COMPARISON OF POSTERIOR IRIS CLAW AND SULCUS SUPPORTED INTRAOCULAR LENSES IN TERMS OF VISUAL OUTCOME AND COMPLICATIONS IN A TERTIARY HOSPITAL
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2019, Vol 6, Issue 34
Abstract
BACKGROUND There are several alternatives for the surgical treatment of Aphakia (scleral fixation, intrascleral fixation, angle supported anterior chamber, ciliary sulcus supported, iris fixation intraocular lenses). Each technique has its own merits and demerits. Hence surgical correction of aphakia still remains challenging and controversial. The purpose of this study was to compare outcomes and complications of posterior fixated iris claw and sulcus supported lens from a tertiary care hospital. We wanted to compare visual outcome and complications of posterior iris claw intraocular lenses and sulcus placed intraocular lenses. METHODS This is a prospective interventional hospital-based study. A minimum of 60 patients fulfilling the inclusion criteria coming to our tertiary care hospital were selected for follow up study from January 2014 to December 2015. RESULTS 70.3% iris claw lenses and 76.6% of sulcus supported lenses had final BCVA 6/18-6/6. 26.5% iris claw lenses and 21.6% sulcus supported lenses had final BCVA in 6/60-6/24 group. Only 3.2% iris claw lenses and 1.8% were in less than 6/60 group. Mean logMAR visual acuity at the end of 6 weeks was comparable in both the groups. There were no significant differences between two groups in mean intraocular pressure at 1 week and at the end of 6 weeks. There was no significant difference between the two groups in operative complications. CONCLUSIONS Posterior fixed IOL was comparable to sulcus supported IOL in terms of BCVA at 6 weeks, intraocular pressure and operative complications.
Authors and Affiliations
Shruti Padmakar Shirwadkar, Nayana Potdar, Chhaya Shinde, Rahul Waghmore
PENETRATING OCULAR INJURIES- A PROSPECTIVE STUDY IN A TERTIARY EYE CARE CENTRE
BACKGROUND Analysis of clinical profile, the objects of injury and various ocular structures involved causing penetrating injury of the eye in a tertiary eye care centre in South India. MATERIALS AND METHODS It was an an...
OPIOID INDUCED HYPERALGESIA: EPIDURAL FENTANYL FOLLOWED BY INTRAVENOUS DEXMEDETOMIDINE INFUSION VERSUS INTRAVENOUS PARACETAMOL– A COMPARATIVE STUDY
BACKGROUND Opioid induced hyperalgesia (OIH) is a state of nociceptive sensitisation caused by exposure to opioids probably due to paradoxical sensitization to painful stimuli. The aim of the study is to study the presen...
BURNS - A COMPARATIVE STUDY BETWEEN CONVENTIONAL AND COLLAGEN DRESSING
Burns are complex in their occurrence, pathophysiology and management. It is a painful condition and topical management of burns is a challenging task. A topical dressing which allows faster healing with reduction of pai...
CARDIOEMBOLIC STROKE - A STUDY OF ITS INCIDENCE, AETIOLOGY, CLINICAL PRESENTATION AND OUTCOME
BACKGROUND Cardioembolic stroke accounts for 14-30% of all cerebral infarctions with a greater tendency of recurrence and it can be prevented. Cardioembolic stroke is a potentially devastating condition that causes frequ...
EFFICACY OF LAPAROSCOPIC OVARIAN WEDGE RESECTION IN RESISTANT POLYCYSTIC OVARIAN SYNDROME
BACKGROUND Poly Cystic Ovarian Syndrome (PCOS) is the most frequently encountered endocrinopathy in women, occurring in 4-7% of population. Many treatment options have been described including surgical methods. Wedge res...