Iris-claw Intraocular Lens Implantation: Anterior Chamber Versus Retropupillary Implantation

Overview

Journal Indian J Ophthalmol

Specialty Ophthalmology

Date 2016 Mar 9

PMID 26953023

Citations 17

Authors

Sezer Helvaci

Selahaddin Demirduzen

Huseyin Oksuz

Affiliations

Soon will be listed here.

Abstract

Purpose: To compare the outcomes of anterior chamber and retropupillary implantation of iris-claw Artisan intraocular lenses (IOL).

Design: Prospective, randomized, single-blinded study.

Patients And Methods: Forty eyes of forty aphakic patients were enrolled. Patients were randomized into two groups. Each group includes twenty patients. Group 1 received anterior chamber Artisan IOL implantation. Group 2 received retropupillary Artisan IOL implantation. Preoperative and postoperative corrected distance visual acuity (CDVA), intraocular pressure (IOP), and all complications were noted and compared at 6 months follow-up.

Results: Each two groups obtained a significant improvement in CDVA (P < 0.05). Four patients in Group 1 and five patients in Group 2 had significant but nonpermanent increase at IOP values. There were one and two pupillary irregularity in Group 1 and Group 2, respectively. In one patient, a shallow and inferior located retinal detachment were encountered in anterior chamber group.

Conclusions: The results were not significantly different between the two fixation techniques for iris-claw lens. The surgery procedure is dependent to surgeon experience and eye's conditions.

Citing Articles

Iris-Claw Intraocular Lens Implantation in Pediatric Population: Indications, Outcomes, and a Comparison with Adult Population.

Al-Dwairi R, Jammal H, Al Qudah M, Alazmi H, Almutairi S, Aleshawi A J Clin Med. 2025; 14(4).

PMID: 40004665 PMC: 11856017. DOI: 10.3390/jcm14041135.

From Crisis to Clarity: Retropupillary Iris-Claw Lens and Iris Cerclage Techniques for Post-traumatic Cataract Rehabilitation.

Ahuja N, Maherda L, Dubey K Cureus. 2025; 16(12):e75416.

PMID: 39791087 PMC: 11710943. DOI: 10.7759/cureus.75416.

Recent advances and current challenges in suture and sutureless scleral fixation techniques for intraocular lens: a comprehensive review.

Sun H, Wang C, Wu H Eye Vis (Lond). 2024; 11(1):49.

PMID: 39736769 PMC: 11684149. DOI: 10.1186/s40662-024-00414-0.

Retropupillary Iris Clip Intraocular Lenses: A Case Series of 57 Eyes.

Mallick P, Fung A Int Ophthalmol Clin. 2024; 65(1):75-80.

PMID: 39710909 PMC: 11658009. DOI: 10.1097/IIO.0000000000000548.

[Correction of aphakia in cases of insufficient capsular bag stability].

Baur I, Winkelmann I, Albrecht M, Botros Y, Auffarth G, Khoramnia R Ophthalmologie. 2024; 121(11):872-885.

PMID: 39172164 DOI: 10.1007/s00347-024-02097-3.

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