EyeWorld is the official news magazine of the American Society of Cataract & Refractive Surgery.
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EW CATARACT 92 April 2017 Device focus Mr. Davila concluded that the use of either SSIOLs or GIOLs for secondary cataract or IOL exchange surgery was safe and effective, giving mean postoperative visual acuities that were not significantly different. EW Editors' note: Mr. Davila has no finan- cial interests related to his comments. References 1. Ganekal S, et al. Comparative evaluation of suture– assisted and fibrin glue– assisted scleral fixated intraocular lens implantation. J Refract Surg. 2012;28:249–52. 2. Kumar DA, Agarwal A. Glued intraocular lens: A major review on surgical technique and results. Curr Opin Ophthalmol. 2013;24:21–9. 3. Kumar DA, et al. Complications and visual outcomes after glued foldable intraocular lens implantation in eyes with inadequate capsules. J Cataract Refract Surg. 2013;39:1211–8. Contact information Davila: davilaj@med.umich.edu IOL scaffold and vertical glued IOL and were combined with corneal procedures such as penetrating keratoplasty, DSAEK, and Descemet's membrane endothelial keratoplasty, with good visual and anatomical outcomes. Still more supporting evidence comes from a different investigation by the same investigator involving an evaluation of complications and visual outcomes that was carried out in 208 eyes (185 patients) that re- ceived primary GIOLs for intraopera- tive capsular loss or subluxated lens, or secondary GIOLs for aphakia. 3 The investigation showed that the foldable GIOL procedure resulted in satisfactory visual outcomes without serious complications. Corrected distance visual acuity improved or remained unchanged in 85% of eyes, achieving 20/40 or better in 39% and 20/60 or better in 49%. Intraocular lens decentration was a late complication seen in 3.3% of patients and was associated with haptic-related issues. Glued continued from page 90 Intraoperative and postoperative complications Intraoperative complications 0 Postoperative complications SSIOL CME 1 PBK requiring DSAEK 1 Retinal detachment 1 1 GIOL Hypotony 2 2 Ocular hypertension 3 1 PBK requiring DSAEK 1 Lens prolapse 4 None of the study eyes in either IOL group experienced intraoperative complications regarding IOL stability, centration, or haptic integrity. Postoperative complications were few and treatable. Foototes: 1. Unclear if related to IOL surgery. 2. Self-resolved. 3. Resolved with timolol taper. 4. Required surgical repositioning. Source: Jose Davila