Visual acuity was maintained or improved in the majority of patients with pseudoexfoliation who underwent glue-assisted scleral fixation of IOLs, according to a study.
The retrospective chart review of 28 eyes of 26 patients with pseudoexfoliation who had scleral-glued IOL insertion to replace previous IOLs found 89% of patients maintained stable visual acuity or achieved improved corrected distance visual acuity compared with their preoperative vision.
The main indication for scleral-glued IOL insertion was late spontaneous endocapsular IOL subluxation in 21 patients. Other indications were exchange for iris-fixated IOL due to complication in four eyes, crystalline lens subluxation in two eyes and secondary IOL insertion in one eye previously left aphakic.
Fifteen eyes had pre-existing glaucoma when the scleral-glued procedure was performed. Even though ocular hypertension was the most common complication after the procedure, necessitating additional medical management in 29% of eyes treated, there was no significant difference between mean IOP preoperatively and at final follow-up: 16 mm Hg vs. 17 mm Hg.
Mean CDVA was 0.579 logMAR preoperatively and 0.251 logMAR at final follow-up, with 25 of the 28 eyes achieving a final CDVA equivalent to or better than preoperative measurements.
“Overall the results of our series suggest favorable visual outcomes following glue-assisted scleral fixation of IOLs in eyes with [pseudoexfoliation] and inadequate capsular support,” the study authors wrote. – by Rebecca L. Forand
Disclosures: The authors report no relevant financial disclosures.