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Retropupillary Fixation of Iris-Claw Intraocular Lens for Aphakic Eyes in Children

Martina Brandner1, Sarah Thaler-Saliba1, Sophie Plainer2

  • 1Department of Ophthalmology, Medical University Graz, Graz, Austria.

Plos One
|June 26, 2015
PubMed

Insights

Retropupillary iris-claw intraocular lenses (IOLs) are safe and effective for children needing lens replacement without capsular support. This study shows excellent visual outcomes and a low complication rate in pediatric patients.

Area of Science:

  • Ophthalmology
  • Pediatric Ophthalmology
  • Intraocular Lens Implantation

Background:

  • Children often require intraocular lens (IOL) implantation due to congenital or acquired cataracts.
  • Lack of capsular support presents a surgical challenge for IOL placement in pediatric eyes.

Purpose of the Study:

  • To evaluate the outcomes, complications, and safety of retropupillary fixated iris-claw intraocular lenses (IOLs) in a pediatric population.
  • To assess the efficacy of iris-claw IOLs in children with aphakia and no capsular support.

Main Methods:

  • A retrospective study was conducted on ten consecutive pediatric patients (15 eyes).
  • Retropupillary iris-claw IOLs were implanted between October 2007 and July 2013.
  • Postoperative visual acuity and complications were analyzed during a follow-up period of up to 40 months.

Main Results:

  • Median final best-corrected visual acuity improved by 0.12 logMAR.
  • Mean postoperative spherical equivalent was -0.05 ± 1.76 D.
  • No serious intraoperative or postoperative complications were observed; one case of haptic disenclavation with IOL subluxation occurred after trauma.

Conclusions:

  • Retropupillary iris-claw IOL implantation is a safe and effective surgical option for pediatric patients with aphakia and absent capsular support.
  • This technique yields excellent visual outcomes with a low rate of complications in children.
  • Iris-claw IOLs provide a viable solution for visual rehabilitation in complex pediatric cases.
Abstract

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