scholarly journals Transscleral sutureless intraocular lens versus retropupillary iris‐claw lens fixation for paediatric aphakia without capsular support: a randomized study

2019 ◽  
Vol 97 (6) ◽  
Author(s):  
Asmaa Mahmoud Shuaib ◽  
Yasmine El Sayed ◽  
Ahmed Kamal ◽  
Zeinab El Sanabary ◽  
Hala Elhilali
Author(s):  
Neepa R. Gohil ◽  
Sandeep Kumar Yadav ◽  
Kaumudi Shinde

Visual rehabilitation in aphakia has been a challenge with a wide variety of surgical options available for ophthalmologist. We report the visual outcome with retropupillary iris claw lens secondary to intra operative complications and secondary implantation in aphakia. An interventional study on 4 eyes of 4 patients was conducted. Preoperative visual acuity, slit lamp examination and fundus examination were carried out. Anterior vitrectomy and retropupillary fixation of iris claw lens were done. The primary outcome measure was best-corrected visual acuity and secondary postoperative complication was recorded at various intervals. All patients had visual acuity of ≥6/18 postoperatively. Sutureless retropupillary iris claw intraocular lens implantation is a good alternative of scleral-fixated intraocular lenses in aphakic patients.


2020 ◽  
Vol 7 (4) ◽  
pp. 110-117
Author(s):  
Dr. Priyanka S. Kanekar ◽  
Dr. Smita Patare ◽  
Dr. Roopa Naik

Background: The modern cataract surgery involves implantation of posterior chamber intraocular lens (PCIOL) when the posterior capsule is intact. However, in case of weak or no capsular support, PCIOL implantation is not possible. In such situations, implantation of secondary Iris claw lens (ICIOL) or Scleral fixated IOL(SFIOL) remains as treatment options. The aim of this study was to compare the efficacy of ICIOL and SFIOL in terms of visual outcomes and complications in aphakic patients. Methods: This prospective randomized study was done from January 2019 to December 2019. Forty aphakic patients fulfilling inclusion criteria, who attended the ophthalmology outpatient department of VVPF’s Medical college and hospital, Ahmednagar were included in this study. These patients were randomly divided into two groups such as Group 1 included 20 patients who underwent ICIOL implantation and Group 2 included 20 patients who underwent SFIOL implantation. The preoperative and postoperative evaluation was done with visual acuity, slit-lamp examination, IOP, fundus examination for the follow up period of 6 months. Results were analysed with Chi square test and t-test using SPSS software. Results: 85% ICIOL and 80% of SFIOL patients had final Best Corrected Visual Acuity (BCVA) of 6/18-6/6. Surgical time in ICIOL was significantly less than SFIOL group (p=0.00). Suture related complications were significantly more in SFIOL group. However, oval pupil and pigment dispersion were seen more in ICIOL group but were harmless. One patient in SFIOL group developed Cystoid Macular Edema (CME) which persisted till final follow up and 1 haptic of ICIOL was disenclavated which was re-enclavated. Conclusion: Comparable final visual outcome was found between ICIOL group and SFIOL group. However, Implantation of ICIOL required less surgical time with fewer complications and hence is a better alternative to SFIOL implantation in correction of aphakia.


2019 ◽  
Vol 60 (7) ◽  
pp. 643 ◽  
Author(s):  
Joo Young Kim ◽  
Chang Hyun Park ◽  
Woong Joo Whang ◽  
Kyung Sun Na ◽  
Hyun Seung Kim

2015 ◽  
Vol 6 (2) ◽  
pp. 164-169 ◽  
Author(s):  
Norman Saffra ◽  
Aleksandr Rakhamimov ◽  
Robert Masini ◽  
Kenneth J. Rosenthal

Megalocornea in isolation is a rare congenital enlargement of the cornea greater than 13 mm in diameter. Patients with megalocornea are prone to cataract formation, crystalline lens subluxation, zonular deficiencies and dislocation of the posterior chamber intraocular lens (PCIOL) within the capsular bag. A 55-year-old male with megalocornea in isolation developed subluxation of the capsular bag and PCIOL. The PCIOL and capsular bag were explanted, and the patient was subsequently implanted with an anterior chamber iris claw lens. An anterior chamber iris claw lens is an effective option for the correction of aphakia in patients with megalocornea.


2015 ◽  
Vol 108 (4) ◽  
pp. 157 ◽  
Author(s):  
DinaMohammad Rashad ◽  
Omar-MohammadM Afifi ◽  
GamalA.M. Elmotie ◽  
HatemAmin Khattab

2020 ◽  
Vol 11 (2) ◽  
pp. 174-176
Author(s):  
Christoph Leisser ◽  
Oliver Findl

A male patient, 63 years of age, presented with dislocation of a retropupillary fixated iris claw lens due to nasal haptic disenclavation. During re-enclavation the intraocular lens dislocated again. To avoid further dislocation, both superior fingers of the haptics were pushed through the iris tissue to achieve more stable support of the haptic ends. This method of fixation appeared to be well tolerated.


2019 ◽  
Vol 49 (5) ◽  
pp. 277-282
Author(s):  
M. Giray Ersöz ◽  
Mümin Hocaoğlu ◽  
Işıl Bahar Sayman Muslubaş ◽  
Serra Arf ◽  
Murat Karaçorlu

2016 ◽  
Vol Volume 9 ◽  
pp. 337-340 ◽  
Author(s):  
Mun Yueh Faria ◽  
Nuno Pinto Ferreira ◽  
Ivo Gama ◽  
Joana Medeiros Pinto ◽  
Mario Canastro ◽  
...  

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