Retropupillary iris-claw lens: Helpful or not?
Aim: To evaluate the preoperative and intraoperative indications, postoperative complications, incidence of secondary glaucoma, and visual outcome in patient who underwent iris-claw implantation during cataract surgery and effect of vitrectomy on postoperative intraocular pressure (IOP). Material an...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | MAMC Journal of Medical Sciences |
| Subjects: | |
| Online Access: | http://www.mamcjms.in/article.asp?issn=2394-7438;year=2023;volume=9;issue=1;spage=7;epage=12;aulast=Singh |
| _version_ | 1797775459114549248 |
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| author | Rahul Singh Divya Ramraika Seemee Kapadia Saket Agrawal Moon Ramraika |
| author_facet | Rahul Singh Divya Ramraika Seemee Kapadia Saket Agrawal Moon Ramraika |
| author_sort | Rahul Singh |
| collection | DOAJ |
| description | Aim: To evaluate the preoperative and intraoperative indications, postoperative complications, incidence of secondary glaucoma, and visual outcome in patient who underwent iris-claw implantation during cataract surgery and effect of vitrectomy on postoperative intraocular pressure (IOP). Material and Methods: A retrospective study was conducted from January 2016 to February 2020. One hundred eighty-seven eyes of 187 patients who underwent iris-claw lens implantation, with minimum 1 month follow-up, were included in the study. Analysis of records was done for preoperative, intraoperative findings and was recorded and postoperative best corrected visual acuity (BCVA) and IOP were noted in each follow-up. Results: Mean preoperative BCVA of 187 eyes was 1.78 logMAR (SD 0.68), which increased to 0.61 ± 0.50, 0.36 ± 0.26, 0.21 ± 0.16 logMAR at postoperative day 1, day 7, and 1 month, respectively. Most common indications included phacodonesis (17.65%), small dilating and nondilating pupil (11.22%), zonular dialysis (6.41%), and pseudoexfoliation in (4.81%). Few patients (6.94%) had preexisting corneal pathologies which lend up in intraoperative complications that lead to iris-claw implantation. Mean IOP in vitrectomized eye after 1 month was 15.53 (SD 2.16) mm Hg and those of nonvitrectomized was 16 (SD 1.90) mm Hg. Posterior capsular rent and whole capsular bag loss were the most common intraoperative indications. Incidence of secondary glaucoma was 2.13%. Irregular pupil was the most common anterior segment finding at 1 month postoperatively. Conclusion: Retropupillary iris-claw implantation is one of the safe and least complicated methods of managing intraoperative complications which gives good visual acuity and prevent patient from the trauma of multiple surgeries. |
| first_indexed | 2024-03-12T22:36:02Z |
| format | Article |
| id | doaj.art-fc057e84727e4244a757f023ec76327c |
| institution | Directory Open Access Journal |
| issn | 2394-7438 |
| language | English |
| last_indexed | 2024-03-12T22:36:02Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | MAMC Journal of Medical Sciences |
| spelling | doaj.art-fc057e84727e4244a757f023ec76327c2023-07-21T12:45:25ZengWolters Kluwer Medknow PublicationsMAMC Journal of Medical Sciences2394-74382023-01-019171210.4103/mamcjms.mamcjms_1_23Retropupillary iris-claw lens: Helpful or not?Rahul SinghDivya RamraikaSeemee KapadiaSaket AgrawalMoon RamraikaAim: To evaluate the preoperative and intraoperative indications, postoperative complications, incidence of secondary glaucoma, and visual outcome in patient who underwent iris-claw implantation during cataract surgery and effect of vitrectomy on postoperative intraocular pressure (IOP). Material and Methods: A retrospective study was conducted from January 2016 to February 2020. One hundred eighty-seven eyes of 187 patients who underwent iris-claw lens implantation, with minimum 1 month follow-up, were included in the study. Analysis of records was done for preoperative, intraoperative findings and was recorded and postoperative best corrected visual acuity (BCVA) and IOP were noted in each follow-up. Results: Mean preoperative BCVA of 187 eyes was 1.78 logMAR (SD 0.68), which increased to 0.61 ± 0.50, 0.36 ± 0.26, 0.21 ± 0.16 logMAR at postoperative day 1, day 7, and 1 month, respectively. Most common indications included phacodonesis (17.65%), small dilating and nondilating pupil (11.22%), zonular dialysis (6.41%), and pseudoexfoliation in (4.81%). Few patients (6.94%) had preexisting corneal pathologies which lend up in intraoperative complications that lead to iris-claw implantation. Mean IOP in vitrectomized eye after 1 month was 15.53 (SD 2.16) mm Hg and those of nonvitrectomized was 16 (SD 1.90) mm Hg. Posterior capsular rent and whole capsular bag loss were the most common intraoperative indications. Incidence of secondary glaucoma was 2.13%. Irregular pupil was the most common anterior segment finding at 1 month postoperatively. Conclusion: Retropupillary iris-claw implantation is one of the safe and least complicated methods of managing intraoperative complications which gives good visual acuity and prevent patient from the trauma of multiple surgeries.http://www.mamcjms.in/article.asp?issn=2394-7438;year=2023;volume=9;issue=1;spage=7;epage=12;aulast=Singhretropupillary iris claw lenscataractsecondary glaucoma |
| spellingShingle | Rahul Singh Divya Ramraika Seemee Kapadia Saket Agrawal Moon Ramraika Retropupillary iris-claw lens: Helpful or not? MAMC Journal of Medical Sciences retropupillary iris claw lens cataract secondary glaucoma |
| title | Retropupillary iris-claw lens: Helpful or not? |
| title_full | Retropupillary iris-claw lens: Helpful or not? |
| title_fullStr | Retropupillary iris-claw lens: Helpful or not? |
| title_full_unstemmed | Retropupillary iris-claw lens: Helpful or not? |
| title_short | Retropupillary iris-claw lens: Helpful or not? |
| title_sort | retropupillary iris claw lens helpful or not |
| topic | retropupillary iris claw lens cataract secondary glaucoma |
| url | http://www.mamcjms.in/article.asp?issn=2394-7438;year=2023;volume=9;issue=1;spage=7;epage=12;aulast=Singh |
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