Visual outcome and complications after posterior iris-claw aphakic intraocular lens implantation

Abstract

No author has a financial or proprietary interest in any material or method mentioned.

Comparision of surgical outcomes of intraocular lens refixation and intraocular lens exchange with perfluorocarbon liquid and fibrin glue-assisted sutureless scleral fixation

“…5 In-the-bag IOL dislocation, however, usually occurs several years after cataract surgery and is thus thought to depend on slowly progressive dehiscence of the zonules. 6,7 When endocapsular IOL placement is not possible, the choices include sutured scleral-fixated IOLs, 8,9 sutureless scleral-fixated IOLs, 10,11 iris-fixated IOLs, 12 iris-claw IOLs, 13 or anterior chamber (AC) IOLs. 14 However, scleral-fixated IOLs are subject to problems such as suture degradation, pseudophacodonesis, endophthalmitis, and late IOL decentration owing to suture-related complications.…”

Iris-claw, retropupillary-fixated, aphakic intraocular lens implantation for traumatic aphakia following penetrating keratoplasty

“…4,15,16 The retropupillary fixated IOL also does not prevent pupil dilation for posterior segment examination and treatment purposes. 14,17 In this case of traumatized PKP, implantation of iris-claw aphakic IOL with retropupillary fixation proved to be a feasible treatment with a good outcome, although the long-term outcome is unknown.…”

“…6 In the present case, with insufficient capsular support, the refractive correction options were anterior chamber, angle-supported IOL, which was excluded because of possible complications with respect to endothelial cell loss and secondary glaucoma 7,8 ; sclera-fixated posterior chamber IOL, which was also excluded because of possible complications with respect to suture cut, ciliary bogy hemorrhage, and cystoid macular edema 9,10 ; and anterior, iris-fixated IOL, which was excluded on account of possible endothelial cell loss in general 11 and in particular compared to posterior iris-fixated IOL in PKP patients. 12 Artisan iris-claw retropupillary fixated aphakic IOLs have been shown to be safe for aphakia in general 13,14 and in aphakia with keratoplasty. 3 An Artisan iris-claw retropupillary fixated aphakic IOL was implanted in our case after considering its good published results and the future possibility that the patient might have to undergo endothelial keratoplasty, which would be much more difficult in the presence of an anterior chamber IOL.…”

Aphakia korrekciója irisklip műlencse retropupillaris beültetésével

“…Gonnermann közleményében 137 hátsóiris-klip mű-lencse beültetésével szerzett tapasztalatairól számol be, amelyek hasonlóak saját, kisebb esetszámú vizsgálatunk eredményeihez: 7,3%-ban primer beültetést, 69,4%-ban műlencsecserét végeztek és 23,3%-ban aphakiás szembe másodlagosan ültették be a műlencsét [16].…”

“…A beültetést követően az elhúzott, ovális pupilla elő-fordulása mintegy 5%-ra tehető a műtét után, ez eseteink között nem fordult elő, Gonnermann 24,3%-ban észlelte [16,17]. Másik viszonylag gyakrabban előforduló posztoperatív szövődmény, amit meg kell említeni, a maculaoedema, illetve az irissynechiák előfordulása [12,13].…”