Retropupillary fixation of iris‑claw lens in visual rehabilitation of aphakic eyes.
Indian J Ophthalmol
;
2016 Oct; 64(10): 743-746
Article
in English
| IMSEAR
| ID: sea-181287
ABSTRACT
Context Surgical outcome of retropupillary fixation of iris claw lens. Aims:
To evaluate the various indications, intra and post‑operative complications, and visual outcome of retropupillary fixation of iris claw lens in aphakic eyes. Settings andDesign:
The study design is a retrospective study at a tertiary eye care center.Methods:
Review of medical records of 61 aphakic eyes of 61 patients, who were rehabilitated with retropupillary fixation of an iris claw lens, with a follow‑up duration of at least 1 year. Statistical Analysis Used Data analysis was performed using paired t‑test and Chi‑square test.Results:
Mean preoperative uncorrected visual acuity was 1.66 ± 0.3 LogMAR and postoperative acuity at 1 year was 0.53 ± 0.5 LogMAR (P = 0.00001). Preoperative distant best‑corrected visual acuity was 0.30 ± 0.48 LogMAR and postoperative acuity at 1 year was 0.27 ± 0.46 LogMAR (P = 0.07). Mean preoperative astigmatism was 1.43 ± 1.94 D and postoperatively was 1.85 ± 2.16 D (P = 0.0127). Mean endothelial cell count was 2353.52 ± 614 cells/mm² preoperatively which decreased to 2200 ± 728 cells/mm² at 1 year follow‑up (P = 0.006). There was no significant difference in central macular thickness and intraocular pressure pre and post-surgery. Complications included ovalization of pupil in 9.83%, hypotony in 1.63%, toxic anterior segment syndrome in 1.63%, cystoid macular edema in 11.47%, epiretinal membrane in 3.27%, and iris atrophy in 6.55%.Conclusion:
Iris claw is a safe and an effective method of rehabilitating aphakic eyes.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Type of study:
Observational study
Language:
English
Journal:
Indian J Ophthalmol
Year:
2016
Type:
Article
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