Outcome of iris fixation of subluxated intraocular lenses.

Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie
Adi MichaeliAnat Loewenstein

Abstract

The aim of this study was to evaluate the efficacy of iris fixation of subluxated intraocular lenses (IOLs). A retrospective study of 44 consecutive cases of subluxated IOLs that underwent iris fixation of the IOL. Demographic information, data regarding surgery, and follow-up were retrieved from patient files. All eyes were operated on in a similar fashion by the same anterior segment surgeon (A.M.) utilizing the McCannel suture technique and/or the Siepser slipknot technique. The main outcome measures were visual acuity improvement, surgically induced astigmatism, and assessment of complications. Ten eyes had a documented complication during primary cataract extraction. Pseudoexfoliation was present in 11 eyes (25 %). History of ocular trauma and high myopia were present in six eyes (each). Excluding eyes with macular disease and very low visual acuity, visual acuity improved from 0.4 (± 0.05) logMAR to 0.24 (± 0.05) logMAR (p = 0.047). Eyes with low pre-operative astigmatism did not worsen post-operatively (R square linear = 0.8, p < 0.01). Pupil ovalization was a major aesthetic complication (21 of 44 eyes). Major hemorrhagic complications were uncommon. One patient developed intermediate uveitis 1 year after IOL fixation. ...Continue Reading

References

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Citations

Mar 19, 2014·Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft·K Gerstmeyer, W Sekundo
Jun 28, 2015·American Journal of Ophthalmology·Kyeong Hwan Kim, Wan Soo Kim
Dec 3, 2014·American Journal of Ophthalmology·Uri SoibermanWalter J Stark
Jun 4, 2016·Journal of Cataract and Refractive Surgery·Yokrat TonEhud I Assia
Mar 15, 2018·Current Opinion in Ophthalmology·Eric NudlemanJonathan L Prenner
Oct 27, 2017·International Ophthalmology·Sergio CanabravaAlberto Diniz-Filho
Feb 9, 2019·Acta Ophthalmologica·Laura ArmonaiteAnders Behndig
Feb 26, 2016·Current Opinion in Ophthalmology·Kruti P DajeeGeorge A Williams
Sep 1, 2020·Clinical & Experimental Ophthalmology·Derick O AnsahUri S Soiberman
Feb 17, 2021·Journal français d'ophtalmologie·G BoutillierM Muraine
Dec 19, 2020·International Ophthalmology Clinics·Karen L ChristopherCristos Ifantides
Feb 21, 2021·Eye·Bryant K YuMathew W MacCumber
Jun 12, 2021·Clinical & Experimental Ophthalmology·Aaron P C OngCharles N J McGhee
Nov 25, 2021·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Seo Yeon ParkHyo Myung Kim

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