Long-Term Outcome of Primary Iris Fixation of PC IOL

Monday, April 20, 2015: 3:26 PM
Room 5A (San Diego Convention Center)
Dipanjan Pal, MD
Jayangshu Sengupta, MS

To report the long term outcome of primary iris fixation of PCIOL.

Retrospective analysis of 38 eyes undergoing primary iris fixation of PCIOL following large posterior capsular dehiscence or whole bag removal during small incision cataract surgery. Visual and refractive outcome and long term complications were noted.

The mean follow-up period was 2.8 years. BCVA of 6/9 and above was achieved in 92.1% of cases with an average spherical equivalent of 2.5+/- 1.2D. Endothelial cell count did not show any significant change ( p>.05). Optic decentration in 3 eyes, IOL dislocation in one eye, and permanent rise in IOP in 2 eyes were noted. One IOL was explanted during follow-up due to progressive angle closure.

Primary iris fixation of PCIOL is a viable procedure with long term safety and good visual outcome.