Refractive Outcomes of Retropupillary Fixated Iris-Claw Lens for Exchange of the Dislocated Intraocular Lens Using Modified Scleral Incisions

Refractive Outcomes of Retropupillary Fixated Iris-Claw Lens for Exchange of the Dislocated Intraocular Lens Using Modified Scleral Incisions

Hyungil Kim,1 Sohee Jeon2 1Gyeongju St. Mary’s Eye Clinic, Gyeongju-si, Gyeongsangbuk-do, Republic of Korea; 2Keye Eye Center, Seoul, Republic of KoreaCorrespondence: Sohee JeonKeye Eye Center, 326 Teheran-ro, Gangnam-gu, Seoul, KoreaTel +82-02-6207-1236Fax +82-02-6207-1246Email soheeeee@g...

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Autores principales: Kim H, Jeon S
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2021
Materias:
aphakia
astigmatism
intraocular lens dislocation
retropupillary iris-claw intraocular lens
scleral tunnel incision
sclerocorneal incision
Ophthalmology
RE1-994
Acceso en línea:https://doaj.org/article/4d94037332fd4ffb834bd98b85e1eef9
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spelling oai:doaj.org-article:4d94037332fd4ffb834bd98b85e1eef92021-12-02T19:06:36ZRefractive Outcomes of Retropupillary Fixated Iris-Claw Lens for Exchange of the Dislocated Intraocular Lens Using Modified Scleral Incisions1177-5483https://doaj.org/article/4d94037332fd4ffb834bd98b85e1eef92021-08-01T00:00:00Zhttps://www.dovepress.com/refractive-outcomes-of-retropupillary-fixated-iris-claw-lens-for-excha-peer-reviewed-fulltext-article-OPTHhttps://doaj.org/toc/1177-5483Hyungil Kim,1 Sohee Jeon2 1Gyeongju St. Mary’s Eye Clinic, Gyeongju-si, Gyeongsangbuk-do, Republic of Korea; 2Keye Eye Center, Seoul, Republic of KoreaCorrespondence: Sohee JeonKeye Eye Center, 326 Teheran-ro, Gangnam-gu, Seoul, KoreaTel +82-02-6207-1236Fax +82-02-6207-1246Email soheeeee@gmail.comPurpose: To evaluate refractive outcomes after retropupillary iris-claw intraocular lens (IOL) implantation and to compare postoperative astigmatism from (1) a conventional 5.5-mm sclerocorneal incision, (2) an L-shaped scleral tunnel incision, and (3) a frown scleral tunnel incision.Methods: This was a retrospective study of eyes undergoing dislocated IOL exchange for a retropupillary iris-claw IOL. Uncorrected and corrected distance visual acuity (UDVA and CDVA) and postoperative complications were evaluated until postoperative months 24. The refractive outcomes and the surgically induced astigmatism (SIA) vector were compared between groups.Results: The medical records of 107 eyes from 107 patients with mean age of 65.31 ± 12.15 years were reviewed. Eyes with a frown incision showed the best UDVA, followed by those with L-shaped and conventional incisions (P = 0.003). Eyes with an L-shaped incision or frown incision had a lower SIA than that of the conventional incision group at postoperative 6 months (mean ± standard deviation [SD] SIA, 0.86 ± 0.85 D, 0.63 ± 0.37 D, and 1.70 ± 1.27 D for frown incision, L-shaped incision, and conventional incisions, respectively; P = 0.004).Conclusion: The frown incision and L-shaped incision induced a significantly smaller SIA than the conventional incisions, which was associated with better UDVA postoperatively.Keywords: aphakia, astigmatism, intraocular lens dislocation, retropupillary iris-claw intraocular lens, scleral tunnel incision, sclerocorneal incisionKim HJeon SDove Medical Pressarticleaphakiaastigmatismintraocular lens dislocationretropupillary iris-claw intraocular lensscleral tunnel incisionsclerocorneal incisionOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 15, Pp 3379-3389 (2021)
institution DOAJ
collection DOAJ
language EN
topic aphakia
astigmatism
intraocular lens dislocation
retropupillary iris-claw intraocular lens
