Year : 2020 | Volume
: 32 | Issue : 2 | Page : 149--153
Surgical outcomes of retropupillary-fixated iris-claw intraocular lens
Tarannum Mansoori1, Satish Gooty Agraharam2, Sravanthi Sannapuri2, Sunny Manwani2, Nagalla Balakrishna3
1 Sita Lakshmi Glaucoma Center, Anand Eye Institute, Hyderabad, Telangana, India
2 Vitreo-Retinal Department, Anand Eye Institute, Hyderabad, Telangana, India
3 Department of Statistics, National Institute of Nutrition, Hyderabad, Telangana, India
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.
Sita Lakshmi Glaucoma Center, Anand Eye Institute, Hyderabad, Telangana
|How to cite this article:|
Mansoori T, Agraharam SG, Sannapuri S, Manwani S, Balakrishna N. Surgical outcomes of retropupillary-fixated iris-claw intraocular lens.J Curr Ophthalmol 2020;32:149-153
|How to cite this URL:|
Mansoori T, Agraharam SG, Sannapuri S, Manwani S, Balakrishna N. Surgical outcomes of retropupillary-fixated iris-claw intraocular lens. J Curr Ophthalmol [serial online] 2020 [cited 2020 Nov 26 ];32:149-153
Available from: http://www.jcurrophthalmol.org/article.asp?issn=2452-2325;year=2020;volume=32;issue=2;spage=149;epage=153;aulast=Mansoori;type=0