Aphakia correction with retropupillary fixated iris-claw lens (Artisan) &amp;ndash; long-term results

Schallenberg, Maurice; Dekowski, Dirk; Hahn, Angela R.; Laube, Thomas; Steuhl, Klaus‐Peter; Meller, Daniel

doi:10.2147/opth.s55205

Cited by 41 publications

(74 citation statements)

References 21 publications

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“…Both in this and in similar studies no clinical influence on corneal condition [9, 10] or intraocular pressure [9, 10] were observed, whereas after anterior fixation of iris-claw IOL IOP tended to rise in 9.5% of cases [11]. …”

Section: Discussionsupporting

confidence: 54%

Outcomes of Sutureless Iris-Claw Lens Implantation

Chorągiewicz

Ręjdak

Grzybowski

et al. 2016

Journal of Ophthalmology

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Purpose. To evaluate the indications, refraction, and visual and safety outcomes of iris-claw intraocular lens implanted retropupillary with sutureless technique during primary or secondary operation. Methods. Retrospective study of case series. The Haigis formula was used to calculate intraocular lens power. In all cases the wound was closed without suturing. Results. The study comprised 47 eyes. The mean follow-up time was 15.9 months (SD 12.2). The mean preoperative CDVA was 0.25 (SD 0.21). The final mean CDVA was 0.46 (SD 0.27). No hypotony or need for wound suturing was observed postoperatively. Mean postoperative refractive error was −0.27 Dsph (−3.87 Dsph to +2.85 Dsph; median 0.0, SD 1.28). The mean postoperative astigmatism was −1.82 Dcyl (min −0.25, max −5.5; median −1.25, SD 1.07). Postoperative complications were observed in 10 eyes. The most common complication was ovalization of the iris, which was observed in 8 eyes. The mean operation time was 35.9 min (min 11 min, max 79 min; median 34, SD 15.4). Conclusion. Retropupilary iris-claw intraocular lens (IOL) implantation with sutureless wound closing is an easy and fast method, ensuring good refractive outcome and a low risk of complication. The Haigis formula proved to be predictable in postoperative refraction.

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Section: Discussionsupporting

confidence: 54%

Outcomes of Sutureless Iris-Claw Lens Implantation

Chorągiewicz

Ręjdak

Grzybowski

et al. 2016

Journal of Ophthalmology

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“…Other studies on retropupillary implantation of iris claw also reported similar improvement in DBCVA. [1112] Mean preoperative DBCVA was 0.30 ± 0.48 LogMAR and mean postoperative DBCVA at 1 year was 0.27 ± 0.46 Log MAR. Preoperative DBCVA was achieved in 47 eyes (77.04%) by 1 month and 60 eyes (98.30%) by 3 months.…”

Section: Discussionmentioning

confidence: 99%

“…We did not have any case of chronic secondary glaucoma at 1-year follow-up as reported by Schallenberg et al . [12]…”

Section: Discussionmentioning

confidence: 99%

Retropupillary fixation of iris-claw lens in visual rehabilitation of aphakic eyes

Jayamadhury¹,

Potti²,

Kumar³

et al. 2016

Indian J Ophthalmol

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Context:Surgical outcome of retropupillary fixation of iris claw lens.Aims:To evaluate the various indications, intra and post-operative complications, and visual outcome of retropupillary fixation of iris claw lens in aphakic eyes.Settings and Design:The study design is a retrospective study at a tertiary eye care center.Methods:Review of medical records of 61 aphakic eyes of 61 patients, who were rehabilitated with retropupillary fixation of an iris claw lens, with a follow-up duration of at least 1 year.Statistical Analysis Used:Data analysis was performed using paired t-test and Chi-square test.Results:Mean preoperative uncorrected visual acuity was 1.66 ± 0.3 LogMAR and postoperative acuity at 1 year was 0.53 ± 0.5 LogMAR (P = 0.00001). Preoperative distant best-corrected visual acuity was 0.30 ± 0.48 LogMAR and postoperative acuity at 1 year was 0.27 ± 0.46 LogMAR (P = 0.07). Mean preoperative astigmatism was 1.43 ± 1.94 D and postoperatively was 1.85 ± 2.16 D (P = 0.0127). Mean endothelial cell count was 2353.52 ± 614 cells/mm2 preoperatively which decreased to 2200 ± 728 cells/mm2 at 1 year follow-up (P = 0.006). There was no significant difference in central macular thickness and intraocular pressure pre and post-surgery. Complications included ovalization of pupil in 9.83%, hypotony in 1.63%, toxic anterior segment syndrome in 1.63%, cystoid macular edema in 11.47%, epiretinal membrane in 3.27%, and iris atrophy in 6.55%.Conclusion:Iris claw is a safe and an effective method of rehabilitating aphakic eyes.

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“…However, this method can lead to complications such as endothelial cell loss and resultant corneal decompensation, cystoid macular edema, uveitis, glaucoma and irregular pupil (9). Some surgeons do not recommend anterior chamber lenses, especially in young people, due to the long-term complications (1).…”

Section: Discussionmentioning

confidence: 99%

Results of scleral fixated intraocular lens implantation

Özsoy¹,

Duman²,

Gündüz³

et al. 2018

J Turgut Ozal Med Cent

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Aim: To evaluate the results of scleral fixated intraocular lenses (SFIOLs) implantation in eyes that had lost capsular support. Material and methods: Eyes of twenty patients who had lost their capsular support due to various causes included in this study. This study involved 5 females and 15 males. Eight eyes were included following complicated cataract surgeries, five eyes were patients in trauma, three eyes were with subluxated intraocular lens, three aphakic eyes which underwent congenital cataract surgeries and one eye that had beginning of bullous keratopathy due to anterior chamber lens were operated. The secondary SFIOLs implantation were performed in all eyes. Preoperative and postoperative best corrected visual acuities were compared. Results: The mean age of patients was 61.4±15.04 years. The mean follow-up time was 3.12±0.7 months. The best corrected mean preoperative and postoperative visual acuities of patients were found as 0.16±0.02 and 0.38±0.07; respectively, using the Snellen chart. In our study; in two patients corneal edema, in one patient pupillary irregularity and in one patient increased intraocular pressure were observed. There was a statistically significant difference between the mean preoperative and postoperative visual acuities of patients according to the Wilcoxon test (p=0.01). Conclusion: SFIOLs implantation have still maintained its importance for correction of aphakia in patients without adequate capsular support despite all new developments.

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Aphakia correction with retropupillary fixated iris-claw lens (Artisan) – long-term results

Cited by 41 publications

References 21 publications

Outcomes of Sutureless Iris-Claw Lens Implantation

Outcomes of Sutureless Iris-Claw Lens Implantation

Retropupillary fixation of iris-claw lens in visual rehabilitation of aphakic eyes

Results of scleral fixated intraocular lens implantation

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