Skip to main content

Advertisement

SpringerLink
Log in

Retrospective analysis of visual outcomes in retropupillary iris-suture-fixated rigid intraocular lens in a tertiary eye center in southern India

  • Original Paper
  • Published:
International Ophthalmology Aims and scope Submit manuscript

Abstract

Purpose

To report clinical outcomes of retropupillary iris-suture-fixated rigid intraocular lens (IFIOL)

Setting

Tertiary care ophthalmic hospital

Design

Retrospective study

Methods

This study included all eyes undergoing IFIOL with a minimum follow-up of 6 months between April 2017 and January 2019. Patients with preexisting anterior or posterior segment pathologies causing defective vision, uveitis or history of previous intraocular surgeries with exception of cataract surgery were excluded from the study. Data were retrieved from electronic medical records, and we documented demographics, history, position of cataractous lens or IOL, primary/secondary surgery and its complications. Postoperative visual acuity, pupillary response, diplopia, centration of IOL, inflammation were also recorded at the baseline visit and at 1 month, 3 months and 6 months postoperatively.

Results

One hundred and ten eyes of 110 patients that underwent IFIOL were evaluated. Twenty-two patients (20%) underwent primary IFIOL, whereas 67 (60.9%) patients had secondary IFIOL. In 18 patients (16.36%), IFIOL was done to reposition decentered/dislocated IOLs. At the final follow-up, there was a significant improvement in corrected distance visual acuity (CDVA) with 87 patients (79.09%) achieving CDVA of 6/12 or better. IFIOL was stable and centered in 101 eyes (91.81%). Two patients (1.81%) had intraoperative complications. Postoperative iritis was seen in 7 patients (6.36%), and 4 patients (3.63%) had rise in IOP.

Conclusion

This is a safe, reliable, reproducible technique for aphakia rehabilitation and decentered IOL stabilization with good clinical outcome, especially in a limited resource setting.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

Explore related subjects

Discover the latest articles, news and stories from top researchers in related subjects.

References

  1. Condon GP (2003) Simplified small-incision peripheral iris fixation of an AcrySof intraocular lens in the absence of capsule support. J Cataract Refract Surg 29(9):1663–1667

    Article  Google Scholar 

  2. Baykara M, Ozcetin H, Yilmaz S, Timuçin OB (2007) Posterior iris fixation of the iris-claw intraocular lens implantation through a scleral tunnel incision. Am J Ophthalmol 144(4):586–591

    Article  Google Scholar 

  3. Smiddy WE, Sawusch MR, O’Brien TP, Scott DR, Huang SS (1990) Implantation of scleral-fixated posterior chamber intraocular lenses. J Cataract Refract Surg 16(6):691–696

    Article  CAS  Google Scholar 

  4. McCannel MA (1976) A retrievable suture idea for anterior uveal problems. Ophthalmic Surg 7(2):98–103

    CAS  PubMed  Google Scholar 

  5. Haripriya A, Sharma SS (2016) Retro iris suture fixation of a rigid intraocular lens. J Cataract Refract Surg 42(11):1556–1561

    Article  Google Scholar 

  6. Leydhecker W (1958) Der intraokulare Druck gesunder menschlicher Augen. Klin Monatsbl Augenheilkd 133:662–670

    CAS  Google Scholar 

  7. Jabs DA, Nussenblatt RB, Rosenbaum JT, Standardization of Uveitis Nomenclature (SUN) Working Group (2005) Standardization of uveitis nomenclature for reporting clinical data. Results of the first international workshop. Am J Ophthalmol 140(3):509–516

    Article  Google Scholar 

  8. Gicquel J-J, Guigou S, Bejjani RA, Briat B, Ellies P, Dighiero P (2007) Ultrasound biomicroscopy study of the Verisyse aphakic intraocular lens combined with penetrating keratoplasty in pseudophakic bullous keratopathy. J Cataract Refract Surg 33(3):455–464

    Article  Google Scholar 

  9. Evereklioglu C, Er H, Bekir NA, Borazan M, Zorlu F (2003) Comparison of secondary implantation of flexible open-loop anterior chamber and scleral-fixated posterior chamber intraocular lenses. J Cataract Refract Surg 29(2):301–308

    Article  Google Scholar 

  10. Wagoner MD, Cox TA, Ariyasu RG, Jacobs DS, Karp CL (2003) Intraocular lens implantation in the absence of capsular support. Ophthalmology 110(4):840–859

    Article  Google Scholar 

  11. Bading G, Hillenkamp J, Sachs HG, Gabel V-P, Framme C (2007) Long-term safety and functional outcome of combined pars plana vitrectomy and scleral-fixated sutured posterior chamber lens implantation. Am J Ophthalmol 144(3):371–377

    Article  Google Scholar 

  12. Sindal MD, Nakhwa CP, Sengupta, (2016) Comparison of sutured versus sutureless scleral-fixated intraocular lenses. J Cataract Refract Surg 42(1):27–34

    Article  Google Scholar 

  13. Madanagopalan V, Sen P, Baskaran P (2018) Scleral-fixated intraocular lenses. TNOA J Ophthalmic Sci Res 56(4):237

    Article  Google Scholar 

  14. Madhivanan N, Sengupta S, Sindal M, Nivean P, Kumar M, Ariga M (2019) Comparative analysis of retropupillary iris claw versus scleral-fixated intraocular lens in the management of post-cataract aphakia. Indian J Ophthalmol 67(1):59

