Recurrent iritis after implantation of an iris-fixated phakic intraocular lens for the correction of myopia

Abstract

The iris-claw intraocular lens (IOL) was recently approved by the U.S. Food and Drug Administration for the correction of refractive disorders. Previous reports are not uniform regarding its potential to induce inflammatory reaction. We report the case of a young healthy patient who experienced persistent and intolerable iritis after implantation of an iris-claw IOL. The iritis was resolved only after explantation of the IOL.

Bilateral transient pupil closure after iris supported intraocular lens implantation in a case with Marfan syndrome

“…This complication also can occur secondarily to chronic inflammation, atrophic iris changes, asymmetric enclavation, or dislocation of iris-fixated IOLs 3910. In the current case, we did not observe inflammation, asymmetric enclavation or IOL dislocation.…”

Implantation of iris-claw Artisan intraocular lens for aphakia in Fuchs′ heterochromic iridocyclitis

“…Therefore, it may suggest that in eyes with FHI the uveal irritation by iris-claw Artisan IOLs is less than expected and the IOL is more tolerable, even though recurrent or chronic anterior chamber inflammations has previously been reported in some eyes with these IOLs without preexisting uveitis. [89] However, this lack of exacerbated postoperative inflammation in FHI may not be extrapolated to eyes with other more severe forms of uveitis. On the other hand, although FHI-associated iris atrophy in severe cases may theoretically make enclavation more difficult or compromise the long-term stability of an iris-claw IOL, neither did develop in our case.…”

Anterior chamber phakic intraocular lens implantation in children to treat severe anisometropic myopia and amblyopia: 3-year clinical results

“…12 Other complications after Artisan or Artiflex pIOL implantation in adult populations include traumatic aniridia, cataract development, iritis, pigment dispersion, Urrets-Zavalia syndrome, cyclodialysis cleft formation, traumatic dislocation, endophthalmitis, and toxic anterior segment syndrome. [24][25][26][27][28][29][30][31][32][33] Regarding RLE versus iris-supported AC pIOL implantation, the former is an irreversible procedure with potentially greater long-term risks and complications, including a higher rate of retinal detachment and significant visual loss, particularly in younger patients. [34][35][36] Refractive lens exchange in a pediatric population leaves the child aphakic, with a higher lifetime risk for aphakic glaucoma.…”