Abstract | PURPOSE: To evaluate the indications, visual outcomes, and complication rate after posterior implantation of an iris-claw aphakic intraocular lens (IOL) in subluxated lenses due to Marfan syndrome. METHODS: Eyes without adequate capsular support had posterior chamber iris-claw aphakic IOL implantation between 2006 and 2012. RESULTS: This retrospective cohort study comprised 13 eyes of 10 patients (7 female, 3 male; mean age ± standard deviation, 34.7 ± 19.6; range 9-61 years). The mean follow-up was 37 months (range 6-74 months). The mean final postoperative best-corrected visual acuity was significantly (0.24 ± 0.36 logMAR) better at the last follow-up than 1 day preoperatively (0.72 ± 0.46 logMAR) (p<0.05). There was no significant change in intraocular pressure before and after surgery. The mean endothelial cell density decreased from 2793 ± 478 cells/mm2 preoperatively to 2637 ± 612 cells/mm2 at last follow-up, representing a mean endothelial cell loss of 5.6%. Complications included early transient postoperative hypotony in 2 eyes (15.4%), slight persistent pupil ovalization in 1 eye (7.7%), and retinal detachment in 1 eye (7.7%). CONCLUSIONS: The posterior implantation technique of aphakic iris-claw IOL provided good visual outcomes with a favorable complication rate and can be used as a reasonable alternative in subluxated lenses due to Marfan syndrome without adequate capsular support.
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Authors | Johannes Gonnermann, Necip Torun, Matthias K J Klamann, Anna-Karina Maier, Christoph von Sonnleithner, Eckart Bertelmann |
Journal | European journal of ophthalmology
(Eur J Ophthalmol)
2014 May-Jun
Vol. 24
Issue 3
Pg. 352-7
ISSN: 1724-6016 [Electronic] United States |
PMID | 24057936
(Publication Type: Journal Article)
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Topics |
- Adolescent
- Adult
- Cell Count
- Child
- Corneal Endothelial Cell Loss
(physiopathology)
- Female
- Follow-Up Studies
- Humans
- Intraocular Pressure
(physiology)
- Iris
(surgery)
- Lens Implantation, Intraocular
(methods)
- Lens Subluxation
(physiopathology, surgery)
- Lenses, Intraocular
- Male
- Marfan Syndrome
(physiopathology, surgery)
- Middle Aged
- Phacoemulsification
(methods)
- Postoperative Complications
- Prosthesis Design
- Retrospective Studies
- Tonometry, Ocular
- Treatment Outcome
- Visual Acuity
(physiology)
- Young Adult
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