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Surgical Outcomes of Retropupillary-Fixated Iris-Claw Intraocular Lens

PURPOSE: To assess the visual outcome and complications following retropupillary-fixated iris-claw intraocular lens (IOL) implantation. METHODS: For this retrospective, non-comparative study, chart review of patients who underwent retropupillary iris-claw IOL implantation for the correction of aphak...

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Autores principales: Mansoori, Tarannum, Agraharam, Satish Gooty, Sannapuri, Sravanthi, Manwani, Sunny, Balakrishna, Nagalla
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7337027/
https://www.ncbi.nlm.nih.gov/pubmed/32671297
http://dx.doi.org/10.4103/JOCO.JOCO_92_20
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author Mansoori, Tarannum
Agraharam, Satish Gooty
Sannapuri, Sravanthi
Manwani, Sunny
Balakrishna, Nagalla
author_facet Mansoori, Tarannum
Agraharam, Satish Gooty
Sannapuri, Sravanthi
Manwani, Sunny
Balakrishna, Nagalla
author_sort Mansoori, Tarannum
collection PubMed
description PURPOSE: To assess the visual outcome and complications following retropupillary-fixated iris-claw intraocular lens (IOL) implantation. METHODS: For this retrospective, non-comparative study, chart review of patients who underwent retropupillary iris-claw IOL implantation for the correction of aphakia from July 2014 to October 2018 and had a minimum postoperative follow-up of 2 months was carried out. Postoperative corrected distance visual acuity (CDVA), intraocular pressure (IOP), and complications were noted. RESULTS: One hundred and twenty-two eyes of 122 patients (mean follow-up: 7.48 ± 5.2 months, range, 2 months-3.5 years) were enrolled in the study. The mean logMAR CDVA improved from 1.36 ± 0.52 preoperatively to 0.5 ± 0.42 postoperatively, at the last follow-up visit (P < 0.0001). The final CDVA improved in 110 eyes (90.2%), remained unchanged in 8 eyes (6.6%), and worsened in 4 eyes (3.3%). In cases of pre-existing cystoid macular edema (CME) or excessive intraoperative manipulations, 0.05 ml of 4 mg intravitreal triamcinolone acetonide (IVTA) was injected at the end of the surgery. Twenty eyes (16.4%) had transient ocular hypertension (OHT), 6 eyes (4.9%) had persistent OHT, and 2 eyes (1.6%) progressed to glaucoma. Choroidal detachment was noted in 2 eyes (1.6%), CME in 6 eyes (4.9%), 2 eyes (1.6%) had retinal detachment, 20 eyes (16.4%) had significant ovalization of pupil, 8 eyes (6.6%) had one haptic disenclavation, 1 eye (0.8%) had corneal decompensation, and 1 eye (0.8%) had endophthalmitis. CONCLUSIONS: Retropupillary iris-claw IOL provides good visual rehabilitation with a few complications. Its ease of insertion and short surgical time makes it a good option to correct aphakia in patients with an inadequate capsular support.
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spelling pubmed-73370272020-07-14 Surgical Outcomes of Retropupillary-Fixated Iris-Claw Intraocular Lens Mansoori, Tarannum Agraharam, Satish Gooty Sannapuri, Sravanthi Manwani, Sunny Balakrishna, Nagalla J Curr Ophthalmol Original Article PURPOSE: To assess the visual outcome and complications following retropupillary-fixated iris-claw intraocular lens (IOL) implantation. METHODS: For this retrospective, non-comparative study, chart review of patients who underwent retropupillary iris-claw IOL implantation for the correction of aphakia from July 2014 to October 2018 and had a minimum postoperative follow-up of 2 months was carried out. Postoperative corrected distance visual acuity (CDVA), intraocular pressure (IOP), and complications were noted. RESULTS: One hundred and twenty-two eyes of 122 patients (mean follow-up: 7.48 ± 5.2 months, range, 2 months-3.5 years) were enrolled in the study. The mean logMAR CDVA improved from 1.36 ± 0.52 preoperatively to 0.5 ± 0.42 postoperatively, at the last follow-up visit (P < 0.0001). The final CDVA improved in 110 eyes (90.2%), remained unchanged in 8 eyes (6.6%), and worsened in 4 eyes (3.3%). In cases of pre-existing cystoid macular edema (CME) or excessive intraoperative manipulations, 0.05 ml of 4 mg intravitreal triamcinolone acetonide (IVTA) was injected at the end of the surgery. Twenty eyes (16.4%) had transient ocular hypertension (OHT), 6 eyes (4.9%) had persistent OHT, and 2 eyes (1.6%) progressed to glaucoma. Choroidal detachment was noted in 2 eyes (1.6%), CME in 6 eyes (4.9%), 2 eyes (1.6%) had retinal detachment, 20 eyes (16.4%) had significant ovalization of pupil, 8 eyes (6.6%) had one haptic disenclavation, 1 eye (0.8%) had corneal decompensation, and 1 eye (0.8%) had endophthalmitis. CONCLUSIONS: Retropupillary iris-claw IOL provides good visual rehabilitation with a few complications. Its ease of insertion and short surgical time makes it a good option to correct aphakia in patients with an inadequate capsular support. Wolters Kluwer - Medknow 2020-04-30 /pmc/articles/PMC7337027/ /pubmed/32671297 http://dx.doi.org/10.4103/JOCO.JOCO_92_20 Text en Copyright: © 2020 Journal of Current Ophthalmology http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Mansoori, Tarannum
Agraharam, Satish Gooty
Sannapuri, Sravanthi
Manwani, Sunny
Balakrishna, Nagalla
Surgical Outcomes of Retropupillary-Fixated Iris-Claw Intraocular Lens
title Surgical Outcomes of Retropupillary-Fixated Iris-Claw Intraocular Lens
title_full Surgical Outcomes of Retropupillary-Fixated Iris-Claw Intraocular Lens
title_fullStr Surgical Outcomes of Retropupillary-Fixated Iris-Claw Intraocular Lens
title_full_unstemmed Surgical Outcomes of Retropupillary-Fixated Iris-Claw Intraocular Lens
title_short Surgical Outcomes of Retropupillary-Fixated Iris-Claw Intraocular Lens
title_sort surgical outcomes of retropupillary-fixated iris-claw intraocular lens
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7337027/
https://www.ncbi.nlm.nih.gov/pubmed/32671297
http://dx.doi.org/10.4103/JOCO.JOCO_92_20
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