Vinod Kumar Baranwal 1 , Avinash Mishra 2 , Shikhar Gaur 3 , K. Satyabala 4 , Rajendra Prasad Gupta 5 , K. Shyam Sunder 6 , Jitendra Kumar Singh Parihar 7 , Rakesh Kumar Dhiman 8
BACKGROUND Postoperative noninfectious inflammation after cataract surgery, which can be persistent, remains an undesirable consequence despite many advances in surgical techniques. This ocular inflammation after cataract surgery presents ophthalmologists with a treatment dilemma. The aim of the study was to evaluate and correlate the IOL haptic location and the presence of noninfectious postoperative inflammation in pseudophakic eyes using Ultrasound Biomicroscopy (UBM). MATERIALS AND METHODS In this prospective study, 80 eyes of 80 cataract patients underwent SICS with 6 mm optic non-foldable PCIOL implantation. Post surgery, an examination protocol was followed wherein the patients were assessed by slit-lamp examination on day 1, 2, 7, 14 and 30 for flare and cells. A UBM examination was performed on day 30 for locating the IOL haptic position. Finally, the postoperative inflammation was correlated with IOL haptic position. RESULTS The results showed that IOL haptic position outside the capsular bag significantly increased the amount and duration of postoperative inflammation. CONCLUSION Haptic position outside the bag increases the incidence and duration of postoperative inflammation significantly. In patients undergoing SICS, the aim should be a large continuous curvilinear capsulorhexis within the bag implantation of IOL. UBM examination on day 30 after surgery to know position of IOL haptics outside the bag will be helpful in decreasing apprehension of operating surgeon and suggesting prolonged need of steroids in cases having more than expected postoperative inflammation.
