PURPOSE - Clinical comparison between the techniques of sutureless SF- IOLs with and without fibrin glue in patients with deficient/absent capsular support.

METHODS - 40 patients were randomly divided into 2 groups: GROUP A - GLUED IOL– sutureless SF- IOL using fibrin glue. GROUP B- SUTURELESS IOL- sutureless SF-IOL without fibrin glue. Patients were evaluated in terms of surgical time, intraoperative difficulties, and postoperative complications, i.e. healing of the scleral flap, corneal clarity, anterior chamber reaction, post-op visual recovery, induced astigmatism, pupillary abnormalities, IOP changes and Centration of the IOL. Patients were followed up for a minimum of 6 months. Unpaired T test and 2-factor repeated measures ANOVA were used for statistical analysis.

RESULTS- The mean surgical time was longer in glued IOLs (48.50±0.05 min) than sutureless IOL group (43.75±13.06 min). (p=0.361). Postoperatively, the scleral flaps were well apposed and healthy in both groups. A significant rise in post-operative IOP was seen only in the glued IOL group (p=0.049).

CONCLUSIONS -  Sutureless SF-IOLs without glue not only avoid the cost of fibrin glue but are equally efficacious. The glued IOL group was associated with an increased incidence of secondary glaucoma, which may be due to multiple surgeries and pre- existing conditions in some patients.