A study of outcome of implanting intraocular lens after posterior capsular rent in phacoemulsification.

Dr Gunjan Tank

Volume : VI, Issue : I, January - 2017

A study of outcome of implanting intraocular lens after posterior capsular rent in phacoemulsification.

Dr Gunjan Tank

Abstract :

AIM : To study the visual outcome of IOL implantation after posterior capsular rent and complications associated with it.

MATERIAL AND METHODS : 29 patients who had posterior capsule rent during cataract surgery, done at our institute during last 3 years were evaluated prospectively and retrospectively. All patients underwent visual acuity testing, slit lamp examination, applanation tononetry and fundoscopy. Results are noted according to type of the cataract, type of IOL used, visual acuity, position of IOL and other complications associated with it.

RESULTS : Out of 29 patients, we were able to implant IOL in the bag in 14 (48%) patients. While, in 6 (21%) patients IOL was kept in sulcus, in 5 (17%)patients retroiris claw lens and in 4 (14%) patients sclera fixated IOL was implanted. Visual acuity recorded at the time of study was better than 6/12 in 23 (80%) patients. One patient had visual acuity less than 6/60. Rest 5 (17%) patients were having visual acuity between 6/12 to 6/60. Post operative cystoid macular edema was seen in 8 (27%) patients. None of the patients had corneal decompensation. Raised IOP was seen in 6 (21%) of our patients which were controlled medically and responded to treatment.

CONCLUSION : IOL implant can safely be done after vitreous loss with reasonable visual results. An adequate and careful anterior vitrectomy helps in keeping the post-operative complications low.