Secondary Iris Claw Intraocular Lens Implantation for the Correction of Aphakia After Pars Plana Vitrectomy

Acar, Nur; Kapran, Ziya; Altan, Tugrul; Küçüksümer, Yaşar; Ünver, Yaprak Banu; Polat, Evrim

doi:10.1097/iae.0b013e3181b32eef

Cited by 38 publications

(37 citation statements)

References 41 publications

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“…Complication rates were comparable in the present study to similar previous studies (9,10) . Previous studies have used iris claw lenses for iris fixation to correct aphakia in vitrectomized eyes (25,26) . While the lack of suture usage was an advantage in these studies, the requirement of a large incision and anterior chamber implantation were disadvantages (25,26) .…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies have used iris claw lenses for iris fixation to correct aphakia in vitrectomized eyes (25,26) . While the lack of suture usage was an advantage in these studies, the requirement of a large incision and anterior chamber implantation were disadvantages (25,26) . Two major methods of suture-free intrascleral IOL implantation have been reported in previous literature.…”

Section: Discussionmentioning

confidence: 99%

“…During PPV, the iatrogenic removal of the lens capsule may be required depending on the etiology and severity of the vitreoretinal disease. Posterior chamber IOL implantation may be performed via posterior chamber transscleral fixation (1)(2)(3)(4)(5)(6)(7) , iris fixation (8)(9)(10)(11) , intrascleral fixation (12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22) , angle supported anterior chamber IOL (23,24) , or iris claw IOL implantation (25,26) . Advantages of PCIOL fixation include the distant position from anterior segment structures, such as the corneal endothelium, and proximity to the focal point of the eye where the lens is naturally si tuated.…”

Section: Introductionmentioning

confidence: 99%

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Implantation of foldable posterior chamber intraocular lens in aphakic vitrectomized eyes without capsular support

Erdoğan¹,

Ünlü²,

Günay³

et al. 2016

Arquivos Brasileiros De Oftalmologia

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Purpose: To evaluate the outcomes of three different surgical techniques for foldable posterior chamber intraocular lens (PCIOL) implantation in vitrectomized eyes without capsular support. Methods: A total of 60 patients with aphakic and vitrectomized eyes without capsular support were enrolled. All patients underwent three-piece foldable PCIOL implantation into the posterior chamber through a small corneal incision. Transscleral fixation (TSF), iris fixation (IF), and intrascleral tunnel fixation (ISF) surgical techniques were performed. Results: Postoperative PCIOL subluxation or dislocation occurred in one case in the TSF group and two cases in the ISF group. Intraoperative PCIOL dislocation occurred in two patients in the IF group. The incidence of temporary postoperative complications, such as mild intraocular hemorrhage and cystoid macular edema, was higher in the ISF group. No statistically significant difference in PCIOL-related astigmatism was observed between groups. Visual acuity improved in all groups. Conclusions: Postoperative outcomes were comparable between TSF, IF, and ISF for PCIOL in vitrectomized eyes without capsular support.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Implantation of foldable posterior chamber intraocular lens in aphakic vitrectomized eyes without capsular support

Erdoğan¹,

Ünlü²,

Günay³

et al. 2016

Arquivos Brasileiros De Oftalmologia

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“…Acar et al found a significant increase in mean CMT in the third month in 12 ICL implantation cases. 5 Cystoid macular edema was detected by RTVue-100 ® Fourier-Domain OCT in the third month postoperatively in one patient who underwent retropupillary ICL implantation. CME was not detected in any of the patients who underwent SFIOL implantation.…”

Section: 11mentioning

confidence: 99%

“…4 ICL implantation anterior to the iris or placed retropupillary, with its relative ease of implantation compared to other methods and its advantage of a shorter operation time, is preferred in vitrectomy and keratoplasty operations. [5][6][7] The learning period of the surgeon for the enclavation technique is lengthy, requiring skill and dexterity. The number of intraoperative and postoperative complications is relatively lower than other techniques.…”

mentioning

confidence: 99%

Comparison of the Results of Retropupillary Iris Claw Lenses and Scleral Fixated Intraocular Lenses in Aphakic Patients