scleral tunnel incision
sclerocorneal incision
Ophthalmology
RE1-994
spellingShingle aphakia
astigmatism
intraocular lens dislocation
retropupillary iris-claw intraocular lens
scleral tunnel incision
sclerocorneal incision
Ophthalmology
RE1-994
Kim H
Jeon S
Refractive Outcomes of Retropupillary Fixated Iris-Claw Lens for Exchange of the Dislocated Intraocular Lens Using Modified Scleral Incisions
description Hyungil Kim,1 Sohee Jeon2 1Gyeongju St. Mary’s Eye Clinic, Gyeongju-si, Gyeongsangbuk-do, Republic of Korea; 2Keye Eye Center, Seoul, Republic of KoreaCorrespondence: Sohee JeonKeye Eye Center, 326 Teheran-ro, Gangnam-gu, Seoul, KoreaTel +82-02-6207-1236Fax +82-02-6207-1246Email soheeeee@gmail.comPurpose: To evaluate refractive outcomes after retropupillary iris-claw intraocular lens (IOL) implantation and to compare postoperative astigmatism from (1) a conventional 5.5-mm sclerocorneal incision, (2) an L-shaped scleral tunnel incision, and (3) a frown scleral tunnel incision.Methods: This was a retrospective study of eyes undergoing dislocated IOL exchange for a retropupillary iris-claw IOL. Uncorrected and corrected distance visual acuity (UDVA and CDVA) and postoperative complications were evaluated until postoperative months 24. The refractive outcomes and the surgically induced astigmatism (SIA) vector were compared between groups.Results: The medical records of 107 eyes from 107 patients with mean age of 65.31 ± 12.15 years were reviewed. Eyes with a frown incision showed the best UDVA, followed by those with L-shaped and conventional incisions (P = 0.003). Eyes with an L-shaped incision or frown incision had a lower SIA than that of the conventional incision group at postoperative 6 months (mean ± standard deviation [SD] SIA, 0.86 ± 0.85 D, 0.63 ± 0.37 D, and 1.70 ± 1.27 D for frown incision, L-shaped incision, and conventional incisions, respectively; P = 0.004).Conclusion: The frown incision and L-shaped incision induced a significantly smaller SIA than the conventional incisions, which was associated with better UDVA postoperatively.Keywords: aphakia, astigmatism, intraocular lens dislocation, retropupillary iris-claw intraocular lens, scleral tunnel incision, sclerocorneal incision
format article
author Kim H
Jeon S
author_facet Kim H
Jeon S
author_sort Kim H
title Refractive Outcomes of Retropupillary Fixated Iris-Claw Lens for Exchange of the Dislocated Intraocular Lens Using Modified Scleral Incisions
title_short Refractive Outcomes of Retropupillary Fixated Iris-Claw Lens for Exchange of the Dislocated Intraocular Lens Using Modified Scleral Incisions
title_full Refractive Outcomes of Retropupillary Fixated Iris-Claw Lens for Exchange of the Dislocated Intraocular Lens Using Modified Scleral Incisions
title_fullStr Refractive Outcomes of Retropupillary Fixated Iris-Claw Lens for Exchange of the Dislocated Intraocular Lens Using Modified Scleral Incisions
title_full_unstemmed Refractive Outcomes of Retropupillary Fixated Iris-Claw Lens for Exchange of the Dislocated Intraocular Lens Using Modified Scleral Incisions
title_sort refractive outcomes of retropupillary fixated iris-claw lens for exchange of the dislocated intraocular lens using modified scleral incisions
publisher Dove Medical Press
publishDate 2021
url https://doaj.org/article/4d94037332fd4ffb834bd98b85e1eef9
work_keys_str_mv AT kimh refractiveoutcomesofretropupillaryfixatedirisclawlensforexchangeofthedislocatedintraocularlensusingmodifiedscleralincisions
AT jeons refractiveoutcomesofretropupillaryfixatedirisclawlensforexchangeofthedislocatedintraocularlensusingmodifiedscleralincisions
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