ISSN: 2459-1777 | E-ISSN 2587-0394
Volume : 8 Issue : 4 Year : 2023
Visual Outcomes, Endothelial Loss, and Complications Following Iris-Claw Intraocular Lens Implantation and Trocar-Assisted Sutureless Scleral Fixation of Intraocular Lenses [Beyoglu Eye J]
Beyoglu Eye J. 2023; 8(4): 253-259 | DOI: 10.14744/bej.2023.30085

Visual Outcomes, Endothelial Loss, and Complications Following Iris-Claw Intraocular Lens Implantation and Trocar-Assisted Sutureless Scleral Fixation of Intraocular Lenses

Ebubekir Durmus1, Veysel Aykut1, Mustafa Hepokur2, Fatma Sali1, Huseyin Avni Sanisoglu3, Halit Oguz1, Fehim Esen1
1Department of Ophthalmology, Istanbul Medeniyet University, İstanbul, Türkiye
2Department of Ophthalmology, Goztepe Prof. Dr. Suleyman Yalçin City Hospital, İstanbul, Türkiye
3Department of Ophthalmology, Kadikoy Diabetes Hospital, İstanbul, Türkiye

OBJECTIVES: Iris-claw intraocular lens (IC-IOL) implantation and sutureless scleral fixation of intraocular lenses (SSF-IOL) are two commonly preferred surgical approaches for the management of aphakic patients without sufficient capsular support. The aim of this study was to compare the outcomes of IC-IOL implantation and trocar-assisted SSF-IOL implan-tation.
METHODS: The medical records of secondary IOL implantation patients were retrospectively reviewed. All patients had a detailed ophthalmological examination, including LogMAR best-corrected distance visual acuity (CDVA), intraocular pressure (IOP), and endothelial cell density (ECD) preoperatively and postoperatively. SPSS 21.0 software was used for the statistical analysis.
RESULTS: There were 15 patients in the IC-IOL group and 12 patients in the SSF-IOL group. Age and gender distributions were similar between the groups (p=0.456 and p=0.398, respectively). Similarly, patients in both groups had similar CDVA preoperatively and postoperatively (p=0.51, p=0.48, respectively). Both IC-IOL and SSF-IOL implantation significantly increased CDVA (p=0.001 and p=0.005, respectively). IOP remained unchanged in both groups. However, ECD reduced significantly following both IC-IOL and SSF-IOL implantation (p=0.001 and p=0.005, respectively) and trocar-assisted SSF-IOL implantation resulted in significantly more endothelial loss compared to IC-IOL implantation (439.5±89 vs. 164.4±53, p=0.013).
DISCUSSION AND CONCLUSION: Both surgical approaches increased CDVA significantly and at similar levels. However, trocar-assisted SSF-IOL implantation resulted in significantly more endothelial loss compared to IC-IOL implantation. None of the patients developed bullous keratopathy, but this difference should be kept in mind, especially in patients with critically low ECD.

Keywords: Endothelial loss, implantation, iris-claw intraocular lens, secondary intraocular lens, sutureless scleral fix-ation.

Ebubekir Durmus, Veysel Aykut, Mustafa Hepokur, Fatma Sali, Huseyin Avni Sanisoglu, Halit Oguz, Fehim Esen. Visual Outcomes, Endothelial Loss, and Complications Following Iris-Claw Intraocular Lens Implantation and Trocar-Assisted Sutureless Scleral Fixation of Intraocular Lenses. Beyoglu Eye J. 2023; 8(4): 253-259

Corresponding Author: Ebubekir Durmus, Türkiye
Manuscript Language: English
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