Corneal endothelial decompensation after iris-claw phakic intraocular lens implantation

Kim, Min; Kim, Jin Kook

doi:10.1016/j.jcrs.2007.10.030

Cited by 27 publications

(15 citation statements)

References 6 publications

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“…However, corneal decompensation after Artisan IOL implantation has been reported and may have been caused by excessive eye rubbing because of itching or by an anterior shift of the IOL due to its loose fixation to the iris surface. 25,26 Therefore, exact, firm fixation of the IOL in an area with sufficient iris tissue is essential to protect the corneal endothelium. Koss and Kohnen 27 found that the postoperative ACD was shallower in smaller eyes than in longer eyes and suggest performing posterior enclavation of iris-fixated IOLs in smaller eyes to ensure a safe distance between the IOL and the corneal endothelium.…”

Section: Discussionmentioning

confidence: 99%

Three-year follow-up of secondary anterior iris fixation of an aphakic intraocular lens to correct aphakia

Chen

Liu

Xue

et al. 2012

Journal of Cataract and Refractive Surgery

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Section: Discussionmentioning

confidence: 99%

Three-year follow-up of secondary anterior iris fixation of an aphakic intraocular lens to correct aphakia

Chen

Liu

Xue

et al. 2012

Journal of Cataract and Refractive Surgery

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“…Kim et al 21 recently reported a case of corneal decompensation in a patient with Artisan pIOLs in which incorrect enclavation of the pIOL resulted in movement of the IOL toward the posterior corneal surface. In our case, there were no signs of increased mobility of the pIOL with eye movements, which could explain the localized decrease in ECD.…”

Section: Discussionmentioning

confidence: 99%

Case of late-onset corneal decompensation after iris-fixated phakic intraocular lens implantation

Eijden

Vries

Cruysberg

et al. 2009

Journal of Cataract and Refractive Surgery

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A 48-year-old myopic patient with bilateral anterior chamber depth of 3.1 mm and endothelial cell density (ECD) of 2525 cells/mm(2) and 2638 cells/mm(2) preoperatively had bilateral implantation of an Artisan iris-fixated phakic intraocular lens (pIOL). Five years postoperatively, unilateral corneal stromal edema was seen in a circumscribed area overlying the temporal ridge of the pIOL in the right eye; the ECD was 1631 cells/mm(2) and the pachymetry, 586 microm. Explantation of the pIOL was refused by the patient. Seven years postoperatively, the ECD was 413 cells/mm(2) in the right eye and corneal decompensation occurred. The progressive unilateral endothelial loss was explained by excessive rubbing of the eyes because of chronic itching and an anterior shift of the pIOL over the 7 years as demonstrated by anterior optical coherence tomography.

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“…However, when implanted anterior to the iris, the risks of endothelial cell loss and bullous keratopathy remain. 8 This risk decreases slightly in retropupillary implantation.…”

mentioning

confidence: 99%

Comparison of the Results of Retropupillary Iris Claw Lenses and Scleral Fixated Intraocular Lenses in Aphakic Patients

Unculu¹,

Yıldız²,

Vural³

et al. 2017

Turkiye Klinikleri J Ophthalmol

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A AB BS S T TR RA AC CT T O Ob bj je ec ct ti iv ve e: : The aim of the study was to compare outcomes following the use of retropupillary iris-claw lenses (ICLs) and scleral fixated intraocular lenses (SFIOLs) in aphakic patients after cataract surgery. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : Nineteen eyes with secondary lens implantation were included in this study. The best corrected visual acuity (BCVA) was measured preoperatively. The anterior segment was evaluated using slit lamp biomicroscopy and dilated fundus examination was performed. Intraocular pressure (IOP) was measured. Central macular thickness (CMT) was determined with the RTVue-100 ® Fourier-Domain Optical Coherence Tomography (Optovue Inc, Fremont, USA). Endothelial cell count was evaluated using CellChek XL ® specular microscopy (Konan Medical, Hyogo, Japan). The measurements were repeated in the first week, first month, and at three months, postoperatively. R Re es su ul lt ts s: : Sixty-three per cent of the study participants were men, with a mean age was 68.11 years. A statistically significant difference was not observed between the two groups with regard to BCVA and IOP. The increase in CMT in the first week and first month was statistically significant in the group in whom retropupillary ICL were implanted. Endothelial cell loss was 9.77±3.93% in the retropupillary ICL group and 6.51±4.74% in the SFIOL group. One patient in each group developed an epiretinal membrane. Cystoid macular edema (CME) was detected in one patient who underwent retropupillary ICL implantation. C Co on nc cl lu us si io on n: : Both retropupillary ICL and SFIOL implantation were found to be successful and safe in aphakic patients. A statistically significant difference was not observed between the two groups regarding endothelial cell loss over short-term follow-up. An increase in CMT was detected early period in the retropupillary ICL cases. K Ke ey yw wo or rd ds s: : Aphakia, postcataract; corneal endothelial cell loss; lens implantation, intraocular; macular edema Ö ÖZ ZE ET T A Am ma aç ç: : Katarakt cerrahisi sonrası afak hastalarda retropupiller iris kıskaçlı lens (İKL) ile skleral fiksasyonlu göz içi lens implantasyonu (SFGİL) sonuçlarını karşılaştırmak. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Sekonder lens implantasyonu yapılan 19 göz çalışmaya alındı.Tüm hastaların preoperatif düzeltilmiş en iyi görme keskinliği (DEİGK) ölçüldü. Yarıklı lamba biyomikroskopi ile ön segment değerlendirildi ve dilate fundus muayeneleri yapıldı. Goldman aplanasyon tonometri ile göz içi basınçları (GİB) ölçüldü. RTVue-100 ® Fourier-domain optik koherens tomografi (OKT) ile santral makula kalınlığı ölçüldü (Optovue Inc, Fremont, USA). CellChek XL ® speküler mikroskopi ile endotel hücre sayıları değerlendirildi (Konan Medical, Hyogo, Japan). Tüm ölçümler postoperatif 1. hafta, 1. ay ve 3. ayda tekrarlandı. B Bu ul lg gu ul la ar r: Olguların %63'ü erkekti. Yaş ortalaması 68,11 yıl idi. İki grup arasında DEİGK ve GİB ölçümlerinde istatistiksel...

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Corneal endothelial decompensation after iris-claw phakic intraocular lens implantation

Cited by 27 publications

References 6 publications

Three-year follow-up of secondary anterior iris fixation of an aphakic intraocular lens to correct aphakia

Three-year follow-up of secondary anterior iris fixation of an aphakic intraocular lens to correct aphakia

Case of late-onset corneal decompensation after iris-fixated phakic intraocular lens implantation

Comparison of the Results of Retropupillary Iris Claw Lenses and Scleral Fixated Intraocular Lenses in Aphakic Patients

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