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Submitted: 2022-02-03
DOI: 10.35119/myjo.v4i1.262
Original Articles
Published: 2022-03-28

Surgical outcome of retropupillary iris-claw lens implantation: a retrospective review

Department of Ophthalmology and Visual Science, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia; Eye Clinic, Hospital Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia
Department of Ophthalmology and Visual Science, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia; Eye Clinic, Hospital Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia
Department of Ophthalmology and Visual Science, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia; Eye Clinic, Hospital Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia; Department of Ophthalmology, Hospital Raja Permaisuri Bainun, Ipoh, Perak, Malaysia
Department of Ophthalmology, Hospital Raja Permaisuri Bainun, Ipoh, Perak, Malaysia
Department of Ophthalmology and Visual Science, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia; Eye Clinic, Hospital Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia
Department of Ophthalmology and Visual Science, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia; Eye Clinic, Hospital Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia
Department of Ophthalmology and Visual Science, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia; Eye Clinic, Hospital Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia
Artisan intraocular lens capsular support cataract surgery retropupillary iris-claw intraocular lens

Abstract

Introduction: Intraocular lens (IOL) selection, especially in cases with insufficient capsular and/or zonular support has increasingly become a challenge to surgeons. Retropupillary iris-claw IOLs (RP-ICIOL) have gained popularity in recent years.
Purpose: This study aimed to review the outcomes of RP-ICIOL implantation in two tertiary eye centres.
Study design: Retrospective review.
Methods: This is a retrospective study of 14 eyes of 14 patients who underwent Artisan RP-ICIOL implantation between November 2018 and December 2020 in two tertiary eye centres in Malaysia.
Results: The mean age of patients was 51.5 ± 17.4 years with the range between 18 and 77 years old. There were ten (71.4%) males and four (28.6%) females. The IOL was implanted primarily in three eyes (21.43%) and as a secondary procedure in eleven eyes (78.6%). Mean preoperative best-corrected visual acuity (BCVA) was logMAR 1.32 ± 0.82, while mean postoperative BCVA was logMAR 0.56 ± 0.42 (p = 0.010). Visual improvement of two or more lines in BCVA was observed in nine eyes (64.3%), no improvement in two eyes (14.3%), and worsening in three eyes (21.4%). There were no complications observed during the surgery. All our patients had a well-centred IOL at the 1-month postoperative follow-up. Mean preoperative intraocular pressure was 16.8 ± 2.0 mmHg and postoperative intraocular pressure was 15.7 ± 5.1 mmHg (p = 0.430).
Conclusion: RP-ICIOL implantation is safe and provides the optical advantage of a more biologically appropriate retropupillary position, ensuring a favourable functional visual outcome with low risk of complications.