A study of outcome of posterior iris-claw lens at tertiary health care center
Journal Title: MedPulse -International Medical Journal - Year 2017, Vol 4, Issue 4
Abstract
Background: The absence of adequate capsule support, complicates intraocular lens implantation at the time of penetrating keratoplasty. In such cases, an iris-supported anterior or posterior chamber intraocular lens, or a trans-sclerally sutured, fibrin glue-assisted sutureless lens can be implanted. Each of the available options has its own risks and complications. Posterior iris-claw lens implantation has the advantage of preserving the natural anatomy of the eye and seems to be an ideal alternative to overcome these complications. The present study was undertaken to evaluate the outcome of posterior iris-claw lens in different aphakic situations without adequate capsular support. Material and Methods: In this prospective study conducted at a tertiary care center, 70 aphakic eyes of 70 patients of the age group 35-75 years were enrolled. Posterior iris‐ fixated IOL was implanted all cases. Postoperative follow‐up was done by a single observer on day 1, day 7, 1 month, 3 months and 6 months for visual acuity, anterior chamber reaction, IOP, specular microscopy, OCT was completed by all patients. Results: Majority of patients (57% of the cases) were in the age group 60–70 years. The ECD changes after 6 months was statistically significant. The mean postoperative cell density at 6 months was 1243.51. Percentage of endothelial cell loss was 8.12%. Visual outcome at 6 months was as per the WHO guidelines. 88% of the patients, had visual acuity of 20/40 or better. None of the patient had any major complication. Discussion: The complications related to posterior iris-claw lens implantation were minimal compared with its benefits. Therefore, use of posterior iris-claw lens implantation for secondary implantations is a better option to the scleral-fixed or an angle-fixated IOL implantation.
Authors and Affiliations
Mahesh Chandra Agrawal, Ethi Tuli, Swati Tomar
Rare case of lichen planus caused by ACE inhibitors
The authors present the case of a patient 45 years old female , born in Maharashtra, observed at the Outpatient department (OPD) of the hospital in June 2014 , diagnosed as a newly detected hypertension started on low do...
Detection of subclinical hypothyroidism in children with epilepsy on valproate monotherapy in age group of 3-12 years
Introduction: Sodium valproate is an effective anti-epileptic drug and is commonly used in the treatment of childhood epilepsy .There are conflicting reports in the literature about the influence of valproate on thyroid...
A Study of the efficacy of caroverine in the treatment of tinnitus
Introduction: Tinnitus is a common complaint among patients coming for auditory problems. It is a symptom which plagues the sufferer, hinders concentration, prevents sleep and haunts the mental state of the sufferer. Tin...
Study of variations in the origin of superior mesenteric artery
The best way to avoid injury to blood vessels is to know them and to know how, when and where to ligate them properly. Responsibility of teaching arterial variations lies with the anatomist. Anatomical variations of the...
Chilaiditi syndrome – A case report
Chilaiditi Syndrome is a rare condition which presents as hepatodiagphargmatic or hemidiagpharmatic interposition of colon, causing symptoms. The hallmark of the treatment is conservative management with rare surgical in...