Abstract
Purpose :
To present long-term outcomes of a surgical technique for rescuing and sclerally fixating a posteriorly dislocated lens-bag complex without the need for conjunctival incision.
Methods :
A retrospective chart review of 17 patients (19 eyes) who underwent posterior chamber intraocular lens (IOL) rescue using Hoffman pocket technique was performed. Data were collected on patients with greater than 1 year follow up after surgery. Out of 19 surgical eyes, 6 had greater than 5 year follow up.
Results :
The average follow up for all surgical eyes was 37 months (3.2 years). For all eyes with greater than 12 month follow up, the average preoperative vision was 20/343, and the final average vision was 20/46. In the group of surgical eyes with greater than 5 year follow up, the average follow up time was 69 months (5.8 years) with the average preoperative vision 20/305, and the final average vision 20/34.
Four out of 19 eyes had decentration of the sutured intraocular lens, 3 of which required additional surgical repair: two early – less than 6 months after the initial surgery, and one late – 5 years after the initial surgery. In one of those eyes the lens-bag complex was repositioned using the same surgical technique, and in two eyes an IOL exchange for anterior chamber IOL was performed.
Conclusions :
Outcome data at greater than 1 year follow up support Hoffman pocket technique as a valuable surgical approach for the rescue of a dislocated lens-capsular bag complex. The rate of recurrent IOL malposition with this technique is relatively low, with most of those events occurring early after the surgery.
This is a 2021 ARVO Annual Meeting abstract.