Randomised controlled trial of anterior-chamber intraocular lenses

Hennig, Albrecht; Evans, Jennifer R; Pradhan, Damodar; Johnson, Gordon J.; Pokhrel, Ram Prasad; Gregson, R; Hayes, Richard; Wormald, Richard; Foster, Allen

doi:10.1016/s0140-6736(96)11043-6

Cited by 56 publications

(29 citation statements)

References 11 publications

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“…Advantages of the ACIOL over PCIOL include the ease of insertion and relative minimal time consumption for secure IOL placement. Prospective data comparing open-loop ACIOL insertion in intracapsular cataract extraction with no IOL insertion [16] indicate the risk attributable specifically to the insertion of an open-loop ACIOL. This randomised controlled trial indicated there was no statistically significant increase in patients developing cystoid macular oedema or corneal decompensation compared with no IOL, with a statistically significant increase in glaucoma escalation; however, as such a small number were affected, this was concluded unlikely to be of clinical significance.…”

Section: Anterior Chamber Intraocular Lensesmentioning

confidence: 99%

Choices in Correction of Aphakia during Vitrectomy

Bastawrous

Parkes

Prasad³

2011

Ophthalmologica

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Phacoemulsification with an intraocular lens implant is a safe and effective means of correction of visual loss from cataract. The high frequency of this procedure world wide means inevitable direct surgical complications will be numerous even though infrequent. The approach to correcting aphakia following complicated cataract surery is dependent on multiple factors including the degree to which the capsular bag is intact and the type of intraocular lens that has been inserted. We discuss several approaches and strategies for managing dropped intraocular lenses, the correction of aphakia and the safety and long-term results of anterior chamber intraocular lens placement.

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Section: Anterior Chamber Intraocular Lensesmentioning

confidence: 99%

Choices in Correction of Aphakia during Vitrectomy

Bastawrous

Parkes

Prasad³

2011

Ophthalmologica

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“…[17][18][19] Randomised clinical trials have proven their safety. 20,21 Secondly, the cost of high-quality IOL has fallen as they are manufactured in developing countries such as India, Nepal, and Eritrea. Single-piece PMMA IOL are available for less than d2, which is cheaper than aphakic glasses.…”

Section: Surgerymentioning

confidence: 99%

High-volume surgery in developing countries

Yorston

2005

Eye

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Background Cataract remains the world's leading cause of blindness. In the developing world, many eye clinics provide cataract surgery for only a small proportion of those in need. This is partly because of low demandFcaused by barriers related to awareness, bad services, cost, and distanceFand partly because of deficiencies in the supply of services. This article reviews innovations in cataract surgery in poor countries that are intended to reverse this trend. Conclusions Increasing the number of operations, through close involvement with the community, and improved surgical outcomes, enables the cost of surgery to be reduced, leading to further growth in volume. Recent innovations, such as low-cost intraocular lenses, and small-incision extracapsular cataract extraction, have contributed to improving the results of surgery without increasing the costs. Effective management enables the delivery of increasing the numbers of operations, while at the same time improving outcomes and controlling costs.

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“…It has been successfully implanted in children with congenital cataract, myopic anisometropic amblyopia, and subluxated lenses. 1,7,8 However, concerns regarding chronic endothelial cell loss (ECL) and the risk of lens de-enclavation from the iris have continued, in part, owing to lack of data in the literature for these cases.…”

Section: Introductionmentioning

confidence: 99%

Is an iris claw IOL a good option for correcting surgically induced aphakia in children? A review of the literature and illustrative case study

Barbara

Rufai

Tan

et al. 2016

Eye

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Refractive correction of aphakia in childhood can be a complex management issue following lensectomy for congenital cataract or ectopia lentis. Some children have inadequate capsular support to allow an 'in the bag' or sulcus fixated intra-ocular lens (IOL). In such cases, options for refractive correction include spectacles, contact lenses, or surgically fixed IOLs. Many methods of IOL fixation have been described, but none are widely adopted in children. In recent years, the iris-fixated Artisan Aphakic IOL has gained popularity, but there is still significant concern about the rate of corneal endothelial cell loss and IOL de-enclavation. Here, we review the current literature on the use of iris-fixated IOLs in children, the published data on endothelial cell loss and de-enclavation rates. We present a case illustrating the significant improvements in quality of life, which can be seen in selected children, and also the rate of endothelial cell loss, which can be encountered after initial surgery, and a re-enclavation event. We make the case that until more data are available on normal endothelial cell decline in early childhood, in addition to age-specific rates of endothelial cell loss and de-enclavation rates following surgery, the use of iris-fixated IOLs in children will continue to be a moot point and is unlikely to be widely adopted.

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Randomised controlled trial of anterior-chamber intraocular lenses

Cited by 56 publications

References 11 publications

Choices in Correction of Aphakia during Vitrectomy

Choices in Correction of Aphakia during Vitrectomy

High-volume surgery in developing countries

Is an iris claw IOL a good option for correcting surgically induced aphakia in children? A review of the literature and illustrative case study

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