Retropupillary Fixation of Iris-claw Intraocular Lens Versus Transscleral Suturing Fixation for Aphakic Eyes Without Capsular Support

Hara, Susumu; Borkenstein, Andreas F; Ehmer, A; Auffarth, Gerd U.

doi:10.3928/1081597x-20110623-01

Cited by 60 publications

(77 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…1,9À12 Sutured iris-or scleral-fixated PC IOLs also have disadvantages, such as a difficult suture technique, longer surgical time, hypotony, possible intraoperative bleeding, and damage to the ciliary body. [2][3][4]8,13,14 Artisan/Verisyse aphakia IOLs (Ophtec BV; Advanced Medical Optics, Inc.), the latest version of iris-fixated PC IOLs, with haptics fixated to the iris with clips on both sides of the optic, have a significantly different design than previous generations of PC IOLs. The haptics have fine slits to capture, through enclavation, a fold of midperipheral iris stroma, where the iris is virtually immobile, less vascularized, and less reactive.…”

Section: Discussionmentioning

confidence: 99%

Visual outcome and complications after posterior iris-claw aphakic intraocular lens implantation

Gonnermann

Klamann

Maier

et al. 2012

Journal of Cataract and Refractive Surgery

146

140

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Visual outcome and complications after posterior iris-claw aphakic intraocular lens implantation

Gonnermann

Klamann

Maier

et al. 2012

Journal of Cataract and Refractive Surgery

146

140

View full text Add to dashboard Cite

show abstract

“…2 Implantation of iris-fixated IOLs with anterior iris fixation and with posterior iris fixation have been reported. 6 In the present case, with insufficient capsular support, the refractive correction options were anterior chamber, angle-supported IOL, which was excluded because of possible complications with respect to endothelial cell loss and secondary glaucoma 7,8 ; sclera-fixated posterior chamber IOL, which was also excluded because of possible complications with respect to suture cut, ciliary bogy hemorrhage, and cystoid macular edema 9,10 ; and anterior, iris-fixated IOL, which was excluded on account of possible endothelial cell loss in general 11 and in particular compared to posterior iris-fixated IOL in PKP patients. 12 Artisan iris-claw retropupillary fixated aphakic IOLs have been shown to be safe for aphakia in general 13,14 and in aphakia with keratoplasty.…”

Section: Discussionmentioning

confidence: 95%

Iris-claw, retropupillary-fixated, aphakic intraocular lens implantation for traumatic aphakia following penetrating keratoplasty

Anbari

2015

Digit J Ophthalmol

View full text Add to dashboard Cite

SummaryWe report the correction of aphakia using an iris-claw, aphakic intraocular lens (IOL) fixated in a retropupillary location in a 17-year-old young man who suffered blunt trauma to his eye 5 months after penetrating keratoplasty (PKP). There were no intraoperative complications. At 21 months after implantation, the patient's uncorrected distance visual acuity was 20/28; his corrected distance visual acuity was 20/22, with +0.50 −3.00 × 155. Intraocular pressure was normal, and endothelial cell count was 1798 cells/mm 2 .

show abstract

“…Hara és mtsai a retropupillarisan rögzített irisklip és a transscleralisan rögzített műlencséket összehasonlították több szempontból: a korai posztoperatív időszakban a látóélességet jobbnak tapasztalták az irisklip műlencse esetén, a műtéti idő pedig lényegesen rövidebb volt eseteikben [19].…”

Section: áBraunclassified

Aphakia korrekciója irisklip műlencse retropupillaris beültetésével

et al. 2017

View full text Add to dashboard Cite

Bevezetés és célkitűzés: Az aphakia műtéti korrekciója sokszor komoly kihívás az operatőr számára. A szerzők célja a retropupillarisan beültetett irisklip műlencsékkel szerzett tapasztalataik ismertetése. Módszer: A 2014. január 1. és 2015. december 31. közötti eseteket gyűjtötték össze retrospektív módon. Azokat a betegeket vonták be a tanulmányba, akiknél retropupillarisan irisklip VRSA 54 (AMO Advanced Medical Optics, Amerikai Egyesült Államok) beültetését végezték el. A betegek követési ideje legalább három hónapos volt. Értékelték a műlencse stabilitását, a műtéti és műtét utáni szövődményeket és a betegek látóélességét. Eredmények: A fenti időszakban 11 esetben (egy nő, tíz férfi) végeztek ilyen beavatkozást. A műtét idején a betegek átlagéletkora 57,7 év volt (25-74 év). Négy esetben primer, hét esetben szekunder beültetést végeztek. A műlencse az irishez minden esetben rögzíthető volt. A mű-tét előtti legjobb korrigált látóélesség 0,43 (0,1-1,0), a követési idő végén 0,49 (0,04-1,0) volt. Következtetések: A rertopupillarisan beültetett iriskliplencse-implantációval a betegek minden esetben jól rehabilitálhatóak voltak. Orv. Hetil., 2017, 158(1), 20-24. Kulcsszavak: retropupillaris iriskliplencse-beültetés, aphakia Correction of aphakia with the implantation of the retropupillary iris clip intraocular artificial lensIntroduction and aim: The correction of aphakia might be a challenge for the surgeon. The aim of this study is to describe the authors' experience with the implantation of the retropupillary iris clip intraocular lens. Method: Patients between January 2014 and December 2015 were included in the retrospective study. Retropupillary implantation of iris clip intraocular lens VRSA 54 (AMO Advanced Medical Optics, USA) was performed in all cases. The minimum follow up period was three months. The stability of the intraocular lens and the intraoperative and postoperative complications and the visual acuity were evaluated. Results: During this time period 11 cases (1 female, 10 males) were included in the study. The mean age at the time of the implantation was 57.7 years (between 25-74 years). In 4 cases the iris clip lens was implanted during the first intervention, in 7 cases during the secondary procedure. In all cases the lens was fixated onto the iris posteriorly. The best corrected visual acuity before the iris clip implantation was 0.43 (0.1-1.0) and postoperatively at the time of the follow up 0.49 (0.04-1.0). Conclusions: With the use of the retropupillary implanted iris clip intraocular lens all of the patients could have been rehabilitated without major complications.

show abstract

Retropupillary Fixation of Iris-claw Intraocular Lens Versus Transscleral Suturing Fixation for Aphakic Eyes Without Capsular Support

Abstract: Retropupillary fixation of an iris-claw IOL provides early visual recovery, has a low risk of postoperative increase in IOP, and is a time-saving method compared with transscleral suturing fixation for aphakic eyes without sufficient capsular support.

Cited by 60 publications

References 27 publications

Visual outcome and complications after posterior iris-claw aphakic intraocular lens implantation

Visual outcome and complications after posterior iris-claw aphakic intraocular lens implantation

Iris-claw, retropupillary-fixated, aphakic intraocular lens implantation for traumatic aphakia following penetrating keratoplasty

Aphakia korrekciója irisklip műlencse retropupillaris beültetésével

Contact Info

Product

Resources

About