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Outcome of iris fixation of subluxated intraocular lenses

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Abstract

Background

The aim of this study was to evaluate the efficacy of iris fixation of subluxated intraocular lenses (IOLs).

Methods

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.

Results

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.

Conclusions

In this study of 44 eyes, iris fixation was proven to be a an effective method for treating subluxated IOLs.

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Conflict of interest

There was no financial aid provided for this study. No conflicting relationships exist for any author. The authors have full control of all primary data and agree to have it reviewed if requested.

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Authors and Affiliations

  1. Department of Ophthalmology, Tel Aviv Medical Center, and the Sackler Faculty of Medicine, Tel Aviv University, 6 Weizmann Street, Tel Aviv, 64239, Israel

    Adi Michaeli, Uri Soiberman & Anat Loewenstein

Authors
  1. Adi Michaeli
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  2. Uri Soiberman
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  3. Anat Loewenstein
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Corresponding author

Correspondence to Adi Michaeli.

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Michaeli, A., Soiberman, U. & Loewenstein, A. Outcome of iris fixation of subluxated intraocular lenses. Graefes Arch Clin Exp Ophthalmol 250, 1327–1332 (2012). https://doi.org/10.1007/s00417-012-2057-x

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  • DOI: https://doi.org/10.1007/s00417-012-2057-x

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