Retro pupillary Iris Fixated IOL implatation in cases with ectopia lentis_DR Saurabh Shah скачать в хорошем качестве

Retro pupillary Iris Fixated IOL implatation in cases with ectopia lentis_DR Saurabh Shah

Ectopia lentis is a displacement or malposition of the eye's crystalline lens from its normal location. The surgical correction of eyes without adequate capsular support usually presents a difficult management problem. Purpose of this study is evaluate the technique, efficacy, and safety of posterior iris fixation of iris-claw intraocular lens (IOLs) implantation through a scleral tunnel incision for optical correction in patients with ectopia lentis. In this interventional case series, 15 patients were included having subluxated or dislocated lens with poor vision or diplopia. All the patients underwent lens removal and retro-pupillary iris fixated intraocular lens (IOL) implantation. The main outcome measure was pre-operative and post-operative best corrected visual acuity (BCVA) and secondarily post-operative complications. In our study, 21 eyes of 15 patients were operated. They gained BCVA between 6/12 to 6/24.No significant postoperative complications were observed. One child had dislocated IOL following trauma but successfully reenclaved. At the end of 6 months in all cases the IOL was well-centered, the pupil was regular, and the eye was quiet. Conclusion: Our results suggest that the retro-pupillary fixated Iris-claw intraocular lens is a very attractive alternative in cases lacking capsular support. The retro-pupillary fixation of an iris claw lens is easy to perform and has the advantages of a true posterior chamber implantation with a low intra and postoperative risk profile.