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Published in: BMC Ophthalmology 1/2017

Open Access 01-12-2017 | Research article

Calculation of iris-claw IOL power for correction of late in-the-bag IOL complex dislocation

Authors: Valentín Huerva, Francisco J. Ascaso, Isabel Caral, Andrzej Grzybowski

Published in: BMC Ophthalmology | Issue 1/2017

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Abstract

Background

To assess the constants and formula for aphakia correction with iris-claw IOLs to achieve the best refractive status in cases of late in-the-bag IOL complex dislocation.

Methods

A literature search was performed. The following data were obtained: Iris-claw IOL model, Iridal or retroiridal enclavation, A-constant, ultrasound or optical biometry, formula employed and refractive outcomes. Acceptable emmetropia was considered if the resulting spherical equivalent (SE) was within ±1.00 D.

Results

The majority of the studies used SRK/T formula (66.6%). The 88.9% of the reports obtained a SE within ±1.00 D. Using A-115 for ultrasound biometry and A-115.7 for optical biometry and SRK/T formula, the emmetropia (±1.00 D) of SE, was able to get near 100% of reported cases over the pupil implantation. However, the emmetropia decreased to 80% when the enclavation is retropupilar using the same formula. The A-constant can vary from 116.7 to 117.5 for retropupilar enclavation.

