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TitelBag-in-the-lens during combined surgery for vitreoretinal disease: a window forever clear for patient and his physician
Abstract Nr.2076
DoelTo assess the clinical outcomes and complication of bag-in-the-lens intraocular lens (BIL-IOL) implantation during combined cataract surgery and 23 Gauge transconjunctival sutureless vitrectomy (TSV-23) for vitreoretinal disease.
MethodesAll patients had undergone combined cataract surgery and TSV-23 with BIL-IOL implantation by one single surgeon, they were recruited retrospectively from the electronic database from 2013–2017, and their data analyzed.
In this cohort, there were 79 males, 48 females; average was 67 years-old (max 89 yo-min 36 yo); 17% (22/127) cases suffer diabetes mellitus (DM); 10% (13/127) cases hypertension arteriosus systemic. There were 37 cases of retinal detachment (RD), 64 of epiretinal membrane (ERM), 13 idiopathic macular hole (IMH), 13 of vitreous hemorrhage.
ResultatenThe best corrected visual acuity (BCVA) was 0,6±0,6 logMar preoperatively and 0,3±0,6 logMar postoperatively. There were 6 cases of BIL IOL luxation, the 5%. Posterior capsule opacification (PCO) did not occur in any adult eye during the follow-up. No fibrosis or synechie were present in the post operatory period.
ConclusieThe use of BIL-IOL during combined cataract surgery and TSV-23 was safe and efficacy, no eye developed PCO over a mean follow-up of 6±5,8 months. In addition, the BIL-IOL remained clear and improved the quality of clinical follow-up of this complex patients.
BelangenverstrengelingNee
Auteur 1
NaamMICHEZ
InitialenM
InstituutDepartment of Ophthalmology Chirec
StadBrussels
Auteur 2
NaamBali
InitialenE
InstituutDepartment of Ophthalmology Chirec
StadBrussels
Auteur 3
NaamBaronissi
InitialenI
InstituutEye Clinic, Department of Neurosciences, University of Naples Federico II
StadNaples
Auteur 4
NaamTassignon
InitialenMJ
InstituutFaculty of Medicine and Health Sciences, Ophthalmology, UZA
StadAnvers
Auteur 5
NaamNì Dhughbhaill
InitialenS
InstituutFaculty of Medicine and Health Sciences, Ophthalmology, UZA
StadAnvers
Auteur 6
NaamHaider
InitialenH
InstituutDepartment of Ophthalmology Chirec
StadBrussels
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