DR. DEEKSHA RANI

PROF.SUDARSHAN KUMAR KHOKHAR, MS. AISHWARYA RATHOD, DR.VENKATESH NATHIYA

Abstract

Purpose

To describe clinical outcomes of retropupillary iris-claw IOL in children aged 5 to 15 years.

Methods

A single centre ambispective cohort study was conducted between Jan 2019 and Dec 2021. 50 eyes of 28 patients undergoing retropupillary fixation of iris-claw were included. Data on BCVA, IOP, refractive error, minimum and maximum pupil size, ECC and CMT were recorded preoperatively, at postoperative day 1, 1 month, 3 months and 6 months.

Results

Mean preoperative BCVA was 0.82 (0.23), which improved to 0.3 (0.21) at six months. The mean spherical equivalent and cylindrical error were plus 1.12 (1.91) D and 0.65 (1.30) D respectively. Mean endothelial cell loss over 6 months was 2.8%. Complications include IOL decentration, disenclavation, hyphema, and hypotony.

Conclusion

Retropupillary fixated IOLs provide good visual outcomes and are a safe technique in children with subluxated lenses and unilateral or bilateral aphakia with insufficient capsular support.