Acta Scientific Ophthalmology (ASOP)

Case Report Volume 3 Issue 10

A New CM T Flex Aphakia Foldable IOL with Trabeculectomy for a Case of Traumatic Aphakia with Secondary Glaucoma

Nivean M1, Murali Ariga2, Pratheeba Devi Nivean3 and Archana N4*

1Vitreoretinal Department, M.N. Eye Hospitals, India
2Glaucoma Department, M.N. Eye Hospitals, India
3Oculoplasty Department, M.N. Eye Hospitals, India
4Cataract and Medical Retina, M.N. Eye Hospitals, India

*Corresponding Author: Archana N, Cataract and Medical Retina, M.N. Eye Hospitals, India.

Received: August 17, 2020; Published: September 24, 2020

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Abstract

Here, we report a case of 37 year old male who came with a history of traumatic aphakia in the right eye 10 years back along with uncontrolled intraocular pressure (IOP). His Uncorrected vision was hand movements in the right eye at presentation. He was managed with new CM T-FLEX foldable aphakic scleral fixated intraocular lens with superior trabeculectomy. Fornix based conjunctival partial thickness triangular scleral flap of 4mm were raised. Mitomycin c was placed for 1 minute. Surgical iridectomy was done using Kellys punch. Flap closed with releasable sutures. Two partial-thickness limbal-based scleral flaps of 2.5mm*2.5mm were created 180 degree apart; sclerotomies were made using 23G needle 1.5mm away from limbus. The new CM T-flex intraocular lens was injected through the 2.8mm clear corneal incision and the specially designed T shaped lens haptics were externalised with the 23G PraNiv T flex forceps, brought out and left under the scleral flap and using the hand shake technique the second arm was grasped using the NiShi Grasping forceps and exchanged to the PraNiv T flex forceps and brought out through the other sclerostomy. The intraocular lens was stable. Anterior chamber wash was done and air bubble was injected. Fibrin glue was used to close the scleral flaps and conjunctiva. Postoperative period was uneventful. At the end of 1 month, patient's best corrected visual acuity was 6/24 in the right eye with a good filtering bleb superiorly and a stable, well centered CM T flex Aphakia intraocular lens.

Keywords: Secondary Intro Ocular Lens; CM-T Flex Foldable Lens; Secondary Glaucoma; Traumatic Aphakia; Vitrectomy; Trabeculectomy

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References

  1. Rattigan SM., et al. “Flexible open- loop anterior chamber intraocular lens implantation after posterior capsule complications in extracapsular cataract extraction”. Journal of Cataract and Refractive Surgery2 (1996): 243-246.
  2. Höh H., et al. “Preliminary results following implantation of iris-suture-fixated posterior-chamber lenses”. German Journal of Ophthalmology 2 (1993): 70-75.
  3. Shammas HJ and Milkie CF. “Secondary implantation of anterior chamber lenses”. American Intra-Ocular Implant Society 3 (1983): 313-316.
  4. Evereklioglu C., et al. “Comparison of secondary implantation of flexible open-loop anterior chamber and scleral-fixated posterior chamber intraocular lenses”. Journal of Cataract and Refractive Surgery2 (2003): 301-308.
  5. Narang P and Agarwal A. “The “correct shake” for “handshake” in glued intrascleral fixation of intraocular lens”. Indian Journal of Ophthalmology11 (2016): 854.
  6. Agarwal A., et al. “Handshake technique for glued intrascleral haptic fixation of a posterior chamber intraocular lens”. Journal of Cataract and Refractive Surgery3 (2013): 317-322.
  7. Stem MS., et al. “Scleral-fixated intraocular lenses: past and present”. Journal of Vitreoretinal Diseases2 (2017): 144-152.
  8. Baskaran P., et al. “Extraocular needle- guided haptic insertion technique of scleral fixation intraocular lens surgeries (X-NIT)”. Indian Journal of Ophthalmology 65 (2017): 747-750.
  9. Ohtani S., et al. “Outcome of sulcus fixation of the posterior chamber lens”. Japanese Journal of Ophthalmology 54 (2000): 531-535.
  10. Krause L., et al. “Implantation of scleral fixated sutured posterior chamber lenses: Cairns JE. Trabeculectomy. Preliminary report of a new method”. American Journal of Ophthalmology 66 (1968): 673.
  11. Cairns JE. “Trabeculectomy. Preliminary report of a new method”. American Journal of Ophthalmology 66 (1969): 673.
  12. Rotchford AP and King AJ. “Moving the goal posts definitions of success after glaucoma surgery and their effect on reported outcome”. Ophthalmology 117 (2010): 18-23.e3.
  13. Jay JL and Allan D. “The benefit of early trabeculectomy versus conventional management in primary open angle glaucoma relative to severity of disease”. Eye (Lond) 3 (1989): 528-535.
  14. Szurman P., et al. “A new small-incision technique for injector implantation of transsclerally sutured foldable lenses”. Ophthalmic Surgery, Lasers and Imaging Retina 38 (2007): 76-80.
  15. Wagoner MD., et al. “Intraocular lens implantation in the absence of capsular support: A report by the American Academy of Ophthalmology”. Ophthalmology 110 (2003): 840-859.
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Citation

Citation: Archana N. “A New CM T Flex Aphakia Foldable IOL with Trabeculectomy for a Case of Traumatic Aphakia with Secondary Glaucoma”.Acta Scientific Ophthalmology 3.10 (2020): 33-36.




Metrics

Acceptance rate35%
Acceptance to publication20-30 days
ISI- IF1.042
JCR- IF0.24

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