Eyeworld

18 | EYEWORLD | JULY 2021 by Sabrina Mukhtar, MD, Ian Conner, MD, and Evan Waxman, MD In this study, 91 eyes of 63 patients were included. The mean follow-up was 8.2 years. IOL position was measured by slit lamp bio- microscopy and anterior segment OCT. In this cohort, 5 eyes had clinically detectable mild IOL decentration at the slit lamp, two eyes showed pseudophacodonesis, four eyes had clinically detectable tilt, and 17 eyes showed optic micro- tilt on OCT. There was IOL-iris touch near the pupillary plane in 21 eyes on anterior segment OCT. Additionally, using the new haptic visibility grading system, the majority of cases were de- scribed as grade 0 or 1 showing no or minimal haptic visibility through the scleroconjunctiva. With regard to visual acuity, there was a significant improvement in uncorrected distance visual acuity postoperatively and no significant difference found in corrected distance visual acuity. Intragroup analysis in relation to age stratification showed no difference in mean corrected distance visual acuity. The mean post- operative refraction as represented in spherical equivalent was –1.1 D, and the mean ocular ASCRS/EYEWORLD JOURNAL CLUB ASCRS NEWS Review of "Glued intraocular lens in eyes with deficient capsules: retrospective analysis of long-term effects" Ian Conner, MD Associate Residency Program Director University of Pittsburgh Pittsburgh, Pennsylvania Sabrina Mukhtar, MD Ophthalmology Resident University of Pittsburgh Pittsburgh, Pennsylvania Evan Waxman, MD Residency Program Director University of Pittsburgh Pittsburgh, Pennsylvania I n eyes that lack posterior capsular sup- port, there are several methods to implant intraocular lenses, including iris-fixated IOLs, 1 anterior chamber IOLs, and transs- cleral fixated IOLs. 2–4 While sutured scleral fixated IOLs have been used historically, their limitations include prolonged surgical time, suture-induced inflammation, suture degrada- tion, and long-term IOL subluxation or disloca- tion. 5 In 1997, a sutureless transscleral fixation technique designed for posterior chamber IOLs was introduced by Maggi and Maggi. 6 In 2007, intrascleral haptic fixation was suggested by Gabor et al., 7 followed by the introduction of the glued IOL technique by Agarwal in 2008. 5 The glued IOL technique has undergone several modifications to give stability to the haptics and broaden its surgical indications. 8–10 While short- term data was available, long-term outcomes data was absent from the literature, and this publication aimed to describe long-term func- tional and anatomical outcomes in eyes that un- derwent the glued IOL implantation technique. Summary This retrospective case series aimed to report the results and complications of glued trans- scleral fixated intraocular lenses over a 6- to 12-year period from a single institution. All surgeries were performed using the glued IOL technique as previously published. 5,9,10 These patients were looked at by a single examiner, and all patients received standard postoperative care. Both anatomical and functional outcomes were measured including IOL positioning, scler- al haptic visibility, iris and pupil anatomy, ante- rior chamber reaction, visual acuity, intraocular pressure, corneal endothelial density, corneal topography and keratometry, complications, and quality of life metrics (Visual Function Index-14 scoring system). Additionally, a scleral haptic visibility grading system was introduced, de- scribing scleral flap thinning and haptic visual- ization at long-term follow-up. The ASCRS Journal Club is a virtual, compli- mentary CME offering exclusive to ASCRS members that brings the experience of a lively discussion of two current articles from the Journal of Cataract & Refractive Surgery to the viewer. Co-moderated by Nick Mamalis, MD, and Leela Raju, MD, the April session featured a presentation by Kerry Solomon, MD, co-author of "Cataract surgery after myopic laser in situ keratomileusis: objective analysis to determine best formula and ker- atometry to use." The second manuscript, "Glued intraocular lens in eyes with deficient capsules: retrospective analysis of long-term effects" was presented by Sabrina Mukhtar, MD, ophthalmology resident, University of Pittsburgh. To view the April Journal Club session, visit ascrs.org/clinical-education/ journal-club/schedule/april-2021.

• Blank Page
• Blank Page (1)