title: Glued intraocular lens implantation for eyes with defective capsules: A retrospective analysis of anatomical and functional outcome.
abstract: OBJECTIVE
  To analyze the anatomical and functional outcome of glued intra ocular lens (IOL) implantation technique and its modifications.
  
  
  METHODS
  Retrospective observational case series.
  
  
  METHODS
  This is a retrospective analysis of the patients who underwent glued intra ocular lens implantation from December 2007 to August 2010. Post operative uncorrected vision, best corrected visual acuity (BCVA), intra ocular pressure, IOL position, endothelial cells and anterior chamber reaction at their last follow up are analyzed from their concerned case sheets documentation. Subjective changes are analyzed via individual questionnaire. Immediate and late postoperative complications are also evaluated. Surgical modifications and the difference in the operated eyes are analyzed.
  
  
  RESULTS
  Total 210 glued IOL eyes have been reviewed. Out of this 210, there are 152 (PMMA glued IOL), 21 (three piece foldable IOL), 5 (multifocal foldable IOL), 12 (pediatric glued IOL), 5 (20G sutureless vitrectomy), 2 (glued iris prosthesis) and 3 (transposition of posterior chamber IOL into anterior chamber). In combined surgeries there are, 5 (optical penetrating keratoplasty), 2 (descemet's stripping endothelial keratoplasty) and 3 (iridoplasty). The modifications in glued IOL are handshake technique, injectable or foldable glued IOL, Multifocal glued IOL and intraoperative 23/25G trocar cannula infusion. Decentration (1.97%), macular edema (1.97%) and optic capture (2.63%) are the post operative complications encountered in rigid glued IOL. Good patient satisfaction is seen in the eyes with IOL repositioning, IOL exchange and multifocal glued IOL. There is significant improvement in BCVA in PMMA IOL (p = 1.35 × 10(-5)) and foldable IOL (p = 0.000).
  
  
  CONCLUSIONS
  Glued IOL seems to be a good alternative in IOL implantation in eyes with deficient capsules. The modifications in the existing technique decrease the learning time and risk for complications.
authors: Dr. Agarwal's Eye Hospital and Eye Research Centre, Chennai, India.
authors: Dhivya A
authors: DA
authors: Kumar
authors: Athiya
authors: A
authors: Agarwal
authors: Amar
authors: A
authors: Agarwal
authors: Gaurav
authors: G
authors: Prakash
authors: Soosan
authors: S
authors: Jacob
keywords: 20G Sutureless vitrectomy with IOL repositioning; Foldable glued IOL; Glued IOL; Handshake technique; Injectable glued IOL; Sutureless IOL implantation
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