ESCRS - PE039 - Iris Anchorage Of The Akreos Adapt-Ao Posterior Chamber Lens

Iris Anchorage Of The Akreos Adapt-Ao Posterior Chamber Lens

Published 2022 - 40th Congress of the ESCRS

Reference: PE039 | Type: ESONT - Abstract | DOI: 10.82333/0ea6-dj52

Authors: Carlos Antonio Saric*

Purpose

This technique allows to resolve a surgical complication when we do not have an adequate capsular support. 

Setting/Venue

Porto, Portugal

Methods

Technique fixation without sutureOnce the cataract has been removed through Phacoemulsification and without posterior or anterior capsule, the operation can continue, but only if the cataract has been completely removed.Once the lens has been fully inserted into the anterior chamber  we position it parallel over the iris and introduce two of the four opposite haptic parts behind the iris and the remaining two in front of the iris.  We remove the viscoelastic, and if we consider that the incision is not self-sealing, we can suture with Nylon 10-0.

 

Results

 
Twenty-four eyes from two different countries and racial ethnicities were included. 
126-month support period. 
Of which: 
29.16% with capsular pseudoexfoliation. 
58.33% intra-operative posterior capsular rupture. 
12.50% did not possess capsule in unsuitable conditions to support the intraocular lens. 
91.66% of patients had a better final corrected Visual Acuity Mean, than before surgery. 
83.32% had an improvement of three or more lines of vision. 
The presence of postoperative complications was not significant and did not alter the corrected  Visual Acuity Mean

 

 

Conclusions

It can be effectively employed by any anterior segment surgeon. The technique has produced favourable visual results.
Good IOL positioning by biomicroscopy, ultrasound and optical coherence of the anterior segment. There have been no complications in long-term results.