Glued Posterior Chamber Intraocular Lens (IOL) Surgery

The natural crystalline lens of the eye focuses the image of objects on the retina just like the lens of a camera. There is an envelope in which this crystalline lens sits called the capsule. When opacities develop in the lens, it is called a cataract. During cataract surgery an artificial lens or IOL is implanted inside this capsule after the cataract is removed so as to keep the image focused on the retina.

In cases where a standard implantation technique cannot be utilized due to deficient capsular support, a glued posterior chamber IOL surgery technique can be utilized. This sutureless technique eliminates the possibility of suture erosion-a concern with current IOL techniques that suture the IOL to the iris or sclera. The eye shows minimal signs of inflammation the day after surgery. Visual recovery is usually quick with excellent IOL centration, no tilt, irregular astigmatism or IOL instability. This technique was pioneered by world renowned ophthalmologist, Dr. Amar Agarwal, director of Agarwal Eye Group of Eye Hospitals and Professor of Ophthalmology at Ramachandra Medical College in Chennai, India. Dr. Khouri went to the Agarwal Eye hospital in India during the month of July 2014 to train on this technique.

For more details, a surgical video of live glued IOL surgery which was telecast from the Agarwal Eye Hospital to the Georgetown University anterior segment conference in Washington DC in April 2014 is available at http://youtu.be/QJK_6Vh0pUg

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