Comparative Analysis of the Safety and Functional Outcomes of Anterior versus Retropupillary Iris-Claw IOL Fixation
Purpose. To compare the functional and clinical outcomes of the iris-claw intraocular lens (IOL) placed on the anterior versus posterior surface of the iris. Patients and Methods. A multicenter, retrospective study. Data on eyes that underwent anterior or retropupillary iris-claw IOL implantation be...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Journal of Ophthalmology |
| Online Access: | http://dx.doi.org/10.1155/2018/8463569 |
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| author | Paolo Mora Giacomo Calzetti Stefania Favilla Matteo Forlini Salvatore Tedesco Purva Date Viola Tagliavini Arturo Carta Rino Frisina Emilio Pedrotti Stefano Gandolfi |
| author_facet | Paolo Mora Giacomo Calzetti Stefania Favilla Matteo Forlini Salvatore Tedesco Purva Date Viola Tagliavini Arturo Carta Rino Frisina Emilio Pedrotti Stefano Gandolfi |
| author_sort | Paolo Mora |
| collection | DOAJ |
| description | Purpose. To compare the functional and clinical outcomes of the iris-claw intraocular lens (IOL) placed on the anterior versus posterior surface of the iris. Patients and Methods. A multicenter, retrospective study. Data on eyes that underwent anterior or retropupillary iris-claw IOL implantation because of inadequate capsular support secondary to complicated cataract surgery, trauma, and dislocated/opacified IOLs since January 2015 were analyzed. For study inclusion, evaluation results had to be available in the medical records both preoperatively and at 1 and 12 months after implantation. The following parameters were compared between the groups: best-corrected distance visual acuity (BCDVA), spherical and cylindrical refractive error, endothelial cell density (ECD), central macular thickness (CMT), and percentage and type of postoperative complications. Results. In total, 60 eyes of 60 patients aged 73 ± 13 years were included: 28 eyes (47%) involved anterior, and 32 eyes (53%) retropupillary, iris-claw IOL fixations. Preoperatively, the groups were similar in all parameters except for a significantly higher proportion of retropupillary fixations in patients who had previously experienced a closed-globe trauma (p=0.03). The groups showed comparable improvements in BCDVA after surgery (final BCDVA: 0.34 ± 0.45 vs. 0.37 ± 0.50 logMAR in the anterior and retropupillary placement groups, respectively). During follow-up, no group difference was observed in refractive error or CMT. Both groups experienced similarly marked ECD loss and showed similar incidence of postoperative complications, with cystoid macular edema being the most common complication. Multivariable linear regression showed that BCDVA at 1 month was the best predictor of the final BCDVA. Conclusions. Anterior chamber and posterior chamber iris-claw IOL fixations proved equally effective and safe for aphakic correction in eyes with inadequate capsular support. |
| format | Article |
| id | doaj-art-b6ee1961255a4fefaf23ef07a9150d6f |
| institution | Kabale University |
| issn | 2090-004X 2090-0058 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Ophthalmology |
| spelling | doaj-art-b6ee1961255a4fefaf23ef07a9150d6f2025-02-03T01:11:42ZengWileyJournal of Ophthalmology2090-004X2090-00582018-01-01201810.1155/2018/84635698463569Comparative Analysis of the Safety and Functional Outcomes of Anterior versus Retropupillary Iris-Claw IOL FixationPaolo Mora0Giacomo Calzetti1Stefania Favilla2Matteo Forlini3Salvatore Tedesco4Purva Date5Viola Tagliavini6Arturo Carta7Rino Frisina8Emilio Pedrotti9Stefano Gandolfi10Ophthalmology Unit, University Hospital of Parma, Parma, ItalyOphthalmology Unit, University Hospital of Parma, Parma, ItalyIndependent Researcher, Parma, ItalyOphthalmology Unit, University Hospital of Parma, Parma, ItalyOphthalmology Unit, University Hospital of Parma, Parma, ItalyAditya Jyot Eye Hospital, Wadala, Mumbai, IndiaOphthalmology Unit, University Hospital of Parma, Parma, ItalyOphthalmology Unit, University Hospital of Parma, Parma, ItalyDepartment of Ophthalmology, University of Padova, Padova, ItalyEye Clinic, Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, AOUI-Policlinico G. B. Rossi, Verona, ItalyOphthalmology Unit, University Hospital of Parma, Parma, ItalyPurpose. To compare the functional and clinical outcomes of the iris-claw intraocular lens (IOL) placed on the anterior versus posterior surface of the iris. Patients and Methods. A multicenter, retrospective study. Data on eyes that underwent anterior or retropupillary iris-claw IOL implantation because of inadequate capsular support secondary to complicated cataract surgery, trauma, and dislocated/opacified IOLs since January 2015 were analyzed. For study inclusion, evaluation results had to be available in the medical records both preoperatively and at 1 and 12 months after implantation. The following parameters were compared between the groups: best-corrected distance visual acuity (BCDVA), spherical and cylindrical refractive error, endothelial cell density (ECD), central macular thickness (CMT), and percentage and type of postoperative complications. Results. In total, 60 eyes of 60 patients aged 73 ± 13 years were included: 28 eyes (47%) involved anterior, and 32 eyes (53%) retropupillary, iris-claw IOL fixations. Preoperatively, the groups were similar in all parameters except for a significantly higher proportion of retropupillary fixations in patients who had previously experienced a closed-globe trauma (p=0.03). The groups showed comparable improvements in BCDVA after surgery (final BCDVA: 0.34 ± 0.45 vs. 0.37 ± 0.50 logMAR in the anterior and retropupillary placement groups, respectively). During follow-up, no group difference was observed in refractive error or CMT. Both groups experienced similarly marked ECD loss and showed similar incidence of postoperative complications, with cystoid macular edema being the most common complication. Multivariable linear regression showed that BCDVA at 1 month was the best predictor of the final BCDVA. Conclusions. Anterior chamber and posterior chamber iris-claw IOL fixations proved equally effective and safe for aphakic correction in eyes with inadequate capsular support.http://dx.doi.org/10.1155/2018/8463569 |
| spellingShingle | Paolo Mora Giacomo Calzetti Stefania Favilla Matteo Forlini Salvatore Tedesco Purva Date Viola Tagliavini Arturo Carta Rino Frisina Emilio Pedrotti Stefano Gandolfi Comparative Analysis of the Safety and Functional Outcomes of Anterior versus Retropupillary Iris-Claw IOL Fixation Journal of Ophthalmology |
| title | Comparative Analysis of the Safety and Functional Outcomes of Anterior versus Retropupillary Iris-Claw IOL Fixation |
| title_full | Comparative Analysis of the Safety and Functional Outcomes of Anterior versus Retropupillary Iris-Claw IOL Fixation |
| title_fullStr | Comparative Analysis of the Safety and Functional Outcomes of Anterior versus Retropupillary Iris-Claw IOL Fixation |
| title_full_unstemmed | Comparative Analysis of the Safety and Functional Outcomes of Anterior versus Retropupillary Iris-Claw IOL Fixation |
| title_short | Comparative Analysis of the Safety and Functional Outcomes of Anterior versus Retropupillary Iris-Claw IOL Fixation |
| title_sort | comparative analysis of the safety and functional outcomes of anterior versus retropupillary iris claw iol fixation |
| url | http://dx.doi.org/10.1155/2018/8463569 |
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