Retropupillary iris-claw intraocular lens implantation in aphakic patients

Simple item page
dc.contributor.authorSumitha, CVen_US
dc.contributor.authorPai, Ven_US
dc.contributor.authorThulasidas, Men_US
dc.date.accessioned2020-04-10T02:07:31Z
dc.date.available2020-04-10T02:07:31Z
dc.date.issued2020-04
dc.description.abstractPurpose: To evaluate the outcomes of implantation of an iris-claw intraocular lens (IC-IOL) in retropupillary position in aphakic patients. Methods: We conducted a prospective interventional study, including 36 aphakic eyes with inadequate capsular support. The postoperative examination included best-corrected visual acuity (BCVA), intraocular pressure (IOP) measurement, central corneal thickness (CCT), and anterior segment examination with emphasis on the anterior chamber reaction and shape of pupil. Follow-up was done for 3 months. Results: Thirty-six eyes of 34 patients, including 22 right eyes and 14 left eyes were included. Indications for surgery were complicated cataract surgery in 38.9% (n = 14), aphakia in 27.8% (n = 10), pseudophakic bullous keratopathy in 16.7% (n = 6), dislocated posterior chamber IOL (PCIOL) in 11.1% (n = 4), IC drop in 2.8% (n = 1), and subluxated PCIOL in 2.8% (n = 1). Postoperatively, the visual acuity improved by at least two lines in 32 (88.9%) and worsened in four (11.1%) eyes at the end of three months. Mean postoperative IOP at the end of the third month was 12.42 mmHg (standard deviation [SD] 2.57; range 11.55�.29 mmHg). The mean postoperative CCT at the end of the third month was 542.42 microns (SD 13.77; range 537.76�7.07 microns). Sixteen eyes (44.4%) had horizontally oval pupil, eleven eyes (30.6%) had round pupil, and nine eyes (25%) had irregular pupil. Twenty-three eyes (63.9%) presented with significant anterior chamber reaction and seven eyes (19.4%) had corneal stromal edema on postoperative day 1. Conclusion: Our study demonstrated that retropupillary IC-IOL implantation in eyes without adequate capsular support is an effective and safe procedure with a good visual outcome and fewer complications.en_US
dc.identifier.affiliationsDepartment of Ophthalmology, K.S Hegde Charitable Hospital, Deralakatte, Mangalore, Karnataka, Indiaen_US
dc.identifier.affiliationsCentre for Sight Eye Institute, Plot No. 9, Sector 9, Dwarka, New Delhi, Indiaen_US
dc.identifier.citationSumitha CV, Pai V, Thulasidas M. Retropupillary iris-claw intraocular lens implantation in aphakic patients. Indian Journal of Ophthalmology. 2020 Apr; 68(4): 597-602en_US
dc.identifier.issn0301-4738
dc.identifier.issn1998-3689
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/197867
dc.languageenen_US
dc.publisherAll India Ophthalmological Societyen_US
dc.relation.issuenumber4en_US
dc.relation.volume68en_US
dc.source.urihttps://dx.doi.org/10.4103/ijo.IJO_1043_19en_US
dc.subjectAphakiaen_US
dc.subjectcataracten_US
dc.subjectIris-claw IOLen_US
dc.subjectretropupillaryen_US
dc.titleRetropupillary iris-claw intraocular lens implantation in aphakic patientsen_US
dc.typeJournal Articleen_US
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
ijo2020v68n4p597.pdf
Size:
1.03 MB
Format:
Adobe Portable Document Format
Download
Collections
Indian Journal of Ophthalmology