Conclusions

Using A-115 for ultrasound biometry and A-115.7 for optical biometry and SRK/T formula, ±1.00 D of SE, is able to get near 100% of cases. Nevertheless, ±1.00 D of SE decreased to 80% of the cases when the enclavation is retropupilar.
Literature
2.
go back to reference Auffarth GU, Tsao K, Wesendahl TA, Sugita A, Apple DJ. Centration and fixation of posterior chamber intraocular lenses in eyes with pseudoexfoliation syndrome. An analysis of explanted autopsy eyes. Acta Ophthalmol Scand. 1996;74:463–7.CrossRefPubMed Auffarth GU, Tsao K, Wesendahl TA, Sugita A, Apple DJ. Centration and fixation of posterior chamber intraocular lenses in eyes with pseudoexfoliation syndrome. An analysis of explanted autopsy eyes. Acta Ophthalmol Scand. 1996;74:463–7.CrossRefPubMed
3.
go back to reference Jehan FS, Mamalis N, Crandall AS. Spontaneous late dislocation of intraocular lens within the capsular bag in pseudoexfoliation patients. Ophthalmology. 2001;108:1727–31.CrossRefPubMed Jehan FS, Mamalis N, Crandall AS. Spontaneous late dislocation of intraocular lens within the capsular bag in pseudoexfoliation patients. Ophthalmology. 2001;108:1727–31.CrossRefPubMed
4.
go back to reference Gross JG, Kokame GT, Weinberg DV. In-the-bag intraocular lens dislocation. Am J Ophthalmol. 2004;137:630–5.PubMed Gross JG, Kokame GT, Weinberg DV. In-the-bag intraocular lens dislocation. Am J Ophthalmol. 2004;137:630–5.PubMed
5.
go back to reference Gimbel HV, Condon GP, Kohnen T, Olson RJ, Halkiadakis I. Late in-the-bag intraocular lens dislocation: incidence, prevention, and management. J Cataract Refract Surg. 2005;31:2193–204.CrossRefPubMed Gimbel HV, Condon GP, Kohnen T, Olson RJ, Halkiadakis I. Late in-the-bag intraocular lens dislocation: incidence, prevention, and management. J Cataract Refract Surg. 2005;31:2193–204.CrossRefPubMed
6.
go back to reference Ascaso FJ, Huerva V, Grzybowski A. Epidemiology, Etiology, and prevention of late IOL-capsular bag complex dislocation: review of the literature. J Ophthalmol. 2015;2015:805706.CrossRefPubMedPubMedCentral Ascaso FJ, Huerva V, Grzybowski A. Epidemiology, Etiology, and prevention of late IOL-capsular bag complex dislocation: review of the literature. J Ophthalmol. 2015;2015:805706.CrossRefPubMedPubMedCentral
7.
go back to reference Krėpštė L, Kuzmienė L, Miliauskas A, Janulevičienė I. Possible predisposing factors for late intraocular lens dislocation after routine cataract surgery. Medicina (Kaunas). 2013;49:229–34. Krėpštė L, Kuzmienė L, Miliauskas A, Janulevičienė I. Possible predisposing factors for late intraocular lens dislocation after routine cataract surgery. Medicina (Kaunas). 2013;49:229–34.
8.
go back to reference Pueringer SL, Hodge DO, Erie JC. Risk of late intraocular lens dislocation after cataract surgery, 1980-2009: a population-based study. Am J Ophthalmol. 2011;152:618–23.CrossRefPubMedPubMedCentral Pueringer SL, Hodge DO, Erie JC. Risk of late intraocular lens dislocation after cataract surgery, 1980-2009: a population-based study. Am J Ophthalmol. 2011;152:618–23.CrossRefPubMedPubMedCentral
9.
go back to reference Dabrowska-Kloda K, Kloda T, Boudiaf S, Jakobsson G, Stenevi U. Incidence and risk factors of late in-the-bag intraocular lens dislocation: evaluation of 140 eyes between 1992 and 2012. J Cataract Refract Surg. 2015;41:1376–82.CrossRefPubMed Dabrowska-Kloda K, Kloda T, Boudiaf S, Jakobsson G, Stenevi U. Incidence and risk factors of late in-the-bag intraocular lens dislocation: evaluation of 140 eyes between 1992 and 2012. J Cataract Refract Surg. 2015;41:1376–82.CrossRefPubMed
10.
go back to reference Fernández-Buenaga R, Alio JL, Pérez-Ardoy AL, Larrosa-Quesada A, Pinilla-Cortés L, Barraquer R, Alio JL 2nd, Muñoz-Negrete FJ. Late in-the-bag intraocular lens dislocation requiring explantation: risk factors and outcomes. Eye (Lond). 2013;27:795–801.CrossRef Fernández-Buenaga R, Alio JL, Pérez-Ardoy AL, Larrosa-Quesada A, Pinilla-Cortés L, Barraquer R, Alio JL 2nd, Muñoz-Negrete FJ. Late in-the-bag intraocular lens dislocation requiring explantation: risk factors and outcomes. Eye (Lond). 2013;27:795–801.CrossRef
11.
go back to reference Mönestam EI. Incidence of dislocation of intraocular lenses and pseudophakodonesis 10 years after cataract surgery. Ophthalmology. 2009;116:2315–20.CrossRefPubMed Mönestam EI. Incidence of dislocation of intraocular lenses and pseudophakodonesis 10 years after cataract surgery. Ophthalmology. 2009;116:2315–20.CrossRefPubMed
12.
go back to reference Ostern AE, Sandvik GF, Drolsum L. Positioning of the posterior intraocular lens in the longer term following cataract surgery in eyes with and without pseudoexfoliation syndrome. Acta Ophthalmol. 2014;92:253–8.CrossRefPubMed Ostern AE, Sandvik GF, Drolsum L. Positioning of the posterior intraocular lens in the longer term following cataract surgery in eyes with and without pseudoexfoliation syndrome. Acta Ophthalmol. 2014;92:253–8.CrossRefPubMed
13.
go back to reference Lorente R, de Rojas V, Vazquez de Parga P, Moreno C, Landaluce ML, Domínguez R, Lorente B. Management of late spontaneous in-the-bag intraocular lens dislocation: retrospective analysis of 45 cases. J Cataract Refract Surg. 2010;36:1270–82.CrossRefPubMed Lorente R, de Rojas V, Vazquez de Parga P, Moreno C, Landaluce ML, Domínguez R, Lorente B. Management of late spontaneous in-the-bag intraocular lens dislocation: retrospective analysis of 45 cases. J Cataract Refract Surg. 2010;36:1270–82.CrossRefPubMed
14.
go back to reference Scherer M, Bertelmann E, Rieck P. Late spontaneous in-the-bag intraocular lens and capsular tension ring dislocation in pseudoexfoliation syndrome. J Cataract Refract Surg. 2006;32:672–5.CrossRefPubMed Scherer M, Bertelmann E, Rieck P. Late spontaneous in-the-bag intraocular lens and capsular tension ring dislocation in pseudoexfoliation syndrome. J Cataract Refract Surg. 2006;32:672–5.CrossRefPubMed
15.
go back to reference Lett KS, Chaudhuri PR. Visual outcomes following artisan aphakia iris claw lens implantation. Eye (Lond). 2011;25:73–6.CrossRef Lett KS, Chaudhuri PR. Visual outcomes following artisan aphakia iris claw lens implantation. Eye (Lond). 2011;25:73–6.CrossRef
16.
go back to reference De Silva SR, Arun K, Anandan M, Glover N, Patel CK, Rosen P. Iris-claw intraocular lenses to correct aphakia in the absence of capsule support. J Cataract Refract Surg. 2011;37:1667–72.CrossRefPubMed De Silva SR, Arun K, Anandan M, Glover N, Patel CK, Rosen P. Iris-claw intraocular lenses to correct aphakia in the absence of capsule support. J Cataract Refract Surg. 2011;37:1667–72.CrossRefPubMed
17.
go back to reference Chen Y, Liu Q, Xue C, Huang Z, Chen Y. Three-year follow-up of secondary anterior iris fixation of an aphakic intraocular lens to correct aphakia. J Cataract Refract Surg. 2012;38:1595–601.CrossRefPubMed Chen Y, Liu Q, Xue C, Huang Z, