Visual Outcomes and Postoperative Complications of ACIOL vs. SFIOL: A Prospective Comparative Study: Postoperative Complications of ACIOL vs. SFIOL

Faisal Mehmood; Syed Mazhar Abdullah; Nesr Farooq; Muhammad Awais Afzal

doi:10.54393/pjhs.v5i12.2712

Authors

Faisal Mehmood Department of Ophthalmology, Rashid Latif Medical College, Lahore, Pakistan
Syed Mazhar Abdullah Department of Ophthalmology, Rashid Latif Medical College, Lahore, Pakistan
Nesr Farooq Department of Ophthalmology, Rashid Latif Medical College, Lahore, Pakistan
Muhammad Awais Afzal Department of Ophthalmology, Narowal Medical College, Narowal, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v5i12.2712

Keywords:

Anterior Chamber Intraocular Lens, Scleral Fixated Intraocular Lens, Best Corrected Visual Acuity, Postoperative Complications

Abstract

Anterior chamber intraocular lens and scleral fixated intraocular lens are key options for patients without capsular support, necessitating a comparison of their visual outcomes and complications. Objectives: To analyze and contrast the postoperative visual results and complications amongst patients who underwent cataract surgery or secondary lens implantation and received either an anterior chamber intraocular lens or a scleral fixated intraocular lens. Methods: The total number of participants was n=120: Group I involved 60 eyes that received an anterior chamber intraocular lens while Group II involved 60 eyes that were given a scleral fixated intraocular lens. The primary outcomes measured were best-corrected visual acuity before the procedure and then at 1-, 3-, and 6-months post-op, whereas secondary outcomes included complications such as inflammation, elevated intraocular pressure, dislocation of the artificial intraocular lens, as well as other postoperative adverse events. SPSS 23 was used. Results: At the 6-month mark, both groups demonstrated significant improvement in best-corrected visual acuity compared to pre-op levels, with no noteworthy difference in final visual acuity between those who received an anterior chamber intraocular lens versus a scleral fixated intraocular lens. The mean best-corrected visual acuity for Group I was 6/9 whereas Group II presented with a mean best-corrected visual acuity of 6/12 (p>0.05). No significant discrepancies in complication rates were observed between the two procedures. Conclusions: It was concluded that anterior chamber intraocular lens implantation and scleral fixated intraocular lens implantation can yield positive visual outcomes for patients undergoing cataract surgery or secondary lens implantation.

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