In another study, higher rate of complications were noted with Intraocular lens implantation in infants and further surgery was required during the first postoperative year than those infants who underwent lensectomy/vitrectomy surgery without IOL implant
.17 There are also less chances of glaucoma in aphakik patients than psudophakik patients.
Percentage of Age Wise Frequency Distribution of Respondents with Pre-Existing Corneal Astigmatism Treated with Toric Multifocal IOL Implant
41-50yrs 7.5% 51-60yrs 30% 61-70yrs 37.5% 71-80yrs 25% Note: Table made from pie chart.
After taking permission from hospital ethical committee, patients fulfilling the inclusion criteria (Individuals between 50-70 years of age irrespective of gender having posterior capsular opacification diagnosed on slit lamp examination and more than six month's follow-up after cataract surgery) and exclusion criteria (cases of glaucoma, IOL implant
in traumatic cataract, combined procedure, diabetic retinopathy or any other retinal disease and postoperative complications such as endophthalmitis) were selected.
Recent advances in IOL implant
. Proc Satellite Symp India IOL 1990;224-47.
The cost of one sight restoration cataract surgery with IOL implant
Intraoperatively following cataract extraction, the high minus IOL implant
is injected in to the capsular bag, after which the second IOL is injected and positioned in the sulcus.
The patients who had ICCE (3 eyes) or if the capsular support was inadequate (2 eyes), did not have any IOL implant
because of non availability of the Anterior Chamber (AC) IOL which resulted in aphakia (5 eyes).
The viable options therefore include epikeratophakia anterior chamber IOL implant
iris fixated intraocular lens and sclera fixated posterior chamber IOL implants
The options therefore include Anterior chamber IOL implant
, Iris fixated intraocular lens and Sclera fixated posterior chamber IOL implants
More appropriate would be a phakic IOL implant
, if a young patient, and RLE for an older patient.
High ametropia is taken into account when only unilateral cataract surgery is required and the IOL implant
power is calculated accordingly.
According to a recent study , there are new aspheric intraocular lenses that are small enough to fit through a 1.4 mm incision, which saves the trouble of having an extra step for the IOL implant
. Since the trend in cataract surgery has been to minimize the corneal incision, the 1.4 mm incision of B-MICS may have advantages in refractive surgery [4, 5].