Abstract
In cases requiring primary or secondary IOL implantation in eyes lacking capsular support, ACIOL, scleral-fixated PCIOL, or iris-sutured PCIOL are all viable options. A scleral-fixated PCIOL and iris-sutured PCIOL have the advantage of keeping the IOL away from the corneal endothelium and avoiding a 6 mm wound, though require longer operating time, significant technical expertise, and can tilt causing iris chaffing, inflammation, hyphema, and elevated intraocular pressure. There are also instances where the sutures break requiring reoperation. An iris enclavated ACIOL is similar to a traditional ACIOL, though does not require sizing, and does not have angle supported haptics that can cause damage to the corneal endothlium, inflammation, or posterior syneciae formation. The newer iris-enclavated IOLs are fixated to the mid-peripheral iris and centered over the pupil. In this position, mydriasis, iris vasculature, and the angle are not affected.
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© 2017 Springer International Publishing Switzerland
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Ahmed, I.K., Schlenker, M.B. (2017). Iris-Enclavated Intraocular Lens Implantation. In: Rosenberg, E., Nattis, A., Nattis, R. (eds) Operative Dictations in Ophthalmology. Springer, Cham. https://doi.org/10.1007/978-3-319-45495-5_29
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DOI: https://doi.org/10.1007/978-3-319-45495-5_29
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Publisher Name: Springer, Cham
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Online ISBN: 978-3-319-45495-5
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