Safety and efficacy of trans-scleral glued intraocular lens implantation

Background:The commonly used intraocular lens(IOL)implantation modalities when there is a rent in a posterior capsule or lack of posterior capsular support includes iris fixated IOL,anterior chamber(AC)IOL,sutured and suture less trans-scleral fixated IOL.This work was planned to evaluate the safety and efficacy of trans-scleral glued IOL implantation.Methods:Retrospective study was undertaken with 28 patients of glued IOL fixation,performed by a single surgeon over a period of 4 years.Relevant pre-operative and post-operative data including visual acuity,intraocular pressures,associated ocular conditions and complications were collected and statistically analyzed.Results:The mean age of males in our study group was 39.1±4.6 years and mean age of females were 37.9±7.5 years.Glued IOL was implanted in 13 eyes with traumatic cataract with subluxation of 46.4%.The most common associated ocular condition was found to be a penetrating ocular trauma with corneal tear in three patients(10.6%).The mean pre-operative and post-operative Log MAR acuity was found to be 1.18 and 0.55 respectively,which was found to be statically significant with P value of 0.00.Twenty five out of 28 patients(89%)of the study population had no postoperative complications.Conclusions:Glued IOL implantation technique has 89%of success rate and statistically significant improvement in visual acuity with no significant change in intraocular pressure.