Novel Technique to Win Surgical Aphakia: Retro Fixated Iris-Claw IOL
Narrative Responses:
Purpose
To evaluate the outcome of Retrofixated iris claw lense in cases of surgical aphakia.
Methods
It is a prospective study for a period of Jan 2012-Dec 2012. Study included 59 eyes of 59 patients .The study includes both primary and secondary procedure. Those with concurrent disease were excluded from the study. The secondary iris claw lens was implanted in patients having best corrected log MAR VA better than 0.77. In this procedure 2 side ports were made 1800 apart and Automated anterior vitrectomy was performed before putting an retro pupillary iris claw lens. A prophylactic peripheral iridectomy was performed. Post operative visual acuity, lens position, corneal clarity, intra ocular pressure and posterior segment were examined.
Results
Patients were followed up for a period of 6 months. The logMAR visual acuity ranges from 0 to 0.77. In 1 patient lens drop was noted which was managed by vitreo retina specialist. In 1 patient IOP was found to be increased on subsequent follow ups and patient was managed on topical medications. Corneal clarity was assessed by zeiss slit lamp and at the end of the follow up no oedema , DM folds were noticed. 4 patients showed iris shape abnormality due to tucking. Macular oedema was noticed in 1 patients which was resolved at 6 month follow up.
Conclusion
This novel technique is a promising alternative to win surgical aphakia. It proved to be less time consuming with good visual outcome and early visual recovery.