Secondary glaucoma and visual outcome after paediatric cataract surgery with primary bag‐in‐the‐lens intraocular lens

PURPOSE: To study the comparative pattern of postoperative complications following cataract surgery with intraocular lens (IOL) implantation in pediatric eyes with different technique of surgery done during past 3 years. This study helps reducing the complication and improves the visual outcome and economic burden of patient. Objectives: To study the comparative pattern of postoperative complications following cataract surgery with intraocular lens (IOL) implantation in pediatric eyes with different technique of surgery done during past 3 years. This study helps reducing the complication and improves the visual outcome and economical burden of patient.

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A COMPARISION OF POSTERIOR CAPSULAR OPACITY FORMATION UPTO 1 YEAR IN PATIENTS WITH SMALL INCISION CATARACT SURGERY WITH FOLDABLE INTRAOCULAR LENS AND PHACOEMULSIFICATION WITH THE SAME INTRAOCULAR LENS

10.36106/gjra/7413860 ◽

2020 ◽

pp. 173-176

Author(s):

Kinjal Rathod ◽

Kinjal Trivedi ◽

Snehal Nayi ◽

Somesh Aggarwal

Keyword(s):

Visual Acuity ◽

Cataract Surgery ◽

Intraocular Lens ◽

Nd:Yag Laser ◽

Visual Outcome ◽

Posterior Capsular Opacification ◽

P Value ◽

Small Incision Cataract Surgery ◽

Common Procedure ◽

Age Related

Introduction: Cataract is most common cause of curable blindness worldwide and cataract surgery is most common procedure performed in ophthalmology. Posterior capsular opacification (PCO) is most common complication after cataract surgery which is usually treated with Neodymium-doped: Yttrium Garnet (Nd:YAG) laser posterior capsulotomy or occasionally with a surgical capsulotomy. The incidence and severity of PCO correlates to the type of surgical technique, IOL optic edge designs and IOL materials. Material and Methods: 70 eyes of 64 patients operated for age related cataract were studied in this prospective interventional study. Phacoemulsification was done in 35 eyes and SICS in 35 eyes with hydrophobic single piece biconvex foldable intraocular lens. Patients were followed up at 1, 3, 6, 9 and 12 months for the development of PCO. Clinically significant PCO (loss of 2 or more lines of Snellen’s visual acuity chart) was treated with Nd:YAG laser capsulotomy. Results: The overall incidence of PCO was 22.85%. Amongst the patients who developed PCO, SICS and phacoemulsification was performed in 62.5% and 37.5% patients respectively. Result was statistically significant with p value <0.05 using z test. On first postoperative day, patients operated with phacoemulsification had better visual acuity than SICS. Conclusion: Phacoemulsification can provide early and better visual outcome than SICS and has lower incidence of PCO formation which may be due to difference in irrigation and aspiration and less disruption of blood aqueous barrier than SICS. PCO can be reduced by atraumatic surgery and thorough cortical clean up and capsular polishing.

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IOLMaster® 500 and Integration of the Holladay 2 Formula for Intraocular Lens Calculations

European Ophthalmic Review ◽

10.17925/eor.2011.05.02.134 ◽

2011 ◽

Vol 05 (02) ◽

pp. 134 ◽

Cited By ~ 4

Author(s):

Shareef Mahdavi ◽

Jack Holladay ◽

◽

Keyword(s):

Cataract Surgery ◽

Intraocular Lens ◽

Visual Outcome ◽

Intraocular Lens Calculations ◽

Intraocular Lens Calculation

The use of advanced formulas to improve the accuracy of cataract surgery has been a process of ongoing improvement since the 1980s. Today’s leading formula – Holladay 2 – has now been added directly to the IOLMaster®500 device (Carl Zeiss Meditec AG). This will allow a much larger group of surgeons to access the latest formula and should improve both intraocular lens calculation and the resulting visual outcome.

