Visual outcome and complications of posterior iris-claw intraocular lens implantation: A follow-up analysis

Purpose To establish which factors influence visual outcome after penetrating keratoplasty combined with intraocular lens implantation. Methods This retrospective noncomparative clinical interventional case series study included 135 consecutive patients (mean age 70.2 ± 13.6 years) who underwent central penetrating allogenic keratoplasty combined with intraocular lens (IOL) implantation, all operated by the same surgeon. There were 79 triple procedures, 33 keratoplasties combined with an exchange of IOL, and 23 penetrating keratoplasties combined with a secondary implantation of a posterior chamber lens. Mean follow-up was 28.3 ± 18.7 months (range 3.3–112 months). Reasons for keratoplasty were herpetic or traumatic corneal scars or defects (46), Fuchs corneal endothelial dystrophy (22), pseudophakic or aphakic bullous keratopathy (49), corneal endothelial decompensation due to other reasons (15), and keratoconus (3). Main outcome measures were postoperative visual acuity and gain in visual acuity. Results Mean postoperative visual acuity and mean gain in visual acuity were 0.33 ± 0.21 (median 0.30) and 0.25 ± 0.20 (median 0.20), respectively. Compared with the preoperative measurements, mean visual acuity increased in 129 patients (129/135, 95.6%). Factors influencing postoperative visual outcome and gain in visual acuity were preoperative visual acuity (p<0.005), reason for keratoplasty (p<0.005), and diameter of the graft (p = 0.046). Postoperative visual outcome was independent of age, sex, right or left eye, presence of diabetes mellitus, preoperative refractive error, length of follow-up, duration of surgery, and preoperative intraocular pressure. Conclusions The most important factors influencing visual outcome after central penetrating allogenic keratoplasty combined with IOL surgery are preoperative visual acuity, graft size, and reason for keratoplasty. Other factors such as age, sex, diabetes mellitus, and preoperative refractive error do not substantially influence postoperative visual outcome.

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Sutureless retropupillary iris claw intraocular lens implantation is a viable option in aphakic patients

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20195880 ◽

2019 ◽

Vol 7 (1) ◽

pp. 350

Author(s):

Neepa R. Gohil ◽

Sandeep Kumar Yadav ◽

Kaumudi Shinde

Keyword(s):

Visual Acuity ◽

Intraocular Lens ◽

Visual Outcome ◽

Good Alternative ◽

Intraocular Lenses ◽

Intraocular Lens Implantation ◽

Visual Rehabilitation ◽

Lens Implantation ◽

Iris Claw Lens ◽

Iris Claw

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.

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Long-term follow-up of retropupillary iris-claw intraocular lens implantation: a retrospective analysis

BMC Ophthalmology ◽

10.1186/s12886-015-0146-4 ◽

2015 ◽

Vol 15 (1) ◽

Cited By ~ 35

Author(s):

Matteo Forlini ◽

Wael Soliman ◽

Adriana Bratu ◽

Paolo Rossini ◽

Gian Maria Cavallini ◽

...

Keyword(s):

Retrospective Analysis ◽

Intraocular Lens ◽

Intraocular Lens Implantation ◽

Lens Implantation ◽

Long Term Follow Up ◽

Iris Claw

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Intraocular lens implantation in children with unilateral congenital cataract in the first 4 years of life

European Journal of Ophthalmology ◽

10.1177/1120672118790193 ◽

2018 ◽

Vol 29 (3) ◽

pp. 304-308 ◽

Cited By ~ 2

Author(s):

Sonam Yangzes ◽

Savleen Kaur ◽

Parul Chawla Gupta ◽

Manu Sharma ◽

Jitender Jinagal ◽

...

Keyword(s):

Visual Acuity ◽

Intraocular Lens ◽

Congenital Cataract ◽

Retrospective Chart Review ◽

Visual Outcome ◽

Intraocular Lens Implantation ◽

Visual Axis ◽

Lens Implantation ◽

The Mean

Purpose: To describe the outcome of phacoaspiration with intraocular lens implantation in children with unilateral congenital cataract in the first 4 years of life. Methods: A retrospective chart review of children with visually significant unilateral congenital cataract presenting in the first 4 years of life was done. Children with a minimum postsurgical follow-up of 1 year were included. Outcome measures were mean spherical equivalent, visual axis clarity, visual acuity and complications till the last follow-up. Results: Ninety-three children met the inclusion criteria. The mean age of surgery was 13.23 ± 11.89 months and the mean follow-up period was 24.37 ± 17.35 months. Nearly 40% of children presented during their first year of life. No difference was noted between the subgroups in terms of age ( p = 0.310), sex ( p = 0.475) or laterality ( p = 0.349). Surgical membranectomy was performed in 22 eyes (23.6%) after an average period of 4.85 ± 2.58 months after surgery. One eye underwent piggy back intraocular lens and four eyes underwent intraocular lens exchange after a mean duration of 50 months (range 40–60 months). The mean visual acuity was 0.79 ± 0.11 (log MAR chart). A total of 60.7% of these children ( n = 31) achieved best corrected visual acuity or 20/80 or better. Conclusion: The results of our study suggest that primary intraocular lens implantation in children with unilateral congenital cataract gives good structural and functional results. Besides a meticulous surgery, visual outcome is affected by the time of presentation and postoperative compliance to amblyopia therapy.

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