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Glued transscleral IOL fixation shows long-term stability
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Glued transscleral IOL fixation resulted in good long-term lens positioning with minimal tilt, according to a study.
The prospective study included 69 patients who underwent glued transscleral IOL implantation; 60 patients completed follow-up.
Subluxated cataract lens, postoperative aphakia and intraoperative posterior capsule rupture were the indications for glued transscleral fixation.
Anterior segment OCT (Visante, Carl Zeiss Meditec) was used to assess postoperative IOL position.
The average interval between IOL implantation and OCT assessment was 71.6 months.
Mean follow-up was 5.9 years.
There were no cases of IOL dislocation. Pigment dispersion on the IOL surface was identified in nine eyes (15%). Optic tilt was detected in 21 eyes (35%).
IOLs were repositioned because of decentration in two eyes (3.3%) less than 2 weeks after surgery.
The correlation between slope of the iris and the IOL in the horizontal and vertical axes was significant (
Mean ocular residual astigmatism was 0.53 D. The difference between ocular residual astigmatism in eyes with or without IOL tilt was insignificant.
Results showed no relationship between best corrected visual acuity and ocular residual astigmatism.
Disclosure: The authors report no relevant financial disclosures.
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