DR. AASTHA GANDHI

DR. RITIKA AGGARWAL, DR.YAMINI SAHU, DR. ANURAG NARULA

Abstract

A total of 60 eyes were evaluated: 30 received refixation of dislocated IOL (Group A ) while 30 underwent IOL exchange (Group B ) treatment. Best-corrected visual acuity (BCVA), refraction, intraocular pressure (IOP), central macular thickness (CMT), and corneal endothelial cell density (ECD)were done pre and postoperatively and postoperative complications were noted.

Although BCVA at 6 months after surgery was comparable between the groups, postoperative decrease in ECD was significantly greater in the exchange group than in the refixation group, but no significant differences were found in other parameters. The exchange group also experienced more postoperative complications ( retinal detachment, cystoid macular edema, and epiretinal membrane) than the refixation group.

Thus, refixation of the dislocated IOL would be a better surgical option to protect corneal endothelial cells and prevent postoperative complications.