1. Innovation Glued IOL 1st Time in Cambodia
Dr. Kong Piseth th Dec ‘14

2. INDICATIONS Post operative Aphakia Subluxated Cataractous lens
Intraoperative dialysis
Intraoperative posterior capsular rupture with insufficient capsular support
Congenital subluxated lens / Ectopia lentis
Aniridia with lens subluxation
Post traumatic aphakia
Dislocated IOL/Nucleus
5th December '2014

3. Marking the Axis of IOL
5th December '2014

4. Making Flaps along the Axis
5th December '2014

5. Making Flaps along the Axis
5th December '2014

6. Placing Infusion - Cannula/ACM
5th December '2014

7. 20 G Sclerotomies
5th December '2014

8. Anterior Vitrectomy± Lensectomy
5th December '2014

9. Making Ports For Hand Shake Technique
5th December '2014

10. Hand –Shake Technique with Exteriorization of Leading Haptic
5th December '2014

11. Hand –Shake Technique with Exteriorization of Trailing Haptic
5th December '2014

12. Checking Centration
5th December '2014

13. Making of Scharioth Scleral Tunnel
5th December '2014

14. Tucking of Trailing Leading Haptics
5th December '2014

15. Insertion of Air & Application of Glue
5th December '2014

16. Insertion of Air & Application of Glue
5th December '2014

17. ENDOTHELIAL CELL LOSS
POST OPERATIVE SPECULAR COUNT = 2197 ± 318.7cells /mm2
% LOSS OF CELLS= 5.33±3.5%
REDUCTION IN POST OPERATIVE SPECULAR COUNT = p<0.001
5th December '2014
n=59

18. IOL TILT The mean ratio of the slope was 1.04±0.28mm
5th December '2014

19. IOL CENTERATION The mean x and y shift was 0.08±0.19mm and 0.01±0.05mm
No significant change in x shift in the follow up = p=1.00
5th December '2014
n=59

20. Advantages No Special IOL No Tilt Less Pseudophacodonesis
Less UGH syndrome
No Suture Related Complications
Rapidity and ease of Surgery
Stability of the IOL Haptic
5th December '2014

21. Case I
History : 76 Years Old, Male, Traumatic in RE Diagnosis : RE, Cataract with Phacodonesis Operation : RE, ICCE with Glued IOL V/A (Pre OP) RE : 6/60 V/A (Post OP) RE : 6/9 IOL Position : Center Wound : No Leakage
5th December '2014

22. 1st Case Post Operative - ICCE with Glued IOL

23. Case II
History : 59 Years Old, Male, Blurred Vision with Pain in RE Diagnosis : RE, Cataract with AACG with Lens Move Forward Operation : RE, ICCE with Glued IOL V/A (Pre OP) RE : 6/36 V/A (Post OP) RE : 6/12 IOL Position : Center Wound : No Leakage
5th December '2014

24. Case II: Post Operative of ICCE with Glued IOL

25. 5th December '2014

26. Many Thanks for your Kind Attention
“Will Meet all with some more innovations next time”

27. 5th December '2014