DR. MITHUN THULASIDAS

DR.AJITA SASIDHARAN

Abstract

Purpose: To assess the surgical outcomes following retropupillary iris-claw intraocular lens (ICIOL) implantation

Method: A single-centre retrospective study was conducted including patients who had undergone retropupillary ICIOL implantation for aphakia correction. Postoperative corrected distance visual acuity (CDVA) at 2 months and complications were noted.

Result: 167 eyes were analyzed. The mean logMAR CDVA improved from 1.0 ± 0.55 preoperatively to 0.4 ± 0.36 postoperatively at 2 months (P<0.001). 131 eyes (78.4%) had final CDVA≥20/40. Complications included pupil ovalization in 35 eyes (20.9%), iris atrophy in 24 eyes (14.4%), elevated intraocular pressure in 19 eyes (11.4%), cystoid macular edema in 6 eyes (3.6%), ICIOL disenclavation in 5 eyes (2.9%) and retinal detachment in 1 eye (0.6%). Conclusion: Retropupillary ICIOL implantation in eyes with inadequate capsular/zonular support is a safe, faster, and effective procedure with good visual outcomes and fewer complications.