Journal of Clinical and Experimental Ophthalmology
Open Access
ISSN: 2155-9570
ISSN: 2155-9570
Mohsin Khan
Affiliation, Country Name
Posters & Accepted Abstracts: J Clin Exp Ophthalmol
Purpose: To evaluate the intraoperative and postoperative performance of Cionni-modified ring (CTR) aided phacoemulsification and IOL implantation in a sub-luxated lens. Design: Prospective observational study. Methods: This study was carried out at lotus eye hospital, Coimbatore, India. The study population comprised 30 eyes of 25 patients with sub-luxated lenses that underwent lens extraction, capsular bag fixation with modified CTR and in-thebag (IOL) implantation. Main outcome measures were intraoperative performance and postoperative Best-Corrected Visual Acuity (BCVA), IOL centration and complications. Results: The mean age was 36.77 years (4-75 years). Mean extent of subluxation was 7.1-2.0 clock hours. Preoperatively, vitreous was detected in the anterior chambers of 3 eyes (10.0%). Two-port anterior chamber vitrectomy was performed in 3 eyes. Mean follow-up was 24 months. Mean preoperative BCVA was 0.83-0.60 logMAR (30 eyes). Mean postoperative BCVA at final follow-up was 0.28-0.32 logMAR (30 eyes) (P<0.001). In 1 eye (3.33%) IOL de-centration was noted and repositioned. Posterior capsule opacification developed in 2 eyes (6.67%) and required Nd:YAG capsulotomy in both cases. Other complications included capsular phimosis in 1 eye (3.33%) and posterior synechiae in 1 eye (3.33%). Conclusion: In-the-bag implantation of a Cionniâ??s modified CTR with IOL appears to be a safe option in the eyes with subluxated cataract, ensuring a stable IOL with few complications.
E-mail: drmohsindkhan@gmail.com