Outcomes of Glued Foldable IOL Implantation in Eyes With Preexisting Complications and Combined Surgical Procedures
Purpose
To evaluate the visual outcomes and complications of glued foldable intraocular lens (IOL) implantation in patients with a wide range of ocular pathologies and/or undergoing combined surgical procedures.
Methods
A retrospective case series was conducted of 65 eyes of 64 patients who underwent glued foldable IOL procedures performed for absent or insufficient capsular support at the New York Eye and Ear Infirmary of Mt. Sinai, New York, NY. Patients with postoperative follow up less than 3 months were excluded from analysis. Intraoperative and postoperative complications, postoperative course and visual and refractive outcomes were analyzed.
Results
Ocular comorbidities were present in 98.5% of eyes and 95.4% had additional concurrent surgical procedures. Mean follow up time was 9.1±6.2 months. There was a statistically significant improvement (p=0.046) in corrected distance visual acuity (CDVA) with 89.2% of eyes achieving better or equal vision postoperatively. Intraoperative complications include ocular hemorrhage (10.8%), haptic deformation (10.8%), and haptic breakage (1.5%). Postoperative complications include elevated intraocular pressure (13.8%), optic capture (12.3%), persistent anterior chamber inflammation (6.2%), IOL tilt (4.6%), cystoid macular edema (3.1%) and retinal detachment (1.5%).
Conclusion
The glued foldable IOL technique results in favorable visual outcomes but with moderate risk for IOL related and other postoperative complications in eyes with complex ocular comorbidities undergoing combined surgical procedures.