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- W3086226040 abstract "Purpose: To assess the long-term (6-12 years) results and complications of glued transscleral-fixated intraocular lens (IOL). Setting: Dr. Agarwal's Eye Center, Chennai, India. Design: Retrospective case series. Methods: Eyes with glued IOL of more than 5-year follow-up were evaluated. Visual acuity (logarithm of the minimum angle of resolution [logMAR]), IOL tilt, corneal topography, corneal endothelial cell density, intraocular pressure, central corneal thickness, central foveal thickness, and ocular residual astigmatism (ORA) were evaluated. Results: Overall, 91 eyes (63 patients) with mean postoperative 8.2 ± 2.3 years were analyzed. The duration was 10 to 12 years in 31 eyes (34%), 9 years in 14 eyes (15.3%), and 6 to 9 years in 46 eyes (50.5%). No subscleral haptic was visible in 50% eyes. Mild, moderate, and severe grade of haptic visibility was noted in 33.5%, 9.4%, and 7%, respectively. The corrected distance visual acuity (CDVA) was 0.50 ± 0.50 logMAR. Clinically, no tilt was seen in 87 eyes (95.6%), whereas detectable tilt was seen in 4 eyes (4.3%). The optical coherence tomography microtilt was 0.8 ± 1.7 and 0.4 ± 1.2 degrees in 90- and 180-degree axes, respectively. The mean iris vault was 0.45 mm, and the mean ORA was 1.10 ± 1.00 diopter. Complications were glaucoma (7.6%), IOL luxation (4.4%), retinal detachment (3.2%), macular edema (4.3%), corneal decompensation (3.2%), uveitis (2.1%), and uveitis–glaucoma–hyphema syndrome (1%). Haptic reposition (3.2%), retinal detachment surgery (3.2%) keratoplasty (1%), pupilloplasty (2.1%), and IOL explantation (1%) were the second surgeries performed. Conclusions: Glued IOL has shown good anatomical and functional stability with minimal incidence of vision-threatening complications on long-term." @default.
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- W3086226040 date "2021-04-01" @default.
- W3086226040 modified "2023-10-14" @default.
- W3086226040 title "Glued intraocular lens in eyes with deficient capsules: retrospective analysis of long-term effects" @default.
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- W3086226040 doi "https://doi.org/10.1097/j.jcrs.0000000000000416" @default.
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