title: Outcomes of glued foldable intraocular lens implantation in eyes with preexisting complications and combined surgical procedures.
abstract: OBJECTIVE
  To evaluate the visual outcomes and complications of glued foldable intraocular lens (IOL) implantation in patients with a wide range of ocular pathologies and/or having combined surgical procedures.
  
  
  METHODS
  New York Eye and Ear Infirmary of Mount Sinai, New York, New York, USA.
  
  
  METHODS
  Retrospective case series.
  
  
  METHODS
  A chart review was conducted of all glued foldable IOL procedures performed in eyes with absent or insufficient capsule support. Patients with a postoperative follow-up less than 3 months were excluded from analysis. Intraoperative and postoperative complications, the postoperative course, and visual and refractive outcomes were analyzed.
  
  
  RESULTS
  Sixty-five eyes (64 patients) were evaluated over a mean follow-up of 9.1 months ± 6.2 (SD). Ocular comorbidities were present in 98.5% of eyes, and 95.4% had additional concurrent surgical procedures. There was a statistically significant improvement in corrected distance visual acuity (P = .046), with 89.2% of eyes achieving better or equal vision postoperatively. Intraoperative complications included ocular hemorrhage (10.8%), haptic deformation (10.8%), and haptic breakage (1.5%). Postoperative complications included elevated intraocular pressure (13.8%), optic capture (12.3%), persistent anterior chamber inflammation (6.2%), IOL tilt (4.6%), cystoid macular edema (3.1%), recurrent ocular hemorrhage (3.1%), and retinal detachment (1.5%).
  
  
  CONCLUSIONS
  The glued foldable IOL technique resulted in favorable visual outcomes but with a moderate risk for IOL-related and other postoperative complications in eyes with complex ocular comorbidities having combined surgical procedures.
  
  
  BACKGROUND
  No author has a financial or proprietary interest in any material or method mentioned.
authors.affiliation: From the Departments of Ophthalmology, Montefiore Medical Center (Kang), Bronx, and New York Eye and Ear Infirmary of Mount Sinai (Ritterband, Seedor), New York, New York, USA; Magrabi Eye Hospital (Tolees), Jeddah, Saudi Arabia.
authors.forename: Joann J
authors.initials: JJ
authors.lastname: Kang
authors.affiliation: From the Departments of Ophthalmology, Montefiore Medical Center (Kang), Bronx, and New York Eye and Ear Infirmary of Mount Sinai (Ritterband, Seedor), New York, New York, USA; Magrabi Eye Hospital (Tolees), Jeddah, Saudi Arabia.
authors.forename: David C
authors.initials: DC
authors.lastname: Ritterband
authors.affiliation: From the Departments of Ophthalmology, Montefiore Medical Center (Kang), Bronx, and New York Eye and Ear Infirmary of Mount Sinai (Ritterband, Seedor), New York, New York, USA; Magrabi Eye Hospital (Tolees), Jeddah, Saudi Arabia.
authors.forename: Sherif S
authors.initials: SS
authors.lastname: Tolees
authors.affiliation: From the Departments of Ophthalmology, Montefiore Medical Center (Kang), Bronx, and New York Eye and Ear Infirmary of Mount Sinai (Ritterband, Seedor), New York, New York, USA; Magrabi Eye Hospital (Tolees), Jeddah, Saudi Arabia. Electronic address: jseedor@nyee.edu.
authors.forename: John A
authors.initials: JA
authors.lastname: Seedor
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015897:Comorbidity; D016039:Corneal Transplantation; D005260:Female; D015718:Fibrin Tissue Adhesive / Q000627:therapeutic use*; D005901:Glaucoma / Q000601:surgery*; D006801:Humans; D007431:Intraoperative Complications; D019654:Lens Implantation, Intraocular / Q000379:methods*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D019591:Pseudophakia / Q000503:physiopathology; D012029:Refraction, Ocular / Q000502:physiology; D012189:Retrospective Studies; D014014:Tissue Adhesives / Q000627:therapeutic use*; D016896:Treatment Outcome; D014792:Visual Acuity / Q000502:physiology
chemical_list: D015718:Fibrin Tissue Adhesive; D014014:Tissue Adhesives