Outcomes of Glued IOL Scaffold for Soemmerring Ring Removal in Aphakia With Posterior Capsule Rupture

Saturday, April 18, 2015: 1:37 PM
Room 5A (San Diego Convention Center)
Priya Narang, MS
Amar Agarwal, FRCS

To assess the clinical outcomes of glued intraocular (IOL) scaffold procedure for the removal of Soemmering ring in aphakia with associated posterior capsular defect.

This was a single centre, prospective, interventional, non-comparative case series. 5 eyes of 5 patients underwent the procedure. Corrected and un-corrected distance visual acuity (CDVA, UDVA), intraocular pressure (IOP), specular microscopy, gonioscopy, intraoperative features, early and late postoperative complications were looked for. Final visual outcome at 6 months was evaluated.

The mean preoperative and postoperative CDVA at 6 months follow-up period in Snellen’s decimal equivalent was 0.4±0.09 and 0.56±0.09 respectively. The mean postoperative specular count was 2567±109.27cells/sq. mm. There was no loss of CDVA in any of the eyes. Further non-improvement of CDVA was due to pre-existing amblyopia in all the eyes. There was no significant change (p>0.05) in IOP. Postoperatively, the IOL was well centered in all the cases. Though there was a specular cell loss of 2.75±2.3 % in the postoperative period, there was no statistically significant reduction in the cell count seen (p>0.05) after surgery. There was no incidence of loss of Soemmering ring material in to the vitreous cavity in any case.

Placement of a secondary IOL and removal of Soemmering ring can be successfully accomplished for selected group of patients with glued IOL scaffold technique.