International Journal For Multidisciplinary Research

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Comparative Analysis of Iris Claw Anterior Chamber Fixation Versus Suture less Intrascleral Intraocular Lens Implantation in the Management of Aphakia

Author(s) Kainaat Queen, Dr. Pervaiz Ahmad Handoo
Country India
Abstract Purpose: To determine the efficacy of iris claw anterior chamber fixation versus suture less intrascleral intraocular lens implantation in terms of visual recovery and complications during and after surgery.
Method: The present prospective observational study was conducted in the Postgraduate Department of Ophthalmology at SMHS Hospital, Govt. Medical College, Srinagar over a period of one and half year.
Results: A total of 30 patients were studied and divided equally into two groups with patients age ranging between 19-70 years with mean age of 49.5+17.41 years in iris claw anterior chamber IOL group and in suture less intrascleral fixated IOL group with age ranging between 24-70 years with a mean age
of 51.9+15.94 years. Primary fixation of IOL was implanted in 8 (26.7%) patients, out of which 5 (33.3%) underwent iris claw anterior chamber IOL fixation and 3 (20%) patients underwent suture less intrascleral fixated IOL while the remaining 22 (73.3%) underwent secondary IOL.Mean preoperative BCVA improved from log MAR 0.78+0.251 in iris claw anterior chamber IOL to log MAR 0.85±0.241 in suture less intrascleral fixated IOL to log MAR {0.23±0.206 & 0.18±0.191} in two study groups respectively. Eyes with iris claw IOLexperienced pigment precipates (73.3%) followed by ovalisation of pupil (26.7%) while as intraocular pressure (33.3%) followed by corneal edema (13.3%) and transient hypotony (6.7%) were seen in suture less intrascleral fixation of IOL.
Conclusion: It was concluded that both irises claw anterior chamber IOL fixation and suture less SFIOL using flange are viable options for surgical correction of aphakia.
Keywords Vision, Aphakia, IOL, Surgical correction and Lens
Field Medical / Pharmacy
Published In Volume 6, Issue 1, January-February 2024
Published On 2024-02-17
Cite This Comparative Analysis of Iris Claw Anterior Chamber Fixation Versus Suture less Intrascleral Intraocular Lens Implantation in the Management of Aphakia - Kainaat Queen, Dr. Pervaiz Ahmad Handoo - IJFMR Volume 6, Issue 1, January-February 2024. DOI 10.36948/ijfmr.2024.v06i01.4323
DOI https://doi.org/10.36948/ijfmr.2024.v06i01.4323
Short DOI https://doi.org/gtjt33
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