    Article  Google Scholar 

  15. De Silva SR, Arun K, Anandan M, Glover N, Patel CK, Rosen P (2011) Iris-claw intraocular lenses to correct aphakia in the absence of capsule support. J Cataract Refract Surg 37(9):1667–1672

    Article  Google Scholar 

  16. Gonnermann J, Klamann MKJ, Maier A-K, Rjasanow J, Joussen AM, Bertelmann E et al (2012) Visual outcome and complications after posterior iris-claw aphakic intraocular lens implantation. J Cataract Refract Surg 38(12):2139–2143

    Article  Google Scholar 

  17. Forlini M, Soliman W, Bratu A, Rossini P, Cavallini GM, Forlini C (2015) Long-term follow-up of retropupillary iris-claw intraocular lens implantation: a retrospective analysis. BMC Ophthalmol 27(15):143

    Article  Google Scholar 

  18. Choragiewicz T, Rejdak R, Grzybowski A, Nowomiejska K, Moneta-Wielgoś J, Ozimek M et al (2016) Outcomes of Sutureless Iris-Claw Lens Implantation. J Ophthalmol 2016:7013709

    Article  Google Scholar 

  19. Güell JL, Verdaguer P, Elies D, Gris O, Manero F, Mateu-Figueras G et al (2014) Secondary iris-claw anterior chamber lens implantation in patients with aphakia without capsular support. Br J Ophthalmol 98(5):658–663

    Article  Google Scholar 

  20. Menezo JL, Martinez MC, Cisneros AL (1996) Iris-fixated Worst claw versus sulcus-fixated posterior chamber lenses in the absence of capsular support. J Cataract Refract Surg 22(10):1476–1484

    Article  CAS  Google Scholar 

  21. Ellerton CR, Rattigan SM, Chapman FM, Chitkara DK, Smerdon DL (1996) Secondary implantation of open-loop, flexible, anterior chamber intraocular lenses. J Cataract Refract Surg 22(7):951–954

    Article  CAS  Google Scholar 

  22. Rashad D, Afifi O-M, Elmotie GM, Khattab H (2015) Retropupillary fixation of iris-claw intraocular lens versus trans-scleral suturing fixation for aphakic eyes without capsular support. J Egypt Ophthalmol Soc 108(4):157

    Article  Google Scholar 

  23. Hazar L, Kara N, Bozkurt E, Ozgurhan EB, Demirok A (2013) Intraocular lens implantation procedures in aphakic eyes with insufficient capsular support associated with previous cataract surgery. J Refract Surg 29(10):685–691

    Article  Google Scholar 

  24. Chen Y, Liu Q, Xue C, Huang Z, Chen Y (2012) Three-year follow-up of secondary anterior iris fixation of an aphakic intraocular lens to correct aphakia. J Cataract Refract Surg 38(9):1595–1601

    Article  Google Scholar 

  25. Traykovski A (1990) Secondary lens implantation with sulcus fixation in intracapsular aphakes. J Cataract Refract Surg 16(3):367–368

    Article  CAS  Google Scholar 

  26. De Novelli FJ, Neto TLG, de Sena RG, Blumer ME, Suzuki R, Ghanem RC (2017) Net technique for intraocular lens support in aphakia without capsular support. Int J Retina Vitr. https://doi.org/10.1186/s40942-017-0085-8

    Article  Google Scholar 

Download references

Acknowledgements

Nil

Funding

Nil.

Author information

Authors and Affiliations

  1. Department of Intraocular Lens and Cataract Services, Aravind Eye Hospital and Post Graduate Institute of Ophthalmology, Madurai, India

    R. Sankarananthan, R. Senthil Prasad & Madhu Shekhar

  2. Aravind Eye Hospital and Post Graduate Institute of Ophthalmology, Madurai, India

    Mulasthanam Sai Dheera

  3. Department of Retina and Vitreous, Aravind Eye Hospital and Post Graduate Institute of Ophthalmology, Madurai, India

    Sagnik Sen

  4. Department of Pediatric Ophthalmology and Squint Services, Aravind Eye Hospital and Post Graduate Institute of Ophthalmology, Madurai, India

    R. Janani

Authors
  1. R. Sankarananthan
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. R. Senthil Prasad
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Mulasthanam Sai Dheera
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Madhu Shekhar
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Sagnik Sen
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. R. Janani
    View author publications

    You can also search for this author in PubMed Google Scholar

Contributions

SR and MS contributed to conceptualization; SR and SPR contributed to methodology; SPR and MSD contributed to formal analysis, investigation and writing—original draft preparation; MS, MSD and SS contributed to writing—review and editing; SR and JR contributed to resources; MS, SS and JR contributed to supervision.

Corresponding author

Correspondence to Madhu Shekhar.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants before any interventions were performed.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Sankarananthan, R., Prasad, R.S., Dheera, M.S. et al. Retrospective analysis of visual outcomes in retropupillary iris-suture-fixated rigid intraocular lens in a tertiary eye center in southern India. Int Ophthalmol 41, 973–980 (2021). https://doi.org/10.1007/s10792-020-01651-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10792-020-01651-7

Keywords

Search

Navigation