Dae Yune Kim_SCIENTIFIC POSTER 2015

Purpose:

To report 3 cases of pars plana lensectomy and intrascleral intraocular lens(IOL) fixation in patients with cataract and very low endothelial cell count.

Methods:

3 patients had pars plana lensectomy and intrascleral fixation of IOL fixation. Endothelial cell counts were 489, 565, and 520 respectively. Two patients had guttata, and one patient had iridocorneal endothelial syndrome, After removing vitreous gel up to the equator, posterior capsulotomy was made with the cutter. Hydrodissection was made and the lens was dislocated to the posteror vitreous cavity. Pars plana lensectomy with fragmatome was done under the intact anteror capsule to protect the corneal endothelium. IOL was inserted through the enlarged sclerotomy site and fixated intrasclerally.

Results:

Visual acuity was improved in all patients. Corneal endothelial cell count was not decreased in all patients at least 6 months after surgery. No major complications were encountered during the follow-up.

Conclusions:

Pars plana lensectomy and intrascleral IOL fixation may be considered a treatment option in patients with cataract and very low endothelial cell count. This technique may be useful especially in country where donor cornea is not provided well.

Contact Details:

Email: daeyun115@hanmail.net
Cell Phone: +821028019114