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

Abstract

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.

Visual outcome and early complications of sutureless and glueless scleral fixated intraocular lens

“…Healed ME was seen in 7.5% glued SFIOL eyes (Kumar et al, 2010). In the present study postoperative ME was seen in 1.6% eyes.…”

“…Kumar et al (2010) reported decrease in BCVA in 11% of eyes following glued SFIOL. Luk et al (2013) recently reported reduction of BCVA in 29% eyes following sutured SFIOL.…”

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

“…Compared with IOL scleral fixation with suture, results obtained at 1 year after fibrin glue-assisted PC IOL implantation showed a good visual outcome with minimal complications and less IOL tilting in eyes with deficient capsular supports. 29 Also in our previous study, we reported that fibrin glue-assisted sutureless scleral fixation techniques reduce complications and suturerelated problems. 19 For additional stability, the haptic tip is tucked into the scleral wall through a tunnel, which prevents all movement of the haptic along the transverse axis.…”

“…Fibrin glue-assisted sutureless PC IOL implantation with a deficient posterior capsule was introduced by Agarwal et al 11 to prevent knot exposure or breakage and knot-related inflammation, 9 and minimize pseudophacodonesis, persistent iris rubbing, damage to the iris and ciliary body by a needle, and elevation of IOP. 29 Another advantage of this technique is the rapidity and ease of surgery, thereby reducing the risk of retinal photic injury 30 , which is known to occur with scleralfixated IOLs. Compared with IOL scleral fixation with suture, results obtained at 1 year after fibrin glue-assisted PC IOL implantation showed a good visual outcome with minimal complications and less IOL tilting in eyes with deficient capsular supports.…”

Tissue adhesives in ocular surgery

“…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].…”