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Prognostic Factors for Low Visual Acuity after Cataract Surgery with Vitreous Loss

Journal of Ophthalmology ◽

10.1155/2021/6691904 ◽

2021 ◽

Vol 2021 ◽

pp. 1-6

Author(s):

Michael Mimouni ◽

Michal Schaap-Fogler ◽

Philip Polkinghorne ◽

Gilad Rabina ◽

Rita Ehrlich

Keyword(s):

Visual Acuity ◽

Prognostic Factors ◽

Cataract Surgery ◽

Intraocular Lens ◽

Axial Length ◽

Visual Outcome ◽

Multivariable Logistic Regression Analysis ◽

Iol Implantation ◽

Secondary Iol Implantation ◽

Vitreous Loss

Purpose. The purpose of this study is to find prognostic factors associated with low visual acuity in patients experiencing vitreous loss during cataract surgery. Methods. A retrospective, noncomparative, interventional, case study of patients experiencing vitreous loss during cataract surgery. Data collected included demographics, best corrected visual acuity (BCVA), axial length (AL), presence of ocular comorbidity affecting central vision, timing of intraocular lens (IOL) implantation, position of the implanted lens, and the presence of corneal sutures. Low visual outcome was defined as BCVA < 20/40. Results. Overall, 179 patients (60.3% males) with a mean age of 73 ± 12 years and axial length of 23.5 ± 1.3 mm with a mean follow-up of 12 ± 13 months were included. In multivariable logistic regression analysis, low visual outcome was independently associated with persisting postoperative complications (OR 6.25, 95% CI 1.378–30.9), preexisting ocular comorbidities (OR 4.45, 95% CI 1.1–18.00), and secondary intraocular lens (IOL) implant (OR 10.36, 95% CI 1.8–60.00). Conversely, pars plana vitrectomy (PPV) for dislocated fragments of lens material, age > 70 years, gender, axial length, degree of surgeon, corneal suturing, and anterior chamber lens implantation were not found to have significant associations with low visual outcomes ( P > 0.05 ). Conclusions. Low visual outcome after vitreous loss during cataract surgery was associated with ocular comorbidities, secondary IOL implantation, development of cystoid macular edema, and additional surgical complications.

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Visual outcome of conventional extra-capsular cataract extraction with posterior chamber intraocular lens implantation versus manual small incision cataract surgery

Nepalese Journal of Ophthalmology ◽

10.3126/nepjoph.v1i2.3694 ◽

1970 ◽

Vol 1 (2) ◽

pp. 151

Author(s):

A Sharma ◽

P Lavaju

Keyword(s):

Cataract Surgery ◽

Intraocular Lens ◽

Visual Outcome ◽

Cataract Extraction ◽

Posterior Chamber ◽

Intraocular Lens Implantation ◽

Small Incision Cataract Surgery ◽

Small Incision ◽

Posterior Chamber Intraocular Lens ◽

Lens Implantation

DOI: 10.3126/nepjoph.v1i2.3694 Nep J Oph 2009;1(2):151

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STUDY OF VISUAL OUTCOME IN PATIENTS AFTER AC-IOL (ANTERIOR CHAMBER INTRA-OCULAR LENS) IMPLANTATION DURING CATARACT SURGERY

10.36106/gjra/3405219 ◽

2021 ◽

pp. 17-19

Author(s):

Shilpa Bhatt ◽

Mittal Kuchhadiya ◽

Chirag D. Odedara ◽

Vimal J Vyas ◽

Mariam Mansuri ◽

...

Keyword(s):

