Outcomes of reenclavation of subluxated iris-fixated phakic intraocular lenses: Comparison with primary surgery outcomes

• Published in: Journal of cataract and refractive surgery Vol. 36; no. 4; pp. 577 - 581
• Main Authors: Titiyal, Jeewan S., MD, Sharma, Namrata, MD, Mannan, Rashim, MD, Pruthi, Archna, MD, Vajpayee, Rasik B., FRCS (Edin), FRANZCO
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.04.2010
• Subjects: Adolescent; Adult; Cell Count; Corneal Endothelial Cell Loss - etiology; Endothelium, Corneal - pathology; Female; Follow-Up Studies; Humans; Lens Implantation, Intraocular - methods; Male; Miotics - administration & dosage; Myopia - physiopathology; Myopia - surgery; Ophthalmology; Phakic Intraocular Lenses; Pilocarpine - administration & dosage; Prosthesis Failure; Pupil - drug effects; Reoperation; Retrospective Studies; Treatment Outcome; Visual Acuity - physiology; Young Adult
• ISSN: 0886-3350; 1873-4502
• DOI: 10.1016/j.jcrs.2009.11.004

Purpose To study the outcomes of successful reenclavation of subluxated iris-fixated phakic intraocular lenses (pIOLs). Setting Tertiary eyecare referral center. Methods Interventional case series comprised eyes with a subluxated Verisyse pIOL that had successful reenclavation of 1 haptic. A comparison of outcomes between primary pIOL implantation surgery and subsequent reenclavation was performed. The parameters were uncorrected (UDVA) and corrected (CDVA) distance visual acuity and the quantitative endothelial changes preoperatively and postoperatively at 1 week and 1, 3, and 6 months. Results Nine eyes of 6 patients were evaluated. Disenclavation was spontaneous in 6 eyes (66.6%) and posttraumatic in 3 eyes (33.3%). The mean UDVA and CDVA at 6 months were comparable between primary surgery and reenclavation. The subluxation and subsequent reenclavation did not cause statistically significant endothelial cell loss; endothelial cell loss after reenclavation was comparable to that after primary surgery ( P = .953). Conclusion Successful subluxation of iris-fixated pIOLs did not cause significant damage to the ocular structures or lead to serious complications. Financial Disclosure No author has a financial or proprietary interest in any material or method mentioned.