Retropupillary Fixation of Iris-Claw Intraocular Lens for Aphakic Eyes in Children

To report outcome, complications and safety of retropupillary fixated iris-claw intraocular lenses in a pediatric population. Retrospective study. Ten consecutive pediatric patients (15 eyes) underwent placement of retropupillary fixated iris-claw intraocular lenses between October 2007 and July 201...

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Bibliographic Details
Published in:PloS one 2015-06, Vol.10 (6), p.e0126614-e0126614
Main Authors: Brandner, Martina, Thaler-Saliba, Sarah, Plainer, Sophie, Vidic, Bertram, El-Shabrawi, Yosuf, Ardjomand, Navid
Format: Article
Language:English
Subjects:
Acuity
Adolescent
Age
Aphakia, Postcataract - drug therapy
Aphakia, Postcataract - surgery
Biometrics
Cataracts
Child
Child, Preschool
Children
Complications
Endothelium
Eye (anatomy)
Eye lens
Eye surgery
Female
Hospitals
Humans
Implantation
Intraocular lenses
Iris
Lens Implantation, Intraocular - adverse effects
Lens Implantation, Intraocular - methods
Lenses, Intraocular - adverse effects
Male
Marfan syndrome
Ophthalmology
Patients
Pediatrics
Population studies
Retrospective Studies
Treatment Outcome
Visual acuity
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Summary:To report outcome, complications and safety of retropupillary fixated iris-claw intraocular lenses in a pediatric population. Retrospective study. Ten consecutive pediatric patients (15 eyes) underwent placement of retropupillary fixated iris-claw intraocular lenses between October 2007 and July 2013 at the Department of Ophthalmology, Medical University Graz and General Hospital Klagenfurt, Austria. Postoperative visual acuity and complications were analyzed. Median final best-corrected visual acuity improved by 0.12 logMAR from preoperative baseline. Mean postoperative spherical equivalent was -0.05 ± 1.76 D. No serious complications were observed intra- or postoperatively during the entire follow-up period of up to 40 months. One patient experienced a haptic disenclavation with IOL subluxation immediately after a car accident. Our study demonstrates that iris-claw intraocular lens implantation behind the iris is safe in children with lack of capsular support and yields excellent visual outcome with low complication rate.
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0126614