Five Year Postoperative Outcomes Of Iol Implantation In-The-Bag Vs Optic Capture In Children Upto 4Years Of Age:Randomized, Clinical Trial
Published 2022
- 40th Congress of the ESCRS
Reference: PP01.01
| Type: Free paper
| DOI:
10.82333/69wp-6642
Authors:
Vaishali A Vasavada 1
, Abhay Vasavada 2
, Deepa Agrawal 3
, Shail Vasavada* 2
, Vandana Nath 2
1Raghudeep Eye Hospital,Raghudeep Eye Hospital,Jaipur,India, 2Raghudeep Eye Hospital,Raghudeep Eye Hospital,Ahmedabad,India, 3Raghudeep Eye Hospital,Iladevi Cataract & IOL Research Centre,Ahmedabad,India
Purpose
Compare visual axis obscuration (VAO) and complications 5 years postoperatively in children <4 years undergoing cataract surgery with intraocular lens(IOL) implantation using two implantation techniques:in-the-bag IOL with anterior vitrectomy versus optic capture of IOL without anterior vitrectomy.
Setting
Iladevi Cataract & IOL Research Centre, Raghudeep Eye Hospital
Methods
Prospective,randomized,controlled clinical trial including 61 eyes(61 children) undergoing cataract surgery with IOL implantation.Eyes randomized to Group I(n=30):in-the-bag three piece hydrophobic acrylic IOL with anterior vitrectomy,or Group II (n=31):optic capture of three piece hydrophobic acrylic IOL without anterior vitrectomy.Children stratified based on age: <1 year and >1 year to <4 years.Five years postoperatively, VAO, glaucoma, other complications compared between groups.Eyes needing additional surgical procedures were documented.
Results
Mean age at surgery in Groups I and II was:14.8+11.47 and 18.2+11.47 months.In 5 eyes in Group II,IOL could not be captured.1 eye in Group I developed a VAO needing membranectomy at 4 months follow-up. Two eyes in Group I and none in Group II developed glaucoma until 36 months(p=0.49). Incidence of cell deposits on IOL and posterior synechiae were comparable between groups until 60 months follow-up. No complications occurred in eyes where capture could not be performed. 5 year results will be updated
Conclusions
Optic capture of three piece hydrophobic acrylic IOL maintains clear visual axes with an acceptable rate of complications even 5 years postoperatively. Optic capture of IOL may eliminate the need for vitrectomy in children <4 years of age.