Introduction: In cases of inadequate capsular support for intraocular lens (IOL) implantation, iris-claw IOL is a practical option. Iris-claw IOL can be implanted anteriorly or retropupillary. In this study, we compare the outcome of implantation of iris-claw IOL between anterior and retropupillary locations.
Methods: We retrospectively examined the characteristics and outcomes of patients who underwent iris-claw "Artisan" intraocular lens implantation (IOL) during the period of January 2014 to July 2020. The study population included all patients who underwent iris-claw IOL implantation, whether as a primary or secondary implantation, regardless of the causative indication. The study population was categorized by location of implantation and indication. The outcome was compared by visual acuity and postoperative complications.
Results: In this study, 171 eyes of 151 patients were included. Iris-claw IOL was implanted anteriorly in 110 (64.3%) eyes. The most common indication for iris-claw IOL was complicated cataract surgery, followed by ectopia lentis and by trauma. Patients with retropupillary position achieved better visual outcome whatever the causative indication. Anterior iris-claw IOL patients had more high intraocular pressure readings and macular edema.
Conclusions: This study revealed that retropupillary iris-claw IOL may achieve better visual outcome without significant postoperative complications. Further prospective studies and trials on larger sample sizes are needed.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8927565 | PMC |
| http://dx.doi.org/10.1007/s40123-022-00474-2 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
A decade of intracapsular cataract extraction: Clinical profile and visual outcomes at Hospital Melaka, Malaysia.
Med J Malaysia
January 2025
Universiti Sains Malaysia, School of Medical Sciences, Department of Ophthalmology and Visual Science, Health Campus, Kubang Kerian, Kelantan, Malaysia.
Introduction: Cataract is a leading cause of visual impairment globally and in Malaysia, with surgery being the definitive treatment. While intracapsular cataract extraction (ICCE) is now less commonly performed due to advancements in surgical techniques, it remains essential in specific cases, such as those with weak zonular support. This study aims to evaluate the incidence, clinical profiles, and visual outcomes of patients who underwent ICCE, with or without intraocular lens (IOL) implantation, at Hospital Melaka, Malaysia, over the past decade.
View Article and Find Full Text PDFIris Fixation for Intraocular Lens Dislocation: Relocation with Iris Suture Versus Exchange to Sutureless Iris Claw IOL.
J Clin Med
October 2024
Ophthalmology Clinic, Sant' Anna Hospital, 25127 Brescia, Italy.
: To compare the clinical outcome of suture and sutureless iris fixation techniques for dislocated intraocular lenses (IOLs). : Retrospective cohort study including patients who underwent surgery for late IOL dislocation over a 10-year period. IOL repositioning was achieved either by suturing the original IOL to the iris using the Siepser slipknot technique or by replacing it with a retropupillary sutureless iris claw IOL.
View Article and Find Full Text PDFRefractive outcomes of Carlevale IOLs compared to Artisan iris-claw IOLs considering the type of incision.
Eur J Ophthalmol
November 2024
Department of Retina, Rothschild Foundation Hospital, Paris, France.
Purpose: To compare the refractive outcomes and the complications of implantation surgery by the Carlevale IOL to the Artisan iris-claw IOL.
Methods: Retrospective comparative study of consecutive surgical cases between 2019 and 2021 in our tertiary centre in Paris, France.
Results: We included 142 eyes in the Artisan group and 63 in the Carlevale group.
Postoperative complication rates in intraocular lens placement and fixation methods for inadequate capsular bag support: a review and meta-analysis.
J Cataract Refract Surg
October 2024
Helsinki Retina Research Group, University of Helsinki, Finland.
Article Synopsis
- The study evaluates the complication rates of various intraocular lens (IOL) placement methods in adults who lack adequate capsular bag support.
- It analyzes data from 15 studies involving 1,247 eyes, finding that iris fixation had a lower overall complication rate (4.4%) compared to anterior chamber (AC) placement (7.4%) and scleral fixation (7.4%).
- Common complications included transient corneal edema primarily in AC placement (29.9%) and higher rates of vitreous hemorrhages and IOL dislocation with scleral fixation.
Novel technique of pupillary dilation during retinal detachment surgery in an eye with iris claw lens.
Med J Armed Forces India
November 2022
Classified Specialist, Department of Ophthalmology, Armed Forces Medical College, Pune, India.
Article Synopsis
- Iris fixated lenses are used to help people who have eye problems like Aphakia and loose lenses.
- Sometimes, these lenses can make the pupil stay small after surgery.
- We found a new way to fix a serious eye issue that happens with these lenses, which makes the surgery easier and faster while helping the patient see better sooner.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!