title: Combined surgical management of capsular and iris deficiency with glued intraocular lens technique.
abstract: OBJECTIVE
  To determine the outcome after glued aniridia intraocular lens (IOL) and glued IOL with iridoplasty in eyes with combined lens capsular and iris deficiency.
  
  
  METHODS
  Twenty-seven eyes of 25 patients (6 had congenital aniridia with subluxated cataract and 19 had acquired lens/iris defects) were included. Glued IOL with aniridia IOL (Intra Ocular Care, Gujarat, India) was performed in eyes with total aniridia and iridoplasty with glued IOL with a three-piece foldable IOL (Sofport; Bausch & Lomb, Rochester, NY) was performed in eyes with partial aniridia. The postoperative outcomes were analyzed at follow-up examination (range: 6 to 48 months).
  
  
  RESULTS
  Eleven eyes underwent glued aniridia IOL and 16 eyes underwent glued IOL with iridoplasty. There was significant improvement in (spectacle) corrected distance visual acuity (CDVA) (P = .002). Postoperatively, pigment dispersion on the IOL (n = 1) and raised intraocular pressure was seen in the glued aniridia IOL group and chronic uveitis (n = 1), cystoid macular edema (n = 1), and hyphema (n = 1) in the glued IOL with iridoplasty group. The CDVA remained unchanged in 14 eyes (51.8%) and improved in 13 eyes (48.1%). There was a difference in postoperative CDVA (P = .001) between eyes with glued aniridia IOL and glued IOL with iridoplasty. There was no IOL decentration, retinal detachment, corneal decompensation, or endophthalmitis. There was reduction in glare and photophobia.
  
  
  CONCLUSIONS
  Both glued aniridia IOL and glued IOL/iridoplasty showed good functional and anatomical results with fewer complications in eyes with lens capsule and iris deficiency. However, long-term follow-up is required.[J Refract Surg. 2013;29(5):342-347.].
authors: Dr. Agrawal'sEye Hospital and Eye Resaearch Center, Chennai, India.
authors: Dhivya Ashok
authors: DA
authors: Kumar
authors: Amar
authors: A
authors: Agarwal
authors: Soosan
authors: S
authors: Jacob
authors: Mandeep
authors: M
authors: Lamba
authors: Sathiya
authors: S
authors: Packialakshmi
authors: Alessandro
authors: A
authors: Meduri
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D015783:Aniridia / Q000209:etiology / Q000601:surgery*; D002387:Cataract Extraction; D002648:Child; D002675:Child, Preschool; D005131:Eye Injuries / Q000601:surgery*; D005260:Female; D006801:Humans; D032801:Iridectomy; D007498:Iris / Q000002:abnormalities / Q000293:injuries*; D007903:Lens Capsule, Crystalline / Q000293:injuries / Q000473:pathology*; D019654:Lens Implantation, Intraocular / Q000379:methods*; D007906:Lens Subluxation / Q000601:surgery; D007910:Lenses, Intraocular; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D014014:Tissue Adhesives; D055815:Young Adult
chemical_list: D014014:Tissue Adhesives