VISUAL OUTCOME AND COMPLICATIONS IN SECONDARY POSTERIOR CHAMBER INTRAOCULAR LENS IMPLANTATION

DR. RASHMI. G; DR. RAJENDRA PRASAD. A; DR. ARUT PRIYA. A; RESHMA RAVINDRA

Volume : VIII, Issue : VII, July - 2019

VISUAL OUTCOME AND COMPLICATIONS IN SECONDARY POSTERIOR CHAMBER INTRAOCULAR LENS IMPLANTATION

Dr. Rashmi. G, Dr. Rajendra Prasad. A, Dr. Arut Priya. A, Reshma Ravindra

Abstract :

Aim: To analyse the visual outcome and complications in secondary posterior chamber intraocular lens implantation. Methods: In this prospective study, 30 aphakic eyes were included. These patients were treated with secondary posterior chamber intraocular lens (PCIOL) implantation either with ciliary sulcus IOL or scleral fixated IOL implantation depending on the presence or absence of adequate capsular support. These patients were followed up for a period of 6 weeks postoperatively and were evaluated for best corrected visual acuity (BCVA), corneal edema, anterior chamber reaction, intraocular lens (IOL) centration and other complications. Results: Of 30 eyes with aphakia, 13 eyes had adequate capsular support and were treated with ciliary sulcus IOL implantation. 17 eyes with inadequate or complete absence of posterior capsule were treated with scleral fixated IOL implantation. Pre–operatively, 17 eyes (56.6%) had BCVA of 6/18 and above. Postoperatively, 25 eyes (83.3%) achieved BCVA of 6/9 and above. 2 eyes (6.6%) developed cystoid macular edema(CME) and one patient(3.3%) developed retinal detachment. Conclusion: Secondary PCIOL implantation is an effective and safe method of treating aphakia with a favourable postoperative visual outcome and lower complication rate.