Posterior Iris-claw Aphakic Intraocular Lens Implantation in Children

Gonnermann, Johannes; Torun, Necip; Klamann, Matthias K. J.; Maier, Anna-Karina B.; Sonnleithner, Christoph von; Rieck, Peter; Bertelmann, Eckart

doi:10.1016/j.ajo.2013.03.002

Cited by 32 publications

(20 citation statements)

References 29 publications

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“…This technique has the advantage that the IOL is located behind the iris and therefore the negative influence on the corneal endothelium is less than with anterior chamber IOLs. This hypothesis was recently confirmed by Gonnermann et al They have shown that the posterior enclavation of the iris-claw IOL has no significant influence on the corneal endothelial cell count[ 13 , 14 ].…”

Section: Introductionmentioning

confidence: 82%

Retropupillary Fixation of Iris-Claw Intraocular Lens for Aphakic Eyes in Children

et al. 2015

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PurposeTo report outcome, complications and safety of retropupillary fixated iris-claw intraocular lenses in a pediatric population.DesignRetrospective study.Patients and MethodsTen consecutive pediatric patients (15 eyes) underwent placement of retropupillary fixated iris-claw intraocular lenses between October 2007 and July 2013 at the Department of Ophthalmology, Medical University Graz and General Hospital Klagenfurt, Austria. Postoperative visual acuity and complications were analyzed.ResultsMedian final best-corrected visual acuity improved by 0.12 logMAR from preoperative baseline. Mean postoperative spherical equivalent was -0.05 ± 1.76 D. No serious complications were observed intra- or postoperatively during the entire follow-up period of up to 40 months. One patient experienced a haptic disenclavation with IOL subluxation immediately after a car accident.ConclusionOur study demonstrates that iris-claw intraocular lens implantation behind the iris is safe in children with lack of capsular support and yields excellent visual outcome with low complication rate.

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Section: Introductionmentioning

confidence: 82%

Retropupillary Fixation of Iris-Claw Intraocular Lens for Aphakic Eyes in Children

et al. 2015

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“…Somit scheint die retropupillare Fixation einer Irisklauen-Linse eine interessante Alternative. Mehrere Studien haben bereits gute visuelle und refraktive Ergebnisse bei geringer Komplikationsrate aufgezeigt [7,[15][16][17][18][19][20]. Der Endothelzellverlust nach retropupillarer Implantation einer Irisklauen-Linse wurde jedoch bisher nicht in einem größeren Patientenkollektiv untersucht.…”

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Endothelzellverlust nach retropupillar fixierter Irisklauen-Linse

Gonnermann

Amiri

Klamann

et al. 2014

Klin Monatsbl Augenheilkd

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“…The preoperatively disenclaved haptic was marked with a vicryl 6-0 thread and placed in balanced salt solution with ofloxacine to avoid contamination. Following this, acetylcholine chloride 1% was injected in the anterior chamber and a new Verisyse IOL was implanted retropupillary at a separate, unaffected enclavation site on the iris stroma as previously described 18. Individual modifications of the performed surgical procedure are summarised in table 1.…”

Section: Methodsmentioning

confidence: 99%

“…Thereby, a disenclavation might occur spontaneously because of insufficient tissue grasping, or despite adequate enclavation after significant trauma 16 17. Because of potential complications, such as rhegmatogenous retinal detachment and vitreous haemorrhage, a dislocated posterior iris-claw IOL requires replacement9 17 18 or re-enclavation 11 12. In this regard, the long-term endothelial cell loss, as a measure for perioperative trauma, after re-enclavation, and after uneventful implantation, was found to be comparable 19.…”

Section: Introductionmentioning

confidence: 99%