Original Article

Clinical and Surgical Results of Iris-claw Intraocular Lens Implantation

10.4274/tjo.40.323

  • Osman Melih Ceylan
  • Ali Hakan Durukan
  • Tarkan Mumcuoğlu
  • Fazıl Cüneyt Erdurman
  • Volkan Hürmeriç
  • Gökçen Gökçe

Turk J Ophthalmol 2010;40(6):323-327

Purpose

To investigate the clinical and surgical results of iris-claw intraocular lens implantation.

Material and Method:

Twenty-three eyes of 22 patients that underwent implantation of posterior chamber iris-claw intraocular lens (IOL) at Gülhane Military Faculty of Medicine, Department of Ophthalmology between April 2008 and June 2010 were enrolled into the study. Fourteen patients were male and eight were female with a mean age of 68.04±17.2 (range: 15-98) years. The results of 23 eyes operated because of aphakia (n=11), IOL dislocation (n=9), penetrating injury (n=1), and microspherophakia (n=2, both eyes of one patient) were evaluated retrospectively.

Results:

The average follow-up time was 10.78±3 (range: 3-15) months. At the final examination, eighteen eyes (78.3%) showed improvement in the visual acuity. There was a statistically significant difference between pre- and postoperative visual acuities (Wilcoxon test: p<0.01). Postoperative ophthalmic examination revealed pupillary irregularity in five eyes, posterior uveitis in one eye, mild anterior chamber inflammation in one eye, hyphema in one eye and dislocation of haptic in two eyes.

Discussion:

Implantation of posterior chamber iris-claw IOL is a safe treatment option having anatomical and functional success in eyes aphakic due to different reasons.

Keywords: Iris-claw intraocular lens, secondary intraocular lens implantation

Full Text (Turkish)