Implantation of glued intraocular lenses in eyes with XXXX .

@entity231 @entity4118 @entity260 @entity735 @entity4354
PURPOSE: To evaluate the intraoperative modifications for and vision outcomes after implantation of glued intraocular lenses (IOLs) in eyes with @entity4354 . SETTING: Dr. Agarwal's Eye Hospital and Eye Research Centre, Chennai, India. DESIGN: Prospective case series. METHODS: Eyes with a horizontal cornea of 10.0  mm or less were evaluated for intraoperative modifications and postoperative vision after implantation of a glued IOL. The type of surgery, type of IOL, incision and optic sizes, haptic length modifications, uncorrected (UDVA) and corrected (CDVA) distance visual acuity, and @entity260 were analyzed. RESULTS: A glued IOL was @entity735 to treat subluxated @entity231 (9 eyes), @entity4118 (5), and intraoperative capsule loss (1). In cases involving a subluxated @entity231 , implantation of the glued IOL was followed by lensectomy (7 eyes) or intracapsular @entity231 extraction (2 eyes). The mean follow-up was 22.4 months      17.2 (SD). The mean horizontal corneal diameter and axial length were 8.0      0.6  mm and 21.0      2.4  mm, respectively. The mean amount of IOL haptic trimmed intraoperatively was 1.54      0.33  mm. There was significant correlation between the horizontal corneal diameter and the amount of haptic trimmed (P  =  .000). The mean size of the main incision was 3.70      0.98  mm. Three-piece foldable IOLs with a 6.0  mm optic were used. There were no cases of haptic extrusion or subconjunctival haptic placement. There was statistically significant improvement in CDVA (P  =  .032) and UDVA (P  =  .012) after surgery. CONCLUSION: Glued IOLs were safely implanted in eyes with @entity4354 using modifications such as custom haptic trimming and 6.0 mm optic foldable IOLs. FINANCIAL DISCLOSURE: Dr. Amar Agarwal is a paid consultant to Staar Surgical Co. No other author has a financial or proprietary interest in any material or method mentioned.
