Results of secondary retropupillary-fixated intraocular lens implantation

Voronin, G V; Yusef, Yu N; Yusef, S N; Аветисов, К С; Vvedenskiy, A S; Shkolyarenko, N Yu; Reznikova, E V; Alkhumidi, K; Fokina, N D

doi:10.17116/oftalma201813406141

Cited by 3 publications

(2 citation statements)

References 11 publications

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“…Jayamadhury et al 15 reported a ME rate of 11.5% (n = 61 eyes), and Gonnerman et al a rate of 8.7% (n = 137 eyes), 10 presenting lower rates all the other series reported. 13,14,17,25 The only exception of a greater ME rate was reported in a smaller sample size series with mixed anterior and posterior fixation cases, which found a 25% rate in the 32 eyes treated with the retropupillary approach. 26 Interestingly, the only study with similar size than our study cohort, presented by Forlini et al, 12 reported a ME rate of 0.9% (3 cases of 320 eyes), significantly lower than our figure.…”

Section: Discussionmentioning

confidence: 99%

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Retropupillary Iris-Claw Intraocular Lens and Pars Plana Vitrectomy in Aphakia Management

Bernal-Morales¹,

Hernández-Martínez

Navarro-Angulo

et al. 2021

Retina

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To evaluate the outcomes and safety of retropupillary iris-claw intraocular lens implantation and associated pars plana vitrectomy.Methods: Multicenter, national audit of 325 eyes (325 patients). Demographics, surgical details, and complications are described. Visual acuity, intraocular pressure, and central retinal thickness assessed by optical coherence tomography were collected at 1, 3, 6, and 12 months after surgery. Kaplan-Meier curves were created to assess the cumulative probability of postoperative visual acuity and intraocular pressure levels, macular edema development, and corneal decompensation.Results: The cumulative probability of the final visual acuity #0.3 logarithm of the minimum angle of resolution ($20/40 Snellen) was 75.6% at 12-month follow-up. The probability of intraocular pressure .21, $25, and $30 mmHg was 48.1%, 33.1%, and 19.0%, and the probability of intraocular pressure-lowering drops was 50.9% at 12 months. Glaucoma surgery was required in 4.3% of the eyes (14/325). The cumulative probability of macular edema was 20.5% at 12 months and was greater in complicated cataract surgery than in intraocular lens-luxation eyes (26% vs. 16.7%, P = 0.04). Corneal transplantation was required in 2.8% of the eyes (9/325).Conclusion: This study on 325 eyes with aphakia or intraocular lens dislocation managed with the retropupillary iris-claw intraocular lens technique provides clinical outcomes in a real-world scenario, reporting relevant data for patient counseling and preoperative discussions.

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Section: Discussionmentioning

confidence: 99%

“…However, the reported complication rates with this technique vary considerably in the studies published so far in the literature, being most of these single-center and/or small series. [9][10][11][12][13][14][15][16][17][18][19] For these reasons, more systematic analyses need to be performed to shed some light on this specific topic.…”

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confidence: 99%

Retropupillary Iris-Claw Intraocular Lens and Pars Plana Vitrectomy in Aphakia Management

Bernal-Morales¹,

Hernández-Martínez

Navarro-Angulo

et al. 2021

Retina

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Evolution of IOL exchange. Part 1. Development of methods for IOL exchange

Yusef¹,

Yusef²,

Ivanov³

et al. 2020

Vestn. oftal'mol.

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Evolution of IOL exchange. Part 2. Modern problems of IOL exchange

Yusef¹,

Yusef²,

Ivanov³

et al. 2020

Vestn. oftal'mol.

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РЕЗЮМЕ В обзоре представлены современные проблемы реимплантации интраокулярных линз (ИОЛ). Адекватный выбор между репозицией и реимплантацией ИОЛ у пациентов с позиционными осложнениями артифакии остается в значительной степени нерешенным вопросом. Данные литературы показывают заметное увеличение числа сторонников применения ретропупиллярной фиксации ирис-кло-линзы при реимплантации ИОЛ.

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Results of secondary retropupillary-fixated intraocular lens implantation

Cited by 3 publications

References 11 publications

Retropupillary Iris-Claw Intraocular Lens and Pars Plana Vitrectomy in Aphakia Management

Retropupillary Iris-Claw Intraocular Lens and Pars Plana Vitrectomy in Aphakia Management

Evolution of IOL exchange. Part 1. Development of methods for IOL exchange

Evolution of IOL exchange. Part 2. Modern problems of IOL exchange

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