Considerations in the management of single-piece intraocular lenses outside the capsular bag

Table 1 Patient demographics

	Case (n)	Age atsurgery	Operativeeye	IOLimplanted	Pre-op glauc-oma diagnosis
SPA-IOL	1	80	OD	SN60WF	No
group	2	85	OD	SN60WF	No
	3	87	OS	SN60T5	No
	4	76	OD	SN60WF	No
	5	71	OS	SN60WF	No
	6	79	OS	SN60T5	No
	7	87	OD	SN60WF	Suspect
	8	76	OD	SN60WF	No
Three-piece	9	86	OD	MA60AC	Suspect
IOL group	10	74	OD	MA60AC	No
	11	88	OD	MA60AC	No
	12	86	OS	MA60AC	No
	13	76	OS	MA60AC	No
	14	87	OS	MA60AC	Yes

SPA-IOL: Single-piece acrylic intraocular lenses.

Table 2 Pre- and postoperative best corrected visual acuity

	Case	Pre-op BCVA	Pre-op refraction	POM1 refraction	POM1 BCVA	Most recent BCVA	Re-operation	CME	PDS	Post-op Glc meds	Glc meds last F/U	Months of F/U
SPA-IOL	1	20/50	+1.25 + 1.25X012	-4.50 + 4.75X0011	20/40	20/20	Wound leak	No	No	Yes	No	37
	2	20/60	-3.25 + 3.50X180	-2.75 + 2.25X003	20/50	20/50	Bgi	Yes	No	Yes	No	32
	3	20/100	+0.50 + 0.50X180	-3.75 + 3.00X138	20/20	20/40	No	No	Yes	No	No	7
	4	20/60	-0.75 + 1.00X163	-1.50 + 1.75X0051	20/25	20/25	No	No	No	No	No	15
	5	20/70	+3.25 + 1.00X105	+2.00 + 0.75X1051	20/60	20/50	No	Yes	Yes	No	No	19
	6	20/40	+0.50 +2.25X178	-3.75 + 3.75X0251	20/40	20/40	No	Yes	Yes	Yes	Yes	15
	7	20/60	-3.25 sph	-2.75 + 2.00X015	20/25	20/25	No	No	No	Yes	Yes	1.5
	8	20/40	+0.75 sph	-0.50 + 1.00X125	20/30	20/30	No	No	No	Yes	Yes	1.2
Three-piece	9	20/60	-5.75 + 2.00X177	-2.00 + 1.75X175	20/30	20/30	No	Yes	No	No	No	31
IOL	10	20/80	-2.50 + 0.50X155	Unable1	20/400	20/60	No	No	No	No	No	38
	11	20/60	+3	-1.75 + 1.75X0041	20/25	20/25	No	No	No	No	No	2
	12	20/70	+2.00 + 1.25X162	Unable1	CF	CF2	No	No	No	No	No	25
	13	20/50	-2.00 + 2.25X005	-2.50 + 1.00X0061	20/60	20/25	No	No	No	No	No	2
	14	20/100	-2.75 + 1.50X165	Unable1	CF	CF3	No	No	No	Yes	Yes	24

¹Patients 10, 12, and 14 were not able to achieve a refraction at the post-operative month 1 visit. In all cases, this was attributed to sutures present at the clear corneal incisions;

²Patient 12 achieved a visual acuity of 20/40 at post operative month 7 (-2.50 + 3.75X168) and later lost vision (Count Fingers) attributed to wet age related macular degeneration;

³Patient 14 achieved a visual acuity of 20/50 at post operative month 2 (-2.75 + 3.00X165) and later lost vision (Count Fingers) due to advanced glaucoma. PDS: Pigment dispersion syndrome; SPA-IOL: Single-piece acrylic intraocular lenses.