Flexible Open-loop Anterior Chamber Intraocular Lens Implants

Weene, Lawrence E.

doi:10.1016/s0161-6420(13)31445-6

Cited by 63 publications

(27 citation statements)

References 14 publications

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“…2 Irisfixated IOLs result in a lower incidence of glaucoma than flexible, open-loop AC IOLs. 2,11 One study found no difference in the incidence of RD or CME between eyes with AC IOLs and eyes with PC IOLs. 2 Successful RD repair occurs at the same rate in patients with Artisan IOLs and those with PC IOLs.…”

Section: Discussionmentioning

confidence: 99%

“…4 Anterior chamber IOLs are also associated with short-and long-term complications, some of which are a direct consequence of the presence of haptics in the AC angle. [6][7][8][9][10][11] The Artisan Ò IOL (Ophtec) has a substantially different lens design 12 than previous generations of irisfixated IOLs, which were also associated with complications. Artisan lenses are anchored to the midperiphery of the iris.…”

mentioning

confidence: 99%

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Artisan lens implantation to correct aphakia after vitrectomy for retained nuclear lens fragments

Meulen

Gunning

Vermeulen

et al. 2004

Journal of Cataract and Refractive Surgery

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Artisan lens implantation to correct aphakia after vitrectomy for retained nuclear lens fragments

Meulen

Gunning

Vermeulen

et al. 2004

Journal of Cataract and Refractive Surgery

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“…6,7 When endocapsular IOL placement is not possible, the choices include sutured scleral-fixated IOLs, 8,9 sutureless scleral-fixated IOLs, 10,11 iris-fixated IOLs, 12 iris-claw IOLs, 13 or anterior chamber (AC) IOLs. 14 However, scleral-fixated IOLs are subject to problems such as suture degradation, pseudophacodonesis, endophthalmitis, and late IOL decentration owing to suture-related complications. [15][16][17] Iris-fixated or iris-claw IOLs have fewer posterior segment complications, but they can lead to chronic pigment release from the iris, which can cause inflammation and spontaneous iris disencalvation.…”

Section: Introductionmentioning

confidence: 99%

Comparision of surgical outcomes of intraocular lens refixation and intraocular lens exchange with perfluorocarbon liquid and fibrin glue-assisted sutureless scleral fixation

Lee

Park

2015

Eye

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Aim The purpose of this study was to compare the surgical outcomes of intraocular lens (IOL) refixation with intraocular lens exchange using perfluorocarbon liquid (PFCL) and fibrin glue-assisted sutureless scleral fixation surgery in patients with dislocation of the IOL. Methods Twenty-five eyes of 25 patients who underwent surgery for dislocated IOLs with PFCL and fibrin glue-assisted scleral fixation were studied; 13 eyes experienced IOL refixation (in-the-bag and out-of-the-bag), and 12 eyes experienced IOL exchange. Preoperative and postoperative clinical features from patient charts and 25 eyes with 46 months' follow-up information were reviewed and analyzed. Results At postoperative 6 months, best-corrected visual acuity (BCVA) and spherical equivalent of IOL refixation and exchange were significantly improved (P = 0.042, P = 0.001), and endothelial cell density was significantly decreased in the two groups with no significant difference between them. Surgically induced astigmatism of IOL refixation improved from 0.90 ± 0.47 to 0.61 ± 0.37 (P = 0.012), and IOL exchange improved from 1.17 ± 0.64 to 0.73 ± 0.37 (P = 0.037) at postoperative 6 months, with no significant difference between the two groups. Complications occurred in four eyes in the IOL refixation group and in three eyes in the IOL exchange group.Conclusion PFCL and fibrin glue-assisted IOL sutureless scleral refixation or exchanged fixation was an effective surgical treatment for IOL dislocation. Also, because postoperative BCVA, surgical outcomes, and complications did not differ significantly between IOL refixation and exchange surgery, if IOL exchange surgery is not indicated, IOL refixation surgical techniques should be considered.

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“…The results of IOL implantation in the absence of capsule support have been satisfactory in general when viewed with respect to visual results and recovery [9][10][11][15][16][17][18][19][20], although few trials appear to show that anterior chamber IOLs provide a superior visual recovery than scleral-fixated PCIOLs [21][22][23]. The cause for the poorer visual recovery with sclera-fixated PCIOLs is represented by microscope light-induced retinal injuries, due to the prolonged operating time compared with anterior chamber implants [12,24].…”

Section: Discussionmentioning

confidence: 99%

“…Some studies have however demonstrated how the onset of cystoid macular edema varies from 6.7% to 42.9% following scleral-fixated IOL implants while it is drastically reduced from 5.7% to 22.2% with 4 ISRN Ophthalmology anterior chamber IOL implants [11,19,[30][31][32][33][34][35]. Thus the laser flare meter data we collected in this study, highlight that, following secondary IOL implantation, due to the absence of capsular support, there is a subclinical inflammation that is still present three months after surgery and is statistically significant when compared with flare values of patients undergoing phacoemulsification and contemporary IOL implantation in the capsular bag.…”

Section: Discussionmentioning

confidence: 99%

Secondary IOL implantation without capsular support. A laser flare cell‐meter study

Bravetti¹,

Leonetti²,

Mandrioli³

et al. 2007

Acta Ophthalmologica Scandinavica

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Phacoemulsification and the contemporary implantation of intraocular lens (IOL) within the capsular bag represent the standard of care in cataract surgery, but sometimes a primary IOL implant is not possible due to intraoperative complications or preexisting conditions so that a secondary implantation of IOL within the anterior or posterior chamber is necessary. The aim of our study was to assess the degree of inflammation due to a secondary implant of claw lenses, angle-supported IOLs, and scleral-fixated IOLs by means of an objective, repeatable, and noninvasive device, the laser flare cell meter, which evaluates aqueous flare and cells within the anterior chamber in vivo and to show the contribution of the single IOLs to the genesis of inflammation.

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Flexible Open-loop Anterior Chamber Intraocular Lens Implants

Cited by 63 publications

References 14 publications

Artisan lens implantation to correct aphakia after vitrectomy for retained nuclear lens fragments

Artisan lens implantation to correct aphakia after vitrectomy for retained nuclear lens fragments

Comparision of surgical outcomes of intraocular lens refixation and intraocular lens exchange with perfluorocarbon liquid and fibrin glue-assisted sutureless scleral fixation

Secondary IOL implantation without capsular support. A laser flare cell‐meter study

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