Flanged intraocular lens (IOL) implantation with scleral pockets - A modification of flanged IOL technique (E-Flanged IOL) for secondary lens implantation
The current technique for implanting flanged intraocular lens (IOL) suffers from complications like haptic exposure and tilting of the implanted IOL. We describe a modification of the currently described technique to obviate its shortcomings. Five eyes of five patients with a minimum of 1 year of fo...
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Published in | Indian journal of ophthalmology Vol. 70; no. 3; pp. 1047 - 1050 |
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Main Authors | , , , |
Format | Journal Article |
Language | English |
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India
Wolters Kluwer India Pvt. Ltd
01.03.2022
Medknow Publications & Media Pvt. Ltd Wolters Kluwer - Medknow Wolters Kluwer Medknow Publications |
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Abstract | The current technique for implanting flanged intraocular lens (IOL) suffers from complications like haptic exposure and tilting of the implanted IOL. We describe a modification of the currently described technique to obviate its shortcomings. Five eyes of five patients with a minimum of 1 year of follow-up were included. In this technique, two scleral pockets were made nasal and temporal to embed the flanged haptics. The primary outcome measure was the improvement in visual acuity (VA) postoperatively and the secondary outcome measures were postoperative complications. The primary objective of this current modification is to simplify the surgical technique for secondary IOL implantation and make it more replicable and predictive. The mean age of the patients was 19.44 years. The mean preoperative VA was 0.44 logMAR which improved to 0.26 logMAR at the 6-week postoperative visit. The mean follow-up was 496+/− 80 days. The maximum follow-up was 647 days. There were no postoperative complications such as haptic exposure, hypotony, or IOL tilt in any cases. The new E-flanged IOL technique has good visual outcomes and does not have postoperative complications. It has less intraoperative manipulation and complications. |
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AbstractList | The current technique for implanting flanged intraocular lens (IOL) suffers from complications like haptic exposure and tilting of the implanted IOL. We describe a modification of the currently described technique to obviate its shortcomings. Five eyes of five patients with a minimum of 1 year of follow-up were included. In this technique, two scleral pockets were made nasal and temporal to embed the flanged haptics. The primary outcome measure was the improvement in visual acuity (VA) postoperatively and the secondary outcome measures were postoperative complications. The primary objective of this current modification is to simplify the surgical technique for secondary IOL implantation and make it more replicable and predictive. The mean age of the patients was 19.44 years. The mean preoperative VA was 0.44 logMAR which improved to 0.26 logMAR at the 6-week postoperative visit. The mean follow-up was 496+/- 80 days. The maximum follow-up was 647 days. There were no postoperative complications such as haptic exposure, hypotony, or IOL tilt in any cases. The new E-flanged IOL technique has good visual outcomes and does not have postoperative complications. It has less intraoperative manipulation and complications. The current technique for implanting flangedintraocular lens (IOL) suffers from complications like haptic exposure and tilting of the implanted IOL. We describe a modification of the currently described technique to obviate its shortcomings. Five eyes of five patients with a minimum of 1 year of follow-up were included. In this technique, two scleral pockets were made nasal and temporal to embed the flanged haptics. The primary outcome measure was the improvement in visual acuity (VA) postoperatively and the secondary outcome measures were postoperative complications. The primary objective of this current modification is to simplify the surgical technique for secondary IOL implantation and make it more replicable and predictive. The mean age of the patients was 19.44 years. The mean preoperative VA was 0.44 logMAR which improved to 0.26 logMAR at the 6-week postoperative visit. The mean follow-up was 496+/- 80 days. The maximum follow-up was 647 days. There were no postoperative complications such as haptic exposure, hypotony, or IOL tilt in any cases. The new E-flanged IOL technique has good visual outcomes and does not have postoperative complications. It has less intraoperative manipulation and complications. The current technique for implanting flanged intraocular lens (IOL) suffers from complications like haptic exposure and tilting of the implanted IOL. We describe a modification of the currently described technique to obviate its shortcomings. Five eyes of five patients with a minimum of 1 year of follow-up were included. In this technique, two scleral pockets were made nasal and temporal to embed the flanged haptics. The primary outcome measure was the improvement in visual acuity (VA) postoperatively and the secondary outcome measures were postoperative complications. The primary objective of this current modification is to simplify the surgical technique for secondary IOL implantation and make it more replicable and predictive. The mean age of the patients was 19.44 years. The mean preoperative VA was 0.44 logMAR which improved to 0.26 logMAR at the 6-week postoperative visit. The mean follow-up was 496+/− 80 days. The maximum follow-up was 647 days. There were no postoperative complications such as haptic exposure, hypotony, or IOL tilt in any cases. The new E-flanged IOL technique has good visual outcomes and does not have postoperative complications. It has less intraoperative manipulation and complications. |
Author | Rani, Padmaja Agrawal, Hitesh Agarwal, Komal Tyagi, Mudit |
AuthorAffiliation | Smt. Kanuri Santhamma Centre for Vitreo-Retinal Diseases, Kallam Anji Reddy Campus, L. V. Prasad Eye Institute, Hyderabad, Telangana, India |
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BackLink | https://www.ncbi.nlm.nih.gov/pubmed/35225572$$D View this record in MEDLINE/PubMed |
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Cites_doi | 10.1016/j.ajo.2018.01.034 10.1016/j.ophtha.2017.03.036 10.1016/j.ophtha.2013.08.043 10.1016/S0886-3350(96)80197-0 10.1016/j.jcrs.2008.04.040 10.1016/S0161-6420(93)31637-4 10.1097/IAE.0000000000002560 10.1016/j.ajo.2007.05.014 10.1016/j.ajo.2005.09.012 10.1016/j.jcrs.2013.03.004 10.1016/S0886-3350(00)00322-9 10.1016/S0002-9394(99)00244-5 10.1016/j.jcrs.2007.07.013 10.1097/IAE.0000000000001889 |
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Keywords | Flanged IOL haptic exposure postoperative hypotony IOL tilting scleral embedding secondary IOL |
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Snippet | The current technique for implanting flanged intraocular lens (IOL) suffers from complications like haptic exposure and tilting of the implanted IOL. We... The current technique for implanting flangedintraocular lens (IOL) suffers from complications like haptic exposure and tilting of the implanted IOL. We... |
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SubjectTerms | Acuity Adult Complications flanged iol haptic exposure Humans Intraocular lenses iol tilting Lens Implantation, Intraocular - methods Lenses, Intraocular Postoperative Postoperative Complications - surgery postoperative hypotony Retrospective Studies Sclera - surgery scleral embedding secondary iol Surgical Technique Suture Techniques Visual Acuity Young Adult |
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Title | Flanged intraocular lens (IOL) implantation with scleral pockets - A modification of flanged IOL technique (E-Flanged IOL) for secondary lens implantation |
URI | http://www.ijo.in/article.asp?issn=0301-4738;year=2022;volume=70;issue=3;spage=1047;epage=1050;aulast=Agrawal;type=0 https://www.ncbi.nlm.nih.gov/pubmed/35225572 https://www.proquest.com/docview/2635197739 https://www.proquest.com/docview/3145832824 https://search.proquest.com/docview/2634518551 https://pubmed.ncbi.nlm.nih.gov/PMC9114542 https://doaj.org/article/e6701ea6358c4648a38d1d63454fb63f |
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