of two months after surgery to locate SFIOL position.
Results: Nineteen (19) eyes were included. Visual acuity improved from a mean of LogMAR 1.25 ± 0.78 (20/356 Snellen equivalent) at presentation to 0.58 ± 0.49 (20/76 Snellen equivalent) at a mean of 2.63 months postoperatively (P = 0.006). Sixteen haptics (44.4%) were visualized in the ciliary sulcus postoperatively. Optic tilt was associated with increased postoperative complications (P = 0.05). Postoperative complications including cystoid macular edema, vitreous hemorrhage and uveitisglaucoma-hyphema syndrome were not associated with ciliary sulcus diameter (P = 0.74), haptic placement (P = 0.67), floppy iris (P = 0.95), or iris touch (P = 0.69). There were no cases of subsequent SFIOL dislocation or endophthalmitis. Visual acuity outcome was not associated with axial length (P = 0.65), ciliary sulcus diameter(P=0.35), postoperative haptic location (P = 0.47) or iris touch (P = 0.54).
Conclusions: Optic tilt is associated with an increased risk of postoperative complications. Ocular dimensions and haptic placement are not associated with visual outcomes or postoperative complications in eyes with a SFIOL.
