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Ophthalmologe ; 114(11): 1038-1041, 2017 Nov.
Article in German | MEDLINE | ID: mdl-28986635

ABSTRACT

The retropupillary implantation of an iris claw intraocular lens (IOL) is an uncomplicated and fast technique for rehabilitation of aphakic eyes without any capsular structures and is presented in a video in the online version of this article. A complete anterior pars plana vitrectomy as shown in our case or an extensive preceding anterior vitrectomy as well as an intact iris are prerequisites. Special instruments for the implantation and fixation of the IOL are available to optimize the operative procedure. In addition to a rapid operating time the advantages of a trained surgeon are low complications rates and fast rehabilitation. For eyes with a defective iris diaphragm, ischemic vitreoretinopathy and uveitis, other implantation techniques should be selected.


Subject(s)
Aphakia, Postcataract/surgery , Iris/surgery , Lens Implantation, Intraocular/methods , Pupil , Follow-Up Studies , Humans , Lens Implantation, Intraocular/instrumentation , Operative Time , Postoperative Complications/etiology , Prosthesis Design , Risk Factors , Surgical Instruments , Vitrectomy
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