title: Glue-assisted intrascleral fixation of posterior chamber intraocular lens.
abstract: OBJECTIVE
  To analyze the visual outcome of patients undergoing glue-assisted intrascleral fixation of posterior chamber intraocular lens (IOL) in the absence of posterior capsular support.
  
  
  METHODS
  This retrospective study analyzes 25 eyes which underwent IOL implantation by the glued intrascleral fixation technique. The pre and post-operative uncorrected visual acuity (UCVA), pre and post-operative best corrected visual acuity (BCVA), intraocular pressure (IOP), IOL position, anterior chamber reaction and central macular thickness were assessed and recorded. Immediate and late post-operative complications were also recorded.
  
  
  RESULTS
  A total of 25 eyes of 22 patients were reviewed and analyzed over a period of one year. All eyes had a foldable three-piece IOL implanted. About 84% of the eyes had a gain of one or more lines, 12% had no gain, and 4% had a fall of three lines of BCVA on Snellen's visual chart, which was attributed to cystoid macular edema (CME). Postoperatively, there was a significant improvement in the UCVA (P < 0.05) and in the BCVA (P < 0.05). Postoperative complications included decentration in one case and vitritis with chronic macular edema in another case. Optical coherence tomography (OCT) demonstrated well placed IOL with no tilt.
  
  
  CONCLUSIONS
  Although the results of one year follow-up of glued intrascleral fixation are promising, long term studies are recommended.
authors.affiliation: Department of Cataract and Refractive Surgery, Narang Eye Hospital, Ahmedabad, Gujarat, India.
authors.forename: Priya
authors.initials: P
authors.lastname: Narang
authors.forename: Samir
authors.initials: S
authors.lastname: Narang
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002387:Cataract Extraction; D002648:Child; D005260:Female; D015718:Fibrin Tissue Adhesive / Q000627:therapeutic use*; D006801:Humans; D019654:Lens Implantation, Intraocular / Q000295:instrumentation* / Q000379:methods*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012590:Sclera / Q000601:surgery*; D013525:Surgical Instruments; D055815:Young Adult
chemical_list: D015718:Fibrin Tissue Adhesive