Complications and visual outcomes after glued foldable intraocular lens implantation in eyes with inadequate capsules.

[aniridia]

To evaluate the complications and visual outcomes of glued intrascleral-fixated foldable intraocular lens (IOL ) in eyes with deficient capsules .Dr Agarwal 's Eye Hospital and Eye Research Centre , Chennai , India .Case series .Data were evaluated from the records of patients with a primary glued foldable IOL for intraoperative capsular loss or subluxated lens or secondary glued foldable IOL for aphakia . Exclusion criteria included preoperative glaucoma , aniridia , macular scar , traumatic subluxation , combined surgeries , incomplete operative medical records , and postoperative follow-up less than 6 months . The intraoperative and postoperative complication rates , reoperation rate , and visual outcomes were analyzed .The study comprised 208 eyes (185 patients ). The mean follow-up was 16 .7 months Â± 10 .2 (SD ). The intraoperative complications were hyphema (0 .4 %), haptic breakage (0 .4 %), and deformed haptics (0 .9 %). Early complications occurred in 29 eyes (13 .9 %) and included corneal edema (5 .7 %), epithelial defect (1 .9 %), and grade 2 anterior chamber reaction (2 .4 %). Late complications occurred in 39 eyes (18 .7 %) and included optic capture (4 .3 %), IOL decentration (3 .3 %), haptic extrusion (1 .9 %), subconjunctival haptic (1 .4 %), macular edema (1 .9 %), and pigment dispersion (1 .9 %). Reoperation was required in 16 eyes (7 .7 %). Haptic position was altered in eyes with IOL decentration . Corrected distance visual acuity (CDVA ) improved or remained unchanged in 84 .6 % of eyes . The postoperative CDVA was 20 /40 or better and 20 /60 or better in 38 .9 % and 48 .5 % of eyes , respectively .The foldable glued-IOL procedure showed satisfactory visual outcomes without serious complications . Intraocular lens decentration was due to haptic-related problems .

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aniridia

hirschsprung disease

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