Iris reconstruction combined with iris-claw intraocular lens implantation for the management of iris-lens injured patients

• Published in: Indian journal of ophthalmology Vol. 64; no. 3; pp. 216 - 221
• Main Authors: Hu, Shufang, Wang, Mingling, Xiao, Tianlin, Zhao, Zhenquan
• Format: Journal Article
• Language: English
• Published: India Wolters Kluwer - Medknow Publications 01-03-2016; Medknow Publications and Media Pvt. Ltd; Medknow Publications & Media Pvt. Ltd; Medknow Publications & Media Pvt Ltd; Wolters Kluwer Medknow Publications
• Subjects: Adolescent; Adult; Aged; Child; Eye Injuries - physiopathology; Eye Injuries - surgery; Female; Follow-Up Studies; Humans; Injuries; Intraocular lenses; Iridodialysis; Iris (Eye); Iris - injuries; Iris - surgery; iris reconstruction; iris rupture; iris-claw intraocular lens; Lens Implantation, Intraocular - methods; Lens, Crystalline - injuries; Lens, Crystalline - surgery; Male; Middle Aged; Original; Patient outcomes; Plastic surgery; Prosthesis Design; Reconstructive Surgical Procedures - methods; Refraction, Ocular; Retrospective Studies; Young Adult; iris rupture; Iridodialysis; iris-claw intraocular lens; iris reconstruction
• ISSN: 0301-4738; 1998-3689
• DOI: 10.4103/0301-4738.181734

Aim: To study the efficiency and safety of iris reconstruction combined with iris-claw intraocular lens (IOL) implantation in the patients with iris-lens injuries. Settings and Design: Retrospective, noncomparable consecutive case series study. Materials and Methods: Eleven patients (11 eyes) following iris-lens injuries underwent iris reconstructions combined with iris-claw IOL implantations. Clinical data, such as cause and time of injury, visual acuity (VA), iris and lens injuries, surgical intervention, follow-up period, corneal endothelial cell count, and optical coherence tomography, were collected. Results: Uncorrected VA (UCVA) in all injured eyes before combined surgery was equal to or <20/1000. Within a 1.1-4.2-year follow-up period, a significant increase, equal to or better than 20/66, in UCVA was observed in six (55%) cases, and in best-corrected VA (BCVA) was observed in nine (82%) cases. Postoperative BCVA was 20/40 or better in seven cases (64%). After combined surgery, the iris returned to its natural round shape or smaller pupil, and the iris-claw IOLs in the 11 eyes were well-positioned on the anterior surface of reconstructed iris. No complications occurred in those patients. Conclusions: Iris reconstruction combined with iris-claw IOL implantation is a safe and efficient procedure for an eye with iris-lens injury in the absence of capsular support.