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ORIGINAL ARTICLE
Year : 2016  |  Volume : 64  |  Issue : 3  |  Page : 216-221

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


1 Department of Ophthalmology, Loudi Central Hospital, Loudi, Hunan, China
2 Eye Hospital, Wenzhou Medical College, Wenzhou, China
3 Eye Hospital, Wenzhou Medical College, Hangzhou, Zhejiang, China

Correspondence Address:
Dr. Zhenquan Zhao
Eye Hospital, Wenzhou Medical College, 270 West Xueyuan Road, Wenzhou 325027, Zhejiang
China
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0301-4738.181734

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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.


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