Unpredictable outcomes post phakic intraocular lens implantation

Title : Unpredictable outcomes post phakic intraocular lens implantation

Abstract:

Purpose: Phakic IOL implantation is a viable option for refractive errors with promising visual outcomes. However, despite meticulous pre-operative planning and calculations, one may encounter unpredictable outcomes post phakic IOL implantation. At such times, it becomes difficult to decide whether to intervene or not. We hereby present a compilation of such cases and their management.

Method: Records of all patients who underwent phakic IOL implantation in our refractive department were reviewed. Cases with early postoperative complications like decreased visual acuity, raised IOP, or abnormal AS-OCT findings were included. Patients needing further surgical intervention post-implantation were also analysed.

Result: Among the eyes that underwent phakic IOL implantation, postoperative complications included residual refractive error, malposition requiring re-orientation, and issues related to vaulting (both high and low). Some eyes required further surgical intervention such as re-rotation or exchange with a larger IOL, while others could be managed conservatively.

Conclusion: Meticulous and accurate measurements are needed while planning a phakic IOL procedure. Despite best efforts one may land up into unpredictable outcomes.

Biography:

Dr. Tulika Chauhan, MBBS, MS, FIAS, FICO, is a Cornea and Refractive Surgery specialist with fellowships from Harvard’s Massachusetts Eye and Ear Infirmary and UCLA’s Jules Stein Eye Institute. An alumna of MGM Medical College, Indore, she has trained at leading institutes in India and abroad, including Johannes Gutenberg University, Germany. Her expertise covers LASIK/SMILE, cataract, corneal transplants, keratoprosthesis, ocular surface and stem cell disorders, and dry eye. A Senior Consultant at a reputed tertiary eye care centre, she has extensive surgical experience, published internationally, presented globally, and is actively involved in teaching, resident training, and developing case-based scientific programs.