Short Term Outcome Of Implantation Of Hydrophobic Intraocular Lens Using Gortex Suture In Patients Lacking Capsular Support

Published 2022 - 40th Congress of the ESCRS

Reference: PP16.04 | Type: Free paper | DOI: 10.82333/y45a-1y28

Authors: Rafah Fairaq* ¹ , Mohammed Almutlak ² , Halah Bin Helayel ² , Samar AlSwailem ² , Manar Aljebreen ² , Adel Alakeely ²

¹Cornea, External Disease &amp; Refractive Surgery,King Khaled Eye Specialist Hospital,Riyadh,Saudi Arabia, ²King Khaled Eye Specialist Hospital,Riyadh,Saudi Arabia

Purpose

To report short term outcome of implantation of hydrophobic intraocular lens (IOL) using Gortex suture in eyes with inadequate capsular support.

Setting

Tertiary Eye Hospital and Referral Center.

Methods

All cases that underwent implantation of hydrophobic IOL using Gortex suture were reviewed retrospectively. The main study parameters were preoperative uncorrected visual acuity (UCVA), best-corrected visual acuity (BCVA), postoperative UCVA, BCVA, refraction at the six-month follow-up visit, and complications related to surgery and other conditions that may have influenced the visual outcome.

Results

The mean fixation points distance from the limbus was 2.23±0.5 mm, and the average magnitude of refractive errors at three months after surgery was -0.87±2.4 diopters (D) for the spherical component and 2.18±1.1 D for the astigmatic component. During the 6-month follow-up period, adverse outcomes included early IOL dislocation/ decentration in 6 of 52 eyes (11.5%). Reoperation was attempted in 5 out of the six eyes, secondary glaucoma in 4 of 52 eyes (7.7%), retinal detachment in 1 of 52 eyes (1.9%), and postoperative cystoid macular edema (CME) in 2 of 52 eyes (3.8%).

Conclusions

Implantation of hydrophobic intraocular lens (IOL) using Gortex suture is a safe and better alternative approach, especially for patients with retinal complications to prevent opacification of intraocular lens that occurs with hydrophilic lenses.