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Iris-Claw Intraocular Lens Implantation in Various Clinical Indications: A 4-Year Study
An iris-claw intraocular lens (IOL) has been widely used as a secondary implant in aphakic patients. The study presents the results of implanting the anterior chamber iris-claw Artisan IOL in cases of where an appropriate posterior capsular support is lacking. The study included 132 patients subject...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7998776/ https://www.ncbi.nlm.nih.gov/pubmed/33805747 http://dx.doi.org/10.3390/jcm10061199 |
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author | Sędziak-Marcinek, Bogumiła Wylęgała, Adam Chełmecka, Elżbieta Marcinek, Mateusz Wylęgała, Edward |
author_facet | Sędziak-Marcinek, Bogumiła Wylęgała, Adam Chełmecka, Elżbieta Marcinek, Mateusz Wylęgała, Edward |
author_sort | Sędziak-Marcinek, Bogumiła |
collection | PubMed |
description | An iris-claw intraocular lens (IOL) has been widely used as a secondary implant in aphakic patients. The study presents the results of implanting the anterior chamber iris-claw Artisan IOL in cases of where an appropriate posterior capsular support is lacking. The study included 132 patients subjected to primary IOL implantation during complicated cataract surgery with damage to the posterior capsule (I), secondary implantation in aphakia (II), secondary implantation during penetrating keratoplasty (III), and secondary implantation during pars plana vitrectomy with luxated IOL extraction (IV). We analyzed the records of best-corrected visual acuity (BCVA), spherical equivalent (SE), intraocular pressure (IOP), and corneal endothelial cell count (cECC), taken before and 1, 2, 3, and 4 years after the surgery. BCVA depended on the time after IOL implantation and the primary indication. Four years post-surgery, the SE values were the lowest in group III. IOP was the same in all groups both before and after the surgery, but 4 years after the surgery IOP values in group IV were higher than in group III. The cECC decreased every year after the surgery in all groups, but four years after the IOL implantation, the lowest cECC values were observed in group IV. At the same time, all groups of patients showed improved BCVA, stable refraction, and a low percentage of postoperative complications. |
format | Online Article Text |
id | pubmed-7998776 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-79987762021-03-28 Iris-Claw Intraocular Lens Implantation in Various Clinical Indications: A 4-Year Study Sędziak-Marcinek, Bogumiła Wylęgała, Adam Chełmecka, Elżbieta Marcinek, Mateusz Wylęgała, Edward J Clin Med Article An iris-claw intraocular lens (IOL) has been widely used as a secondary implant in aphakic patients. The study presents the results of implanting the anterior chamber iris-claw Artisan IOL in cases of where an appropriate posterior capsular support is lacking. The study included 132 patients subjected to primary IOL implantation during complicated cataract surgery with damage to the posterior capsule (I), secondary implantation in aphakia (II), secondary implantation during penetrating keratoplasty (III), and secondary implantation during pars plana vitrectomy with luxated IOL extraction (IV). We analyzed the records of best-corrected visual acuity (BCVA), spherical equivalent (SE), intraocular pressure (IOP), and corneal endothelial cell count (cECC), taken before and 1, 2, 3, and 4 years after the surgery. BCVA depended on the time after IOL implantation and the primary indication. Four years post-surgery, the SE values were the lowest in group III. IOP was the same in all groups both before and after the surgery, but 4 years after the surgery IOP values in group IV were higher than in group III. The cECC decreased every year after the surgery in all groups, but four years after the IOL implantation, the lowest cECC values were observed in group IV. At the same time, all groups of patients showed improved BCVA, stable refraction, and a low percentage of postoperative complications. MDPI 2021-03-13 /pmc/articles/PMC7998776/ /pubmed/33805747 http://dx.doi.org/10.3390/jcm10061199 Text en © 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Sędziak-Marcinek, Bogumiła Wylęgała, Adam Chełmecka, Elżbieta Marcinek, Mateusz Wylęgała, Edward Iris-Claw Intraocular Lens Implantation in Various Clinical Indications: A 4-Year Study |
title | Iris-Claw Intraocular Lens Implantation in Various Clinical Indications: A 4-Year Study |
title_full | Iris-Claw Intraocular Lens Implantation in Various Clinical Indications: A 4-Year Study |
title_fullStr | Iris-Claw Intraocular Lens Implantation in Various Clinical Indications: A 4-Year Study |
title_full_unstemmed | Iris-Claw Intraocular Lens Implantation in Various Clinical Indications: A 4-Year Study |
title_short | Iris-Claw Intraocular Lens Implantation in Various Clinical Indications: A 4-Year Study |
title_sort | iris-claw intraocular lens implantation in various clinical indications: a 4-year study |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7998776/ https://www.ncbi.nlm.nih.gov/pubmed/33805747 http://dx.doi.org/10.3390/jcm10061199 |
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