Outcomes and Challenges in the Surgical Management of Subluxated Cataracts: A Retrospective Study

Shreesha D R, Vineetha S, Preethi G

Abstract: Purpose: To highlight the difficulties and outcomes of surgical management in subluxated cataracts. Method: A retrospective study was conducted at Akash institute of medical sciences and research center from August 2023 to July 2024. A total of 30 cases of subluxated cataracts that underwent manual SICS were included in the study. Visual acuity, severity of subluxation, type of surgery, intra and post - operative complications were recorded. Results: Post - op vision was better in the pseudophakic group but complications were also higher in this group. Degree of subluxation did not influence the final visual outcome. Conclusion: Managing subluxated cataracts surgically is challenging due to the inherent defects in the lens capsule that complicate IOL implantation. IOL implantation should be carried out in all viable cases. However, diligent follow - up is crucial to manage the increased risk of postoperative complications in pseudophakic eyes.

Keywords: subluxated cataracts, MSICS, Iris claw lens