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DOI: 10.1055/s-0043-104430
Iris Clip Lens Implantation with Novel Approach for Aphakia After Previous Filtration Surgery
Irisfixierte Linsenimplantation nach FiltrationschirurgiePublication History
Publication Date:
03 May 2017 (online)
Abstract
Purpose To present a novel and simplified surgical technique of Artisan lens implantation for intraocular lens luxation and aphakia in glaucoma patients with previous superior filtration surgery.
Methods Analysis of 12 patients with a history of previous superior filtration surgery for glaucoma, who underwent artisan lens implantation. To allow lens manipulation and implantation without alteration of the filtration bleb, the main sclerocorneal incision was performed laterally and the Artisan lens was held in place for enclavation of the iris stroma via a superior corneal incision without disturbing the filtration bleb.
Results Mean pre-operative visual acuity was 0.54 ± 0.85 LogMAR, and intraocular pressure (IOP) was 15.8 ± 7.7 mmHg. At the end of follow-up (11.6 ± 8.1 months), visual acuity had improved to 0.32 ± 0.57 LogMAR and intraocular pressure was 14.7 ± 5.4 mmHg. No disturbance of the filtration bleb was observed.
Conclusions Artisan lens implantation can be performed successfully via a combined lateral and superior approach despite the presence of a filtration bleb at the 12 oʼclock position.
Zusammenfassung
Hintergrund Präsentation einer neuen vereinfachten chirurgischen Technik für die Implantation einer irisfixierten Linse bei Aphasie und Status nach Filtrationschirurgie.
Patienten und Methoden Analyse von 12 Patienten mit Status nach Filtrationschirurgie und der Implantation einer irisfixierten Linse. Um das Filtrationskissen nicht zu stören, wurde der korneosklerale Tunnel temporal platziert.
Resultate Die präoperative Sehschärfe betrug 0,54 ± 0,85 LogMAR, der intraokuläre Druck 15,8 ± 7,7 mmHg. Am Ende der Nachkontrollperiode (11,6 ± 8,1 Monate) betrug die Sehschärfe 0,32 ± 0,57 LogMAR und der Augendruck 14,7 ± 5,4 mmHg.
Schlussfolgerungen Die Implantation einer irisfixierten Linse kann auch nach Filtrationschirurgie erfolgreich mit dieser kombinierten Technik durchgeführt werden, ohne das Filterkissen zu stören.
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References
- 1 Binkhorst CD. Iris-supported artificial pseuophakia. A new development in intra-ocular artificial lens surgery. Trans Ophthalmol Soc U K 1959; 79: 569-584
- 2 Brandner M, Thaler-Saliba S, Plainer S. et al. Retropupillary fixation of iris-claw intraocular lens for aphakic eyes in children. PLoS One 2015; 10: e0126614
- 3 Gonnermann J, Klamann MK, Maier AK. et al. Visual outcome and complications after posterior iris-claw aphakic intraocular lens implantation. J Cataract Refract Surg 2012; 38: 2139-2143
- 4 Acar N, Kapran Z, Altan T. et al. Secondary iris claw intraocular lens implantation for the correction of aphakia after pars plana vitrectomy. Retina 2010; 30: 131-139
- 5 Ganesh S, Brar S, Relekar K. Long term clinical and visual outcomes of retrofixated iris claw lenses implantation in complicated cases. Open Ophthalmol J 2016; 10: 111-118
- 6 Luk AS, Young AL, Cheng LL. Long-term outcome of scleral-fixated intraocular lens implantation. Br J Ophthalmol 2013; 97: 1308-1311
- 7 Faria MY, Ferreira NP, Canastro M. Management of dislocated intraocular lenses with iris suture. Eur J Ophthalmol 2017; 27: 45-48