Unculu¹,

Yıldız²,

Vural³

et al. 2017

Turkiye Klinikleri J Ophthalmol

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A AB BS S T TR RA AC CT T O Ob bj je ec ct ti iv ve e: : The aim of the study was to compare outcomes following the use of retropupillary iris-claw lenses (ICLs) and scleral fixated intraocular lenses (SFIOLs) in aphakic patients after cataract surgery. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : Nineteen eyes with secondary lens implantation were included in this study. The best corrected visual acuity (BCVA) was measured preoperatively. The anterior segment was evaluated using slit lamp biomicroscopy and dilated fundus examination was performed. Intraocular pressure (IOP) was measured. Central macular thickness (CMT) was determined with the RTVue-100 ® Fourier-Domain Optical Coherence Tomography (Optovue Inc, Fremont, USA). Endothelial cell count was evaluated using CellChek XL ® specular microscopy (Konan Medical, Hyogo, Japan). The measurements were repeated in the first week, first month, and at three months, postoperatively. R Re es su ul lt ts s: : Sixty-three per cent of the study participants were men, with a mean age was 68.11 years. A statistically significant difference was not observed between the two groups with regard to BCVA and IOP. The increase in CMT in the first week and first month was statistically significant in the group in whom retropupillary ICL were implanted. Endothelial cell loss was 9.77±3.93% in the retropupillary ICL group and 6.51±4.74% in the SFIOL group. One patient in each group developed an epiretinal membrane. Cystoid macular edema (CME) was detected in one patient who underwent retropupillary ICL implantation. C Co on nc cl lu us si io on n: : Both retropupillary ICL and SFIOL implantation were found to be successful and safe in aphakic patients. A statistically significant difference was not observed between the two groups regarding endothelial cell loss over short-term follow-up. An increase in CMT was detected early period in the retropupillary ICL cases. K Ke ey yw wo or rd ds s: : Aphakia, postcataract; corneal endothelial cell loss; lens implantation, intraocular; macular edema Ö ÖZ ZE ET T A Am ma aç ç: : Katarakt cerrahisi sonrası afak hastalarda retropupiller iris kıskaçlı lens (İKL) ile skleral fiksasyonlu göz içi lens implantasyonu (SFGİL) sonuçlarını karşılaştırmak. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Sekonder lens implantasyonu yapılan 19 göz çalışmaya alındı.Tüm hastaların preoperatif düzeltilmiş en iyi görme keskinliği (DEİGK) ölçüldü. Yarıklı lamba biyomikroskopi ile ön segment değerlendirildi ve dilate fundus muayeneleri yapıldı. Goldman aplanasyon tonometri ile göz içi basınçları (GİB) ölçüldü. RTVue-100 ® Fourier-domain optik koherens tomografi (OKT) ile santral makula kalınlığı ölçüldü (Optovue Inc, Fremont, USA). CellChek XL ® speküler mikroskopi ile endotel hücre sayıları değerlendirildi (Konan Medical, Hyogo, Japan). Tüm ölçümler postoperatif 1. hafta, 1. ay ve 3. ayda tekrarlandı. B Bu ul lg gu ul la ar r: Olguların %63'ü erkekti. Yaş ortalaması 68,11 yıl idi. İki grup arasında DEİGK ve GİB ölçümlerinde istatistiksel...

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Position-dependent accommodative shift of retropupillary fixated iris-claw lenses

Schöpfer,

Berger,

Korb

et al. 2012

Graefes Arch Clin Exp Ophthalmol

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Secondary Iris Claw Intraocular Lens Implantation for the Correction of Aphakia After Pars Plana Vitrectomy

Abstract: Secondary iris claw intraocular lens implantation is clinically safe and effective to correct aphakia in vitrectomized eyes without capsular support. Larger studies with longer follow-up are warranted.

Cited by 38 publications

References 41 publications

Implantation of foldable posterior chamber intraocular lens in aphakic vitrectomized eyes without capsular support

Implantation of foldable posterior chamber intraocular lens in aphakic vitrectomized eyes without capsular support

Comparison of the Results of Retropupillary Iris Claw Lenses and Scleral Fixated Intraocular Lenses in Aphakic Patients

Position-dependent accommodative shift of retropupillary fixated iris-claw lenses

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