Iris-claw intraocular lens implantation: Anterior chamber versus retropupillary implantation
Sezer Helvaci1, Selahaddin Demirduzen, Huseyin Oksuz
1Department of Ophthalmology, Adana Numune Training and Research Hospital, Adana, Turkey.
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.
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