scholarly journals Outcome of Sclera Fixated Intraocular Lens for Complicated Cataract Surgeries in an Eye Institute, Southwestern Nigeria

2020 ◽  
pp. 1-4
Author(s):  
Ejike Egbu ◽  
◽  
Nelson Igwe ◽  
Patrick Olatunji ◽  
◽  
...  
Keyword(s):  
Intraocular Pressure ◽  
Intraocular Lens ◽  
Visual Outcome ◽  
International Classification Of Diseases ◽  
Suture Technique ◽  
Intraocular Lenses ◽  
Posterior Chamber ◽  
Southwestern Nigeria ◽  
Initial Surgery ◽  
Classification Of Diseases

Background: Fixating an intraocular lens to the sclera is a technique for managing aphakia that results from complications of cataract surgery when there is difficulty in placing the intraocular lens in the bag or sulcus due to loss of capsular support for the posterior chamber intraocular lens. The procedure involves various techniques aimed at securing an intraocular lens to the sclera to restore sight in the aphakic eye. This is a report of the outcome of 19 cases performed at Eleta Eye Institute, Ibadan, Nigeria and St Mary’s Catholic Eye Hospital Ago Iwoye, Nigeria between April 2018 and February 2019, in which posterior chamber intraocular lenses were fixated to the sclera using polypropylene 10/0 sutures and subjects followed up for six months. Blindness and vision impairment was classified according to the international classification of diseases, ICD-10 for distance vision. Relevant data was retrieved from the medical records of the patients and analyzed using SPSS version 22. Results: The age range was 27-88 years. Posterior capsule rupture from initial surgery accounted for 68.42% of the cases while traumatic cataract accounted for 15.79%. Weak zonules and dislocated intraocular lens accounted for 10.53% and 5.26% respectively. At 24 weeks, there was 89.5% reduction in the number of blind eyes (VA less than 3/60), with 68.4% achieving VA of 6/6-6/12 with pin hole. All the eyes had intraocular pressure ranging between 10 and 22mmHg preoperatively. Postoperatively, temporary hypotony and transient corneal oedema occurred in 8(42.11%) and 6 (31.58%) of the cases respectively, while raised intraocular pressure occurred in 1 (5.2%) of cases. The patient with elevated intraocular pressure was further managed by a glaucoma specialist. Conclusion: The anchor suture technique in combination with the L-shaped scleral flap provides satisfactory visual outcome in managing aphakia or pseudoaphakia and ensures that sutures do not irritate the ocular surface thereby reducing postoperative inflammation. When a PCIOL is used, it eliminates the challenges of stocking of SFIOLs in low resource settings.

Late onset pupillary block glaucoma following phacoemulsification with posterior chamber intraocular lens implantation

2019 ◽  
Vol 30 (5) ◽  
pp. NP26-NP28
Author(s):  
Natasha Gautam Seth ◽  
Faisal Thattaruthody ◽  
Ajay Jurangal ◽  
Surinder Singh Pandav
Keyword(s):  
Intraocular Pressure ◽  
Intraocular Lens ◽  
Late Onset ◽  
Visual Outcome ◽  
Ultrasound Biomicroscopy ◽  
Angle Closure ◽  
Posterior Chamber ◽  
Pupillary Block ◽  
Flat Anterior Chamber ◽  
The Right

Secondary angle closure in a pseudophakic eye due to pupillary block, more than a decade following phacoemulsification, has not been reported. We managed a 75-year-old female presenting with sudden, painful diminution of vision and raised intraocular pressure in the right eye. The key finding was an almost flat anterior chamber with intraocular lens in normal position clinically as well as on ultrasound biomicroscopy. The posterior chamber was ballooned up by vitreous, which was cleared surgically to restore the anatomy. Meticulous clinical examination augmented by ultrasound biomicroscopy findings helped us to diagnose and manage this case for satisfactory intraocular pressure and visual outcome.

scholarly journals Correction: Etiology and Management of Raised Intraocular Pressure following Posterior Chamber Phakic Intraocular Lens Implantation in Myopic Eyes

PLoS ONE ◽  
2017 ◽  
Vol 12 (2) ◽  
pp. e0172929
Author(s):  
Sirisha Senthil ◽  
Nikhil S. Choudhari ◽  
Pravin K. Vaddavalli ◽  
Somasheila Murthy ◽  
Jagadesh C. Reddy ◽  
...  
Keyword(s):  
Intraocular Pressure ◽  
Intraocular Lens ◽  
Posterior Chamber ◽  
Intraocular Lens Implantation ◽  
Phakic Intraocular Lens ◽  
Lens Implantation

scholarly journals Comparison of Patient's Satisfaction Level after Different Types of Posterior Chamber Intraocular Lens Implantation

