ABSTRACT
Background: many reasons can lead to an aphakia without sufficient capsular support for a posterior chamber intraocular lens, such as intraoperative complications during phacoemulsification, intracapsular cataract extraction, ocular trauma and lens dislocation caused by various reasons
Aim of the Work: was to compare retropupillary fixation of an iris-claw IOL [artisan aphakia lens] with transscleral suturing fixation of aposterior chamber IOL for aphakic eyes without sufficient capsular support as regards safety, visual recovery and complications of the procedure
Material and Methods: this a prospective interventional case series study included a total of 45 eyes of 42 patients of the age group 13-60 years, selected from those attending the Ophthalmology Department at Al-Azhar University Hospitals according to the inclusion and exclusion criteria
Results: in group A, the duration ranged from 15 to 45 min with a mean of 30.30 +/- 6.06min, in group B, the duration ranged from 35 to 85 min with a mean 60.60 +/- 12.41min. The P-Value was< 0. 001. The IOP showed at day 1 postoperative was higher in group B 20.06 +/- 4 than group A A16.40 +/- 3.9 p value was 0.012, however IOP was nearly at the same level at the end of the follow up period 15.23 +/- 3.63 in group A and 15.23 +/- 3.63 in group B with p value 0.713
Conclusion: the results of our study indicated that IC-IOL and SF-PCIOL implantations are both satisfactory in correcting aphakia without sufficient capsular support to hold an IOL in the posterior capsule