title: In vivo analysis of glued intraocular lens position with ultrasound biomicroscopy.
abstract: OBJECTIVE
  To report ultrasound biomicroscopic (UBM) findings of glued transscleral-fixated posterior chamber intraocular lenses (IOLs) in eyes with inadequate capsules.
  
  
  METHODS
  Dr. Agarwal's Eye Hospital and Eye Research Centre, Chennai, India.
  
  
  METHODS
  Case series.
  
  
  METHODS
  Eyes with glued IOLs for inadequate capsule support were examined with UBM. Optic tilt was measured in relation to the iris plane. Haptic location, iris-IOL contact, vitreous incarceration, and central anterior chamber depth (ACD) were measured and correlated clinically with vision and refractive error.
  
  
  RESULTS
  The mean follow-up was 24.6 months ± 14.3 (SD). Of the 46 eyes, 8 (17.4%) showed optic tilt and 38 (82.6%) showed no optic tilt. Of 92 haptics examined, 85 (92.4%) were in the ciliary sulcus and 7 (7.6%) in the pars plicata. There was no significant association between the presence of optic tilt and haptic location (P=.585, chi-square test). The mean ocular residual astigmatism (ORA) was 0.5 ± 0.2 diopter (D). There was no significant difference in ORA between eyes with tilt and eyes without tilt (P=.079). There was no significant correlation between ORA and IOL position. There was no correlation of optic tilt and postoperative vision or cylinder. Other features included iris-IOL contact (6.5%), vitreous incarceration (5.4%), and ACD difference (P=.002).
  
  
  CONCLUSIONS
  No significant IOL optic tilt affecting the postoperative vision was detected with glued transscleral-fixated IOLs. The technique reliability was good, with the haptics located in the intended position in more than 90% of eyes.
  
  
  BACKGROUND
  Dr. Amar Agarwal is a paid consultant to Staar Surgical Co. No other author has a financial or proprietary interest in any material or method mentioned.
authors.affiliation: Dr Agarwal's Eye Hospital and Eye Research Centre, Chennai, India.
authors.forename: Dhivya Ashok
authors.initials: DA
authors.lastname: Kumar
authors.forename: Amar
authors.initials: A
authors.lastname: Agarwal
authors.forename: Sathiya
authors.initials: S
authors.lastname: Packialakshmi
authors.forename: Athiya
authors.initials: A
authors.lastname: Agarwal
mesh_terms: D000867:Anterior Chamber / Q000000981:diagnostic imaging*; D060437:Artificial Lens Implant Migration / Q000000981:diagnostic imaging; D002924:Ciliary Body / Q000000981:diagnostic imaging*; D006801:Humans; D007498:Iris / Q000000981:diagnostic imaging*; D019654:Lens Implantation, Intraocular / Q000379:methods*; D033401:Microscopy, Acoustic; D011446:Prospective Studies; D019591:Pseudophakia / Q000000981:diagnostic imaging*; D012029:Refraction, Ocular / Q000502:physiology; D042262:Retinoscopy; D014014:Tissue Adhesives / Q000627:therapeutic use*; D016896:Treatment Outcome; D014792:Visual Acuity / Q000502:physiology
chemical_list: D014014:Tissue Adhesives