SavedAdd your journal

Journals / Türk Oftalmoloji Dergisi / 2019 / Cilt: 49 - Sayı: 5

Dislocated Intraocular Lens Extraction and Iris-Claw Lens Implantation in Vitrectomized and Non-vitrectomized Eyes

Vitrektomize ve Vitrektomize Olmayan Gözlerde Disloke Göz İçi Lenslerin Çıkartılması ve İris Kıskaçlı Göz İçi Lens İmplantasyonu

M. Giray ERSÖZ
Murat KARAÇORLU
Işıl Bahar SAYMAN MUSLUBAŞ
Serra ARF
Mümin HOCAOĞLU
Pages
277–282
Publication Date
2022-11-06
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: Dislocated IOL extraction and secondary anterior chamber ICIOL implantation is a safe treatment option in both vitrectomized and nonvitrectomized eyes.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objectives: To compare the outcomes and complications of dislocated intraocular lens (IOL) extraction and secondary iris-claw IOL (ICIOL) implantation in vitrectomized and non-vitrectomized eyes.
📊
Key Findings & Data:Materials and Methods: This retrospective study included 19 vitrectomized eyes and 11 non-vitrectomized eyes that underwent dislocated IOL extraction and secondary anterior chamber ICIOL implantation between June 2014 and September 2017 and had at least one year of follow-up.
💡
Conclusion & Impact:Conclusion: Dislocated IOL extraction and secondary anterior chamber ICIOL implantation is a safe treatment option in both vitrectomized and nonvitrectomized eyes.
🔬Design:Research Article
📍Scope:2014 Verileri
⚙️Variables:Domain Parameters

Abstract

Objectives: To compare the outcomes and complications of dislocated intraocular lens (IOL) extraction and secondary iris-claw IOL (ICIOL) implantation in vitrectomized and non-vitrectomized eyes. Materials and Methods: This retrospective study included 19 vitrectomized eyes and 11 non-vitrectomized eyes that underwent dislocated IOL extraction and secondary anterior chamber ICIOL implantation between June 2014 and September 2017 and had at least one year of follow-up. Results: There were no significant differences between the groups in terms of demographic data, operative time, baseline anatomic and functional measurements, or postoperative changes in these measurements (all p>0.05). Postoperative best corrected visual acuity was significantly higher than preoperative values in both groups (both p0.05). In both groups, endothelial cell density was significantly lower at postoperative 1 year compared to preoperative measurements. There was no significant difference between groups regarding endothelial cell loss (p=0.49). One vitrectomized eye had corneal decompensation. Other complications included hyphema, transient increase of intraocular pressure, secondary glaucoma, pupillary irregularity, and dislocation of ICIOL. Mean operative time was 26.4±5.9 minutes. Conclusion: Dislocated IOL extraction and secondary anterior chamber ICIOL implantation is a safe treatment option in both vitrectomized and nonvitrectomized eyes.

Özet

Amaç: Vitrektomize ve vitrektomize olmayan gözlerde disloke göz içi lens (GİL) çıkartılması ile aynı seansta iris kıskaçlı GİL (İKGİL)implantasyon sonuçlarını ve komplikasyonlarını karşılaştırmaktır.Gereç ve Yöntem: Retrospektif olarak tasarlanan bu çalışmaya Haziran 2014-Eylül 2017 tarihleri arasında GİL dislokasyonunedeniyle GİL çıkartılması ve ön kamaraya sekonder İKGİL implantasyonu uygulanan en az bir yıl takipli 19 vitrektomize ve 11vitrektomize olmayan göz dahil edildi.Bulgular: Gruplar arasında demografik veriler, cerrahi süresi, başlangıç anatomik ve fonksiyonel ölçümler ve bu ölçümlerdekipostoperatif değişimler açısından anlamlı fark yoktu (tüm p>0,05). Postoperatif en iyi düzeltilmiş görme keskinliğinde iki gruptada preoperatif ölçümlere göre anlamlı artış vardı (p0,05). Postoperatif birinci yılda endotel hücre yoğunluğu iki grupta da preoperatif ölçümlere göre azalmıştı (p

🔖

Cite This Article

ERSÖZ, M. G., KARAÇORLU, M., MUSLUBAŞ, I. B. S., ARF, S., HOCAOĞLU, M. (2022). Dislocated Intraocular Lens Extraction and Iris-Claw Lens Implantation in Vitrectomized and Non-vitrectomized Eyes. Türk Oftalmoloji Dergisi, Cilt: 49 - Sayı: 5, 277–282. https://ajindex.com/articles/637721

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (13)

  1. Dick HB, Augustin AJ. Lens implant selection with absence of capsular support. Curr Opin Ophthalmol. 2001;12:47-57
  2. Sawada T, Kimura W, Kimura T, Suga H, Ohte A, Yamanishi S, Ohara T. Longterm follow-up of primary anterior chamber intraocular lens implantation. J Cataract Refract Surg. 1998;24:1515-1520
  3. Farrahi F, Feghhi M, Haghi F, Kasiri A, Afkari A, Latifi M. Iris claw versus scleral fixation intraocular lens implantation during pars plana vitrectomy. J Ophthalmic Vis Res. 2012;7:118-124
  4. Kwong YY, Yuen HK, Lam RF, Lee VY, Rao SK, Lam DS. Comparison of outcomes of primary scleral-fixated versus primary anterior chamber intraocular lens implantation in complicated cataract surgeries. Ophthalmology. 2007;114:80-85
  5. Hirashima DE, Soriano ES, Meirelles RL, Alberti GN, Nosé W. Outcomes of iris-claw anterior chamber versus iris-fixated foldable intraocular lens in subluxated lens secondary to Marfan syndrome. Ophthalmology. 2010;117:1479-1485
  6. Faria MY, Ferreira NP, Pinto JM, Sousa DC, Leal I, Neto E, Marques-Neves C. Retropupillary iris claw intraocular lens implantation in aphakia for dislocated intraocular lens. Int Med Case Rep J. 2016;9:261-265
  7. Baykara M, Ozcetin H, Yilmaz S, Timuçin OB. Posterior iris fixation of the iris-claw intraocular lens implantation through a scleral tunnel incision. Am J Ophthalmol. 2007;144:586-591
  8. Koike T, Baba T, Nizawa T, Oshitari T, Yamamoto S. Characteristics of patients with spontaneous dislocation of in-the-bag intraocular lens after pars plana vitrectomy. Jpn J Ophthalmol. 2017;61:267-270
  9. Zhang ZD, Shen LJ, Liu XQ, Chen YQ, Qu J. Injection and suturing technique for scleral fixation foldable lens in the vitrectomized eye. Retina. 2010;30:353-356
  10. Güell JL, Velasco F, Malecaze F, Vázquez M, Gris O, Manero F. Secondary Artisan-Verysise aphakic lens implantation. J Cataract Refract Surg. 2005;31:2266-2271
  11. Koss MJ, Kohnen T. Intraocular architecture of secondary implanted anterior chamber iris-claw lenses in aphakic eyes evaluated with anterior segment optical coherence tomography. Br J Ophthalmol. 2009;93:1301-1306
  12. Gonnermann J, Torun N, Klamann MK, Maier AK, von Sonnleithner C, Bertelmann E. Posterior iris-claw aphakic intraocular lens implantation in subluxated lenses due to Marfan syndrome. Eur J Ophthalmol. 2014;24:352- 357
  13. Labeille E, Burillon C, Cornut PL. Pars plana vitrectomy combined with iris-claw intraocular lens implantation for lens nucleus and intraocular lens