DR. APEKSHA KATARIA

DR.MEHUL SHAH, DR. SHREYA SHAH, DR.BHUMI CHANDARANA

Abstract

METHODS: WE RETROSPECTIVELY STUDIED SECONDARY INTRAOCULAR LENS IMPLANTATION IN TRAUMATIC APHAKIC PATIENTS FROM 2020 TO 2022. WE STUDIED SCLERAL TUCK IOL IN ZONE 3 INJURIES OUT OF THEM. ALL DATA RETRIVED FROM EMR. THE DATA WAS ANALYSED USING SPSS 22.

RESULT: OUR COHORT CONSISTED OF 97 EYES,37 OUT OF WHICH WERE OF TRAUMATIC AETIOLOGY(38.1%), ZONE 3 INJURIES WERE 13.51%, ZONE 3 INJURIES PUTS FORWARD A CHALLENGE FOR THE SURGEON BECAUSE THE TUCKS ARE TO BE TUCKED ON THE SCLERA AT 3 AND 9O’CLOCK, REDUCED SCLERAL INTEGRITY PROBES A CHALLENGE, MEAN AGE GROUP 52+/-19.1, FINAL VISION OF >6/60 WAS IN 55.6%, MOST COMMON PRIMARY SURGERY PERFORMED WAS LENS+VITRECTOMY(35.1 %) OTHERS WERE CAT+VIT(27.02%), VIT-ND(13.5%), VIT TRAUMA(8.1%), WOUND REPAIR(5.4%).CAUSES OF DIMINISHED VISION WERE CORNEAL EDEMA, REFRACTION, INJURY MARK, MALPOSITION AND SECONDARY GLAUCOMA

CONCLUSION:. SCLERAL TUCK IOL IS A DIFFICULT YET SUCCESSFUL AND COST EFFECTIVE METHOD OF MANAGEMENT OF APHAKIA IN ZONE 3 INJURIES