Abstract :
Aim: To assess and compare the visual outcome of the different approaches in the management of dislocated/subluxated cataractous lens.
Methods: This is a retrospective study of 32 eyes of 32 patients who were managed for dislocation/subluxation of cataractous lenses from 2012 to 2015.
All patients underwent 3PPPV/ anterior vitrectomy with PFCL assisted extraction of the dislocated cataractous lens. 2 point ab-externo scleral fixated IOLs were implanted in 15 patients, ACIOL implantation was done in 2 patients and the remaining 15 patients who underwent Vitrectomy and lens removal were left aphakic due to various reasons (a)lost to follow up (b)fellow eye aphakic(c)had preoperative complications like Vitreous haemorrhage, Retinal break etc. The visual outcome of these various procedures were compared and analysed.
Results: Our study included 32 eyes of 32 patients with a median follow up period ranging from 3-36 months. SFIOLs were implanted in 15 patients, ACIOL implantation was done in 2 patients and 15 patients were left aphakic. Post-operative best corrected visual acuity of 6/18 or better was achieved in 73.33% of patients treated with SFIOL implantation. BCVA of 6/18 or better was achieved in 40% of patients who were left aphakic and given aphakic spectacle correction. The remaining 60% had a visual acuity of
Keyword :
BCVA Best Corrected Visual Acuity, Dislocated Cataractous Lens, PFCL PER Flouro Carbon Liquid, 3 PPPV 3 Port Pars Plana Vitrectomy, SFIOL Scleral Fixated Intra-Ocular Lens