Evaluation of change in the contact of IOL with the posterior capsule with respect to the orientation of haptics of the IOL using intraoperative spectral domain optical coherence tomography

Naren Shetty; Yash Patel; Reshma Ranade; Akash Jain; Raghav Narasimhan; Apurva Bansod; Rudy Nuijts

doi:10.4103/IJO.IJO_348_24

Evaluation of change in the contact of IOL with the posterior capsule with respect to the orientation of haptics of the IOL using intraoperative spectral domain optical coherence tomography

Indian J Ophthalmol. 2024 Dec 27. doi: 10.4103/IJO.IJO_348_24. Online ahead of print.

Authors

Naren Shetty¹, Yash Patel¹, Reshma Ranade¹, Akash Jain¹, Raghav Narasimhan¹, Apurva Bansod¹, Rudy Nuijts²

Affiliations

¹ Cataract and Refractive Lens Services, Narayana Nethralaya, Bengaluru, Karnataka, India.
² University Eye Clinic Maastricht, Maastricht University Medical Center, Maastricht, The Netherlands.

PMID: 39728600
DOI: 10.4103/IJO.IJO_348_24

Abstract

Purpose: To study change in the contact of intraocular lens (IOL) with the posterior capsule with respect to the vertical versus horizontal orientation of the haptic-optic junction of the IOL using intraoperative spectral domain optical coherence tomography (SD-OCT).

Methods: Fifty eyes of 50 patients with senile immature cataract underwent topical phacoemulsification procedure with implantation of a monofocal IOL by a single experienced surgeon. The Rescan 700 SD-OCT system was used for intraoperative imaging. These patients were imaged using intraoperative SD-OCT after implantation of IOL, with the haptics oriented horizontally and then vertically.

Results: The vertical height between the posterior surface of the lens capsule and the posterior surface of IOL reduced significantly when the haptics were oriented vertically compared to horizontal orientation. This difference was found on analyzing both vertical as well as horizontal axis scans.

Conclusion: We found a greater contact between the posterior capsule and the posterior surface of IOL, with the haptic optic junction of the IOL oriented vertically. This study also suggests the need for newer toric IOL designs which allow vertical orientation of haptics, leading to better contact between IOL and the bag.