Visual Outcomes and Complications Following Secondary Intraocular Lens (IOL) Implantation
- 1. Junior Resident 3rd Year, Department of Ophthalmology, Mata Gujri Memorial Medical College & LSK Hospital, Kishanganj, Bihar, India
- 2. Assistant Professor, Department of Ophthalmology, Mata Gujri Memorial Medical College & LSK Hospital, Kishanganj, Bihar, India
Description
Background: Secondary intraocular lens (IOL) implantation is a common procedure for managing aphakia or failed primary IOLs. The choice between anterior chamber IOL (ACIOL) and posterior chamber IOL (PCIOL) in the sulcus influences both visual outcomes and complication rates. This study aimed to compare the visual outcomes and complication rates between secondary ACIOL and PCIOL implantation in a clinical setting. Methods: Sixty eyes (30 in each group) undergoing secondary IOL implantation were included. Group 1 received ACIOLs, and Group 2 received PCIOLs in the sulcus. Preoperative and postoperative visual acuity, as well as complications, were recorded. Statistical analysis was performed using SPSS version 23.0. Results: The PCIOL group demonstrated significantly better visual acuity at all postoperative intervals compared to the ACIOL group. At 6 months, the mean visual acuity in the PCIOL group was 0.20 LogMAR, compared to 0.25 LogMAR in the ACIOL group (p = 0.018). Additionally, the PCIOL group had a lower overall complication rate (10%) compared to the ACIOL group (30%) (p = 0.010). Minor complications occurred in 6.7% of the PCIOL group versus 20% of the ACIOL group, and major complications were observed in 3.3% of the PCIOL group compared to 10% in the ACIOL group. Conclusion: PCIOL implantation provides superior visual outcomes and a safer postoperative profile compared to ACIOL implantation. These findings support the use of PCIOL as the preferred option for secondary IOL implantation, offering better visual recovery and reduced complication rates. Further studies with larger sample sizes and longer follow-up periods are recommended to confirm these results. Recommendations: Surgeons should consider both ACIOL and PCIOL options based on anatomical and patient-specific factors, as both methods provide effective visual restoration with similar safety profiles. Further studies with larger sample sizes and longer follow-up periods are recommended to confirm these findings.
Abstract (English)
Background: Secondary intraocular lens (IOL) implantation is a common procedure for managing aphakia or failed primary IOLs. The choice between anterior chamber IOL (ACIOL) and posterior chamber IOL (PCIOL) in the sulcus influences both visual outcomes and complication rates. This study aimed to compare the visual outcomes and complication rates between secondary ACIOL and PCIOL implantation in a clinical setting. Methods: Sixty eyes (30 in each group) undergoing secondary IOL implantation were included. Group 1 received ACIOLs, and Group 2 received PCIOLs in the sulcus. Preoperative and postoperative visual acuity, as well as complications, were recorded. Statistical analysis was performed using SPSS version 23.0. Results: The PCIOL group demonstrated significantly better visual acuity at all postoperative intervals compared to the ACIOL group. At 6 months, the mean visual acuity in the PCIOL group was 0.20 LogMAR, compared to 0.25 LogMAR in the ACIOL group (p = 0.018). Additionally, the PCIOL group had a lower overall complication rate (10%) compared to the ACIOL group (30%) (p = 0.010). Minor complications occurred in 6.7% of the PCIOL group versus 20% of the ACIOL group, and major complications were observed in 3.3% of the PCIOL group compared to 10% in the ACIOL group. Conclusion: PCIOL implantation provides superior visual outcomes and a safer postoperative profile compared to ACIOL implantation. These findings support the use of PCIOL as the preferred option for secondary IOL implantation, offering better visual recovery and reduced complication rates. Further studies with larger sample sizes and longer follow-up periods are recommended to confirm these results. Recommendations: Surgeons should consider both ACIOL and PCIOL options based on anatomical and patient-specific factors, as both methods provide effective visual restoration with similar safety profiles. Further studies with larger sample sizes and longer follow-up periods are recommended to confirm these findings.
Files
IJPCR,Vol16,Issue8,Article137.pdf
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Additional details
Dates
- Accepted
-
2024-07-25
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/16/IJPCR,Vol16,Issue8,Article137.pdf
- Development Status
- Active
References
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