Combined pars plana vitrectomy and iris claw lens in management of dislocated cataract or IOL
Journal Title: Medpulse International Journal of Ophthalmology - Year 2017, Vol 3, Issue 3
Abstract
Aim: To report management of posteriorly dislocated cataractous lens/IOL with Combined Pars Plana Vitrectomy and Iris claw lens implantation. Method: This is a retrospective study of 6 cases of dislocated IOL(4) and cataractous lens(2) at a tertiary eye Hospital in Telangana between October 2016 and February 2017 .Two case each of nucleus drop and IOL drop occurred in our hospital. Rest were referred from outside. These six patients were subsequently taken up for secondary procedure after reduction of corneal edema and inflammation. Three port PPV was done in all cases with nucleus/IOL retrieval, Iris claw lens was implanted and surgical peripheral iridectomy. Section was sutured where necessary. All patients were followed up for minimum of 3 months post operatively. Results: All patients had uneventful post op recovery with BCVA of 6/12 - 6/9 at 3months postoperative followup. Long term results are yet to be evaluated. Observation: Iris claw lens along with PPV offers a safe, easy and affordable alternative as a secondary IOL in cases with posteriorly dislocated lens with no or inadequate capsular support.
Authors and Affiliations
Irfan Faraz, Vijaya Lakshmi B, Gopal Kishan M
Keywords
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