Visual outcome of pars plana vitrectomy with lensectomy with scleral fixated IOL implantation in ectopia lentis
Journal Title: Medpulse International Journal of Ophthalmology - Year 2019, Vol 9, Issue 3
Abstract
Background: Patients with ectopia lentis present with low visual acuity, diplopia, pain. Cataract surgery with normal in the bag posterior chamber intra ocular lens (PCIOL) surgery for these patients is difficult due to weak capsular support. In traumatic cases, sometimes vitreous is seen in anterior chamber, these patients need vitrectomy with removal of lens and implantation of scleral fixated PCIOL. Aim: To evaluate visual outcome of pars plana vitrectomy with lensectomy with scleral fixated IOL implantation in ectopia lentis. Material and Methods: This prospective study included 50 eyes of 45 patients with ectopia lentis. All patients underwent lensectomy with 3 port pars plana vitrectomy with scleral fixated IOL implantation. The scleral fixated posterior chamber intraocular lens (SF-PCIOL) used were AUROLAB. Patients evaluated on post-operative 1, 7, 30 and 90 days. Results: 43 eyes (86%) had final best corrected visual acuity better than 6/24 and 46 eyes (92%) had BCVA 6/36 and better. Secondary glaucoma(10%), anterior uveitis (6%), vitreous hemorrhage(4%) and CME(2%) were found to be few of the complications. Patients had post-operative average refractive error of -0.78 sphere and-1.245 cylinder at 3 month follow up. Conclusion: Lensectomy with pars plana vitrectomy and scleral fixated IOL implantation is a safe and effective treatment for ectopia lentis with inadequate capsular integrity
Authors and Affiliations
Hanumant R Mandlik, Sakshi Patil, Ajit K Joshi
Keywords
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- EP ID EP536279
- DOI 10.26611/10099232
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