Glued intraocular lens implantation for eyes with inadequate capsular support: Analysis of the postoperative visual outcome

• Published in: Indian journal of ophthalmology Vol. 65; no. 6; pp. 472 - 476
• Main Authors: Mohan, Sujatha, John, Bina, Rajan, Mohan, Malkani, Harsha, Nagalekshmi, S V, Singh, Siddhartha
• Format: Journal Article
• Language: English
• Published: India Medknow Publications and Media Pvt. Ltd 01.06.2017; Medknow Publications & Media Pvt. Ltd; Medknow Publications & Media Pvt Ltd; Wolters Kluwer Medknow Publications
• Subjects: Acuity; Adolescent; Adult; Aged; Aged, 80 and over; Analysis; Aphakia, Postcataract - physiopathology; Aphakia, Postcataract - surgery; Cataracts; Computer software industry; Data processing; Eye; Eye lens; Eye surgery; Female; Fibrin; Fibrin glue; Fibrin Tissue Adhesive - pharmacology; Follow-Up Studies; glued intraocular lens; Humans; inadequate capsular support; Lens Capsule, Crystalline - surgery; Lens Implantation, Intraocular - methods; Licensed products; Male; Medical research; Medicine, Experimental; Middle Aged; Ophthalmology; Original; Postoperative Period; Reimbursement; Retrospective Studies; Statistical analysis; Surgeons; Suture Techniques; Tissue Adhesives - pharmacology; Treatment Outcome; Visual Acuity; Young Adult; United States
• ISSN: 0301-4738; 1998-3689
• DOI: 10.4103/ijo.IJO_375_16

The aim of this study is to analyze the postoperative visual outcomes of fibrin glue-assisted, suture-less posterior chamber (PC) intraocular lens (IOL) implantation technique in eyes with inadequate capsule support at a tertiary eye care hospital in South India. This is a retrospective, nonrandomized case series. This study analyzes 94 eyes which underwent PC-IOL implantation by fibrin glue-assisted, suture-less technique. All patients who had IOL implants by the fibrin glue-assisted PC-IOL technique from August 2009 to January 2014 were included in the study. Intra- and post-operative complications were analyzed. The postoperative best spectacle-corrected visual acuity (BSCVA) was evaluated and recorded at the end of 6 months. The data were analyzed using SPSS version 16.1 (SPSS Inc., Chicago, Illinois, USA) using two sample paired t-test and independent t-test. A total of 94 eyes of 92 patients that underwent glued IOL implantation over a period of 5 years were analyzed. Out of 94 eyes, 77 eyes (84.6%) maintained or improved on their preoperative BSCVA (P = 0.012). We conclude that glued IOL implantation is a feasible option in rehabilitating patients with aphakia without adequate capsular support.