Fibrin glue–assisted sutureless posterior chamber intraocular lens implantation in eyes with deficient posterior capsules

Agarwal, Amar; Kumar, Dhivya Ashok; Jacob, Soosan; Baid, Chandresh; Athiya, Agarwal; Srinivasan, Sridhar

doi:10.1016/j.jcrs.2008.04.040

Cited by 462 publications

(312 citation statements)

References 27 publications

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“…In this retrospective case series, 53 eyes of 53 patients who underwent fibrin glue-assisted posterior chamber IOL implantation 9 were analysed after 1 year. All eyes operated using this procedure from December 2007 to May 2008 were included and followed up for 12 months.…”

Section: Methodsmentioning

confidence: 99%

“…[2][3][4][5][6][7][8] Fibrin glue-assisted posterior chamber (PC) IOL implantation is a new technique started in December 2007 in eyes with deficient capsular support. [9][10][11][12] The purpose of this article is to evaluate the post-operative outcome, namely, visual prognosis and complication profile, of eyes operated using this technique at the end of 1 year.…”

Section: Introductionmentioning

confidence: 99%

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Glued posterior chamber IOL in eyes with deficient capsular support: a retrospective analysis of 1-year post-operative outcomes

Kumar

Prakash

Jacob

et al. 2010

Eye

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Purpose To evaluate the post-operative outcome of fibrin glue-assisted posterior chamber intraocular lens (IOL) implantation in eyes with deficient capsular support after 1 year. Methods Eyes operated with fibrin glueassisted posterior chamber IOL implantation from December 2007 to May 2008 were included. The post-operative best spectaclecorrected visual acuity (BCVA), uncorrected visual acuity (UCVA), intraocular pressure (IOP), central macular thickness, and specular count were evaluated. IOL position and centration at 1 year was determined. The 1-year post-operative complications were analysed. Results A total of 53 eyes of 53 patients were analysed. There was significant improvement in UCVA (P ¼ 0.000) and BCVA (P ¼ 0.000). There was no significant change (P ¼ 0.447) in IOP from the pre-operative value. The early post-operative complication was decentration (5.6%). The late complication was pigment dispersion (3.7%) and healed macular oedema (7.5%). No vision threatening complications such as retinal break, retinal detachment, or endophthalmitis were seen. The percentage (%) loss of endothelial cells was 5.23 ± 3.4% at 1-year follow-up. No pseudophakodonesis was seen in the follow-up visits. Conclusion Results obtained at 1 year after fibrin glue-assisted posterior chamber IOL implantation showed a good visual outcome with minimal complications in eyes with deficient capsular support.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Glued posterior chamber IOL in eyes with deficient capsular support: a retrospective analysis of 1-year post-operative outcomes

Kumar

Prakash

Jacob

et al. 2010

Eye

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“…Fibrin glue has also been used to assist in posterior chamber intraocular lens implantation in eyes with capsular support deficiency with good visual acuity outcome and no postoperative complications [130,131]. Buschman et al also reported success in using fibrin glue for closing anterior lens capsule wounds [132].…”

Section: Lens Surgerymentioning

confidence: 99%

Tissue adhesives in ocular surgery

Park

Champakalakshmi

Panengad

et al. 2011

Expert Review of Ophthalmology

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“…5 In-the-bag IOL dislocation, however, usually occurs several years after cataract surgery and is thus thought to depend on slowly progressive dehiscence of the zonules. 6,7 When endocapsular IOL placement is not possible, the choices include sutured scleral-fixated IOLs, 8,9 sutureless scleral-fixated IOLs, 10,11 iris-fixated IOLs, 12 iris-claw IOLs, 13 or anterior chamber (AC) IOLs. 14 However, scleral-fixated IOLs are subject to problems such as suture degradation, pseudophacodonesis, endophthalmitis, and late IOL decentration owing to suture-related complications.…”

Section: Introductionmentioning

confidence: 99%

“…[15][16][17] Iris-fixated or iris-claw IOLs have fewer posterior segment complications, but they can lead to chronic pigment release from the iris, which can cause inflammation and spontaneous iris disencalvation. 18 Many surgical procedures have been introduced to reduce these complications; for example, Agarwal et al 11 reported an effective sutureless IOL scleral fixation as a new surgical technique that uses biological glue to implant a PC IOL in eyes with a deficient or absent posterior capsule. This technique of PC IOL implantation is appropriate for eyes without posterior capsules and is performed easily with the available IOL designs.…”

Section: Introductionmentioning

confidence: 99%

Comparision of surgical outcomes of intraocular lens refixation and intraocular lens exchange with perfluorocarbon liquid and fibrin glue-assisted sutureless scleral fixation

Lee

Park

2015

Eye

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Aim The purpose of this study was to compare the surgical outcomes of intraocular lens (IOL) refixation with intraocular lens exchange using perfluorocarbon liquid (PFCL) and fibrin glue-assisted sutureless scleral fixation surgery in patients with dislocation of the IOL. Methods Twenty-five eyes of 25 patients who underwent surgery for dislocated IOLs with PFCL and fibrin glue-assisted scleral fixation were studied; 13 eyes experienced IOL refixation (in-the-bag and out-of-the-bag), and 12 eyes experienced IOL exchange. Preoperative and postoperative clinical features from patient charts and 25 eyes with 46 months' follow-up information were reviewed and analyzed. Results At postoperative 6 months, best-corrected visual acuity (BCVA) and spherical equivalent of IOL refixation and exchange were significantly improved (P = 0.042, P = 0.001), and endothelial cell density was significantly decreased in the two groups with no significant difference between them. Surgically induced astigmatism of IOL refixation improved from 0.90 ± 0.47 to 0.61 ± 0.37 (P = 0.012), and IOL exchange improved from 1.17 ± 0.64 to 0.73 ± 0.37 (P = 0.037) at postoperative 6 months, with no significant difference between the two groups. Complications occurred in four eyes in the IOL refixation group and in three eyes in the IOL exchange group.Conclusion PFCL and fibrin glue-assisted IOL sutureless scleral refixation or exchanged fixation was an effective surgical treatment for IOL dislocation. Also, because postoperative BCVA, surgical outcomes, and complications did not differ significantly between IOL refixation and exchange surgery, if IOL exchange surgery is not indicated, IOL refixation surgical techniques should be considered.

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Fibrin glue–assisted sutureless posterior chamber intraocular lens implantation in eyes with deficient posterior capsules

Cited by 462 publications

References 27 publications

Glued posterior chamber IOL in eyes with deficient capsular support: a retrospective analysis of 1-year post-operative outcomes

Glued posterior chamber IOL in eyes with deficient capsular support: a retrospective analysis of 1-year post-operative outcomes

Tissue adhesives in ocular surgery

Comparision of surgical outcomes of intraocular lens refixation and intraocular lens exchange with perfluorocarbon liquid and fibrin glue-assisted sutureless scleral fixation

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