Safety and efficacy of trans-scleral glued intraocular lens implantation

Rajkumar Maheshwari, Thirumagal Vaishnavi, Isiri Revanasiddappa, Jerry Joseph, Venkataramana Kalikivayi, Sajeev Cherian Jacob


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.