Jae Woo Kim M.D. ; Sung Kun Chung M.D. Nam Ho Baek M.D. Department of Ophthalmology and Visual Science, The Catholic University of Korea Clinical Result.

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Presentation transcript:

Jae Woo Kim M.D. ; Sung Kun Chung M.D. Nam Ho Baek M.D. Department of Ophthalmology and Visual Science, The Catholic University of Korea Clinical Result of Anterior Chamber IOL Implantation No author has any financial or proprietary interest in any materials or methods mentioned

To evaluate clinical outcome of anterior chamber IOL compared with scleral fixation of posterior chamber IOL Purpose

Result n=51

Result pre-opPost-op (2month)P-value AC-IOL(n=51) 0.42± ± PC-IOL S.F(n=51)0.36± ± P-value>0.05 (n=51) 0.42± ± ± ±0.28

Result (n=51) pre-oppost-op(2month)P-value AC-IOL(n=51) 15.2± ±4.5>0.05 PC-IOL S.F(n=51)16.6± ±3.1>0.05 P-value> ± ± ± ±5.0

Result Early complication Late complication Eyes (%)AC-IOL(n=51)PC-IOL S.F(n=51) Elevated IOP Corneal edema Microhyphema 7 (13.7%) 4 ( 7.8%) 6 (11.8%) 5 ( 9.8%) 1 ( 2.0%) Secondary glaucoma Cystoid macular edema Uveitis Bullous keratopathy +cystoid macular edema Retinal detachment Exposured suture material Decenteration of IOL 6 (11.8%) 3 ( 5.8%) 1 ( 2.0%) 4 (7.8%) 1 (2.0%) 2 (3.9%) 1 (2.0%)

Discussion There is no definite difference between AC-IOL and scleral fixation of PC-IOL in IOP change and visual acuity improvement There is no definite difference between AC-IOL and scleral fixation of PC-IOL in IOP change and visual acuity improvement Scleral fixation of PC-IOL is one of the useful method if it is difficult to implant PC-IOL Scleral fixation of PC-IOL is one of the useful method if it is difficult to implant PC-IOL But, we need to evaluate corneal endothelial cell, corneal astigmatism, lens tilting and systemic disease as diabetic retinopathy or hypertensive retinopathy. But, we need to evaluate corneal endothelial cell, corneal astigmatism, lens tilting and systemic disease as diabetic retinopathy or hypertensive retinopathy.