Glued intraocular lens

Glued intraocular lens (Glued IOL) is a surgical technique used in ophthalmology to implant an intraocular lens (IOL) in the eye. This method is particularly useful in cases where the natural lens capsule is not available or is damaged, making traditional IOL implantation methods unsuitable.

History

The Glued IOL technique was first introduced by Dr. Amar Agarwal in 2007. It has since gained popularity due to its effectiveness in providing stable IOL fixation in complex cases.

Procedure

The Glued IOL technique involves the use of fibrin glue to secure the IOL in place. The procedure typically includes the following steps: 1. Creation of Scleral Flaps: Two partial-thickness scleral flaps are created 180 degrees apart. 2. Sclerotomy: Two sclerotomies are made under the scleral flaps. 3. IOL Insertion: The IOL is inserted into the eye, and its haptics are externalized through the sclerotomies. 4. Gluing the Haptics: The haptics are tucked into scleral pockets and secured with fibrin glue. 5. Closure: The scleral flaps are repositioned and glued back.

Indications

The Glued IOL technique is indicated in cases where:

• The capsular bag is compromised.
• There is zonular weakness or dialysis.
• There is a need for secondary IOL implantation.

Advantages

• Provides stable IOL fixation.
• Reduces the risk of IOL dislocation.
• Can be performed in eyes with compromised capsular support.

Complications

As with any surgical procedure, there are potential complications, including:

• Endophthalmitis
• Hyphema
• IOL decentration
• Scleral flap-related issues

Postoperative Care

Postoperative care includes the use of antibiotic and anti-inflammatory eye drops. Regular follow-up is necessary to monitor the position of the IOL and the healing of the scleral flaps.

See Also

• Intraocular lens
• Cataract surgery
• Scleral fixation