Cataract Surgery ◽

Anterior Chamber ◽

Intraocular Lens ◽

Visual Outcome ◽

Cystoid Macular Oedema ◽

Consecutive Series ◽

Ocular Lens ◽

Co Morbidity ◽

Lens Implantation ◽

Capsular Support

Background: Following posterior capsular rupture (PCR) and vitreous loss during cataract surgery, sometimes there is inadequate support for implanting a conventional intra-ocular lens (IOL) in the capsular bag. Flexible openloop anterior chamber intraocular lens, trans-sclerally sutured posterior chamber intraocular lens and iris-claw lenses are the most acceptable alternatives in such a scenario. Objective: To review our experience with primary anterior chamber intraocular lens implantation at a District Hospital in Rajkot. Methods: Analysis of medical records of a consecutive series of primary anterior chamber intraocular lens implantations carried out at the G.T. Sheth Eye Hospital at Rajkot, from September 2011 to April 2013. Eyes with complicated or traumatic cataracts, ocular co-morbidity and cases of combined surgery were excluded from the analysis of visual outcome. Results: There were 70 cases of primary anterior chamber intraocular lens implantations during the study period. Posterior capsule rupture and resultant inadequate capsular support was the commonest indication for implanting the anterior chamber intraocular lens. Postoperatively 82.85% had a best corrected visual acuity of 6/12 or better. The commonest postoperative complications were cystoid macular oedema, recurrent iritis and persistent elevated intra-ocular pressure (IOP). Conclusion: Our results indicate a satisfactory visual outcome with primary implantation of anterior chamber intraocular lenses. Caution should be exercised when implanting an anterior chamber intraocular lens following complicated cataract surgery, particularly in the absence of appropriate capsular support.

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Bilateral Pseudoexfoliation Deposits on Intraocular Lens Implants

Case Reports in Ophthalmological Medicine ◽

10.1155/2015/560508 ◽

2015 ◽

Vol 2015 ◽

pp. 1-3

Author(s):

Elena Bonafonte Marquez ◽

Sergio Bonafonte Royo

Keyword(s):

Cataract Surgery ◽

Intraocular Lens ◽

Rare Case ◽

Open Angle Glaucoma ◽

Secondary Glaucoma ◽

Pseudoexfoliation Syndrome ◽

Open Angle ◽

Common Cause

We present a rare case of bilateral pseudoexfoliative deposits on both intraocular lens (IOL) implants in an 83-year-old woman with no other associated pathology, 5 years after cataract surgery. Pseudoexfoliation syndrome is the most common cause of secondary open-angle glaucoma worldwide and these deposits are usually found on the natural lens. The fact that pseudoexfoliative deposits have been found on IOL implants implies the need for a thorough examination in pseudophakic patients, for it could be the only sign of secondary glaucoma.

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Xtra focus pinhole IOL (Morchers GMBH) a novel approach to tackle irregular astigmatism and large pupillary defects with a single step surgery

BMJ Case Reports ◽

10.1136/bcr-2018-228902 ◽

2019 ◽

Vol 12 (4) ◽

pp. e228902 ◽

Cited By ~ 1

Author(s):

Prateek Agarwal ◽

Samuel Edward Navon

Keyword(s):

Visual Acuity ◽

Cataract Surgery ◽

Intraocular Lens ◽

Visual Outcome ◽

Single Step ◽

Novel Approach ◽

Uncorrected Distance Visual Acuity ◽

Uncorrected Visual Acuity ◽

Corneal Scar ◽

History Of

A 69-year-old patient presented to us with traumatic mydriasis with irregular pupil measuring 7 mm, with superior loss of iris tissue and large inferior peripheral iridotomy and pseudophakia. The patient had history of blunt trauma 3 years ago in a fire cracker injury. He was operated elsewhere primarily after the trauma for cataract surgery with intraocular lens implantation and had suboptimal visual outcome with glare and photophobia. He presented to us with irregular pupil and inferior iridectomy with pseudophakia. The uncorrected visual acuity was 20/150 improving to 20/50 with glasses. He had a history of cataract surgery with intraocular lens (IOL) implantation done elsewhere several years back. The patient was not a diabetic or hypertensive. There was a para central corneal scar causing irregular corneal astigmatism. Extra focus pinhole IOL was implanted in sulcus having a pinhole aperture 1.36 mm. Preoperative total corneal higher-order aberrations were 3.3 µ and total corneal coma was 0.97 µ. Postoperatively uncorrected distance visual acuity improved to 20/40 intermediate uncorrected visual acuity improved to 20/30 and uncorrected near visual acuity was J3.

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