ISRN Surgery ◽  
2012 ◽  
Vol 2012 ◽  
pp. 1-4
Author(s):  
Muhammad Waseem ◽  
Sadia Humayun ◽  
Omer Farooq ◽  
Quratulain Humayun ◽  
Sana Sadiq Sheikh
Keyword(s):  
Cataract Surgery ◽  
Intraocular Lens ◽  
Night Vision ◽  
Intraocular Lenses ◽  
Posterior Chamber ◽  
Satisfaction Level ◽  
Intraocular Lens Implantation ◽  
Patient’S Satisfaction ◽  
Posterior Chamber Intraocular Lens ◽  
Lens Implantation

Objective. To compare patient’s satisfaction level in performing routine activities during daylight and night vision after implantation with rigid, foldable, or rollable posterior chamber intraocular lens implants in uneventful cataract surgery. Design. Retrospective, cross-sectional. Place and Duration of Study. PNS SHIFA Hospital, Karachi, from Nov. 2009 to Nov. 2010. Methodology. 91 cataract surgery patients who had uneventful phacoemulsification, within the bag placement of intraocular lens and achieved best corrected visual acuity 6/9 or better were included in the study. Patients who developed postoperative complications were excluded. A specially designed questionnaire was used to assess patient’s satisfaction level of vision for those who underwent cataract surgery at least 3 months ago. Finally, they were categorized into five groups ranging from “very good” to “very poor.” SPSS version 16 was used to analyze the results. Results. There was a difference in satisfaction level between three groups. Vision was good in the day and the night with foldable posterior chamber intraocular lens implants. Conclusion. It was concluded that visual satisfaction level of patients who had foldable posterior chamber intraocular lens implantation was better during the day and night as compared to patients who had rigid or rollable posterior chamber intraocular lenses implantation.

Clinical Effects of Sensor AR40E Intraocular Lenses in Cataract Patients with Prominent Myopia

2020 ◽  
Vol 12 (4) ◽  
pp. 461-466
Author(s):  
Wenying Wang ◽  
Zhixue Wang ◽  
Yu Liu ◽  
Yuanyuan Zou ◽  
Xiangning Ji ◽  
...  
Keyword(s):  
Intraocular Pressure ◽  
Intraocular Lens ◽  
Group Treatment ◽  
Outcome Measure ◽  
Acupuncture Group ◽  
Intraocular Lenses ◽  
Secondary Outcome ◽  
Control Group ◽  
Secondary Outcome Measure ◽  
Clinical Effects

Cataracts are a complex group of eye disorders. Many studies suggest that blood circulation around the eyes, and a rise in intraocular pressure play important roles in glaucoma. Sensor AR40E artificial crystalline bodies can adjust intraocular pressure, improve activity in the optic nerve and increase blood flow to the eye fundus. BL1 can transport Yin and Yang. We designed a randomized, military blind, controlled clinical trial: Control group: (1) A Sensor only AR40E intraocular lens was applied to the skin of Qingming and retrobulbar acupoints on the rainy side, twice per week for 20 min every time, for two consecutive weeks; (2) acupuncture group: treatment was same as for the control group, but the eye was needled into Jingming and retrobulbar acupoints to achieve Qi; (3) Sensor AR40E intraocular lens group: treatment was the same as that for the acupuncture group, the main outcome measure was the change of intraocular pressure and the secondary outcome measure is the score change of WHOQOL ref (Taiwan version). Beneficial outcomes were realized in the right and left eye acupuncture groups and the Sensor AR40E intraocular lens group.

scholarly journals Sutureless retropupillary iris claw intraocular lens implantation is a viable option in aphakic patients

2019 ◽  
Vol 7 (1) ◽  
pp. 350
Author(s):  
Neepa R. Gohil ◽  
Sandeep Kumar Yadav ◽  
Kaumudi Shinde
Keyword(s):  
Visual Acuity ◽  
Intraocular Lens ◽  
Visual Outcome ◽  
Good Alternative ◽  
Intraocular Lenses ◽  
Intraocular Lens Implantation ◽  
Visual Rehabilitation ◽  
Lens Implantation ◽  
Iris Claw Lens ◽  
Iris Claw

Visual rehabilitation in aphakia has been a challenge with a wide variety of surgical options available for ophthalmologist. We report the visual outcome with retropupillary iris claw lens secondary to intra operative complications and secondary implantation in aphakia. An interventional study on 4 eyes of 4 patients was conducted. Preoperative visual acuity, slit lamp examination and fundus examination were carried out. Anterior vitrectomy and retropupillary fixation of iris claw lens were done. The primary outcome measure was best-corrected visual acuity and secondary postoperative complication was recorded at various intervals. All patients had visual acuity of ≥6/18 postoperatively. Sutureless retropupillary iris claw intraocular lens implantation is a good alternative of scleral-fixated intraocular lenses in aphakic patients.

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