June 2015
Volume 56, Issue 7
Free
ARVO Annual Meeting Abstract  |   June 2015
CLINICAL OUTCOMES OF ANTERIOR CHAMBER VS. SCLERAL FIXATED INTRAOCULAR LENSES IN COMPLICATED CATARACT SURGERIES PERFORMED BY OPHTHALMOLOGY RESIDENTS
Author Affiliations & Notes
  • Diana K Lee
    Georgetown University School of Medicine, Washington, DC
  • Sahar Bedrood
    Ophthalmology, USC Eye Institute, Los Angeles, CA
  • Jesse berry
    Ophthalmology, USC Eye Institute, Los Angeles, CA
  • Footnotes
    Commercial Relationships Diana Lee, None; Sahar Bedrood, None; Jesse berry, None
  • Footnotes
    Support None
Investigative Ophthalmology & Visual Science June 2015, Vol.56, 685. doi:
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      Diana K Lee, Sahar Bedrood, Jesse berry; CLINICAL OUTCOMES OF ANTERIOR CHAMBER VS. SCLERAL FIXATED INTRAOCULAR LENSES IN COMPLICATED CATARACT SURGERIES PERFORMED BY OPHTHALMOLOGY RESIDENTS. Invest. Ophthalmol. Vis. Sci. 2015;56(7 ):685.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract 
 
Purpose
 

Cataract surgeries can be complicated by a variety of mechanisms, which require an alternative approach to completing the operation. The purpose of this study is to compare the outcome of anterior chamber intraocular lens (ACIOL) vs scleral-fixated intraocular lens (SFIOL) implantation in complicated cataract surgeries.

 
Methods
 

This is a retrospective study of consecutive ACIOL and SFIOL implantation surgeries performed at Los Angeles County USC Hospital from 2012 to 2013. Patients were identified from an operative log documenting complicated cataract surgeries during the study period. Exclusion criteria included: (1) causes of poor visual function other than cataract prior to cataract surgery, (2) combined surgery, such as corneal surgery and glaucoma surgery; and (3) postoperative follow-up of less than 12 months. Patient demographics, surgeon experience, type of surgical complication, follow-up duration, type of IOL implanted, postoperative visual acuity, and postoperative complications were collected from each case record. This study was approved by the Institutional Review Board.

 
Results
 

There were a total of 20 eyes in the ACIOL group and 10 eyes in the SFIOL group. The most common complicating factors were posterior capsule rupture and zonular dehiscence. Average time of ophthalmic surgery training of the resident surgeon was 26 months. The mean follow-up duration was 18 months. Analysis of visual outcome showed ACIOL and SFIOL implantation had similar results, while the presence of late complications was associated with a worse final visual outcome.

 
Conclusions
 

Many factors can contribute to the clinical outcomes of complicated cataract surgeries involving ACIOL and SFIOL implantation. This study shows that clinical results are similar in both groups when performed by ophthalmology residents and that other factors are more important in determining final visual outcomes.

 
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