Evaluation of Retropupillary Iris-Claw IOLs in Patients With Inadequate Capsular Support
Purpose
To evaluate the technique, efficacy, and safety of artisan retropupillar iris-claw secondary IOLs in patients with insufficient capsular support.
Methods
A retrospective chart review of 23 eyes (21 patients) that underwent retropupillary artisan intraocular lens implantation alone or combined with intraocular lens exchange was conducted. The main outcome measures include, best corrected visual acuity (BCVA), uncorrected visual acuity (UCVA), lens position, surgical time, intraoperative and postoperative complications. Descriptive and inferential statistics were performed.
Results
Twenty-three eyes (21 patients) were included. The mean follow up was 6.4 months (range 1 - 12). Visual acuity remained stable and improved in 90% of patients. Mean surgical time in patients who underwent artisan intraocular lens implantation alone was 56.8 minutes (range 22 – 89) and 74.2 minutes (range 60 – 83) in patients whose procedure was combined with intraocular lens exchange. Postoperative complications included corneal decompensation (5 eyes), intraocular lens decentration (1 eye), and postoperative wound leak (1 eye). No intraoperative complications were observed.
Conclusion
Retropupillary iris-claw lens implantation is a predictable and effective method for the correction of aphakia in patients with inadequate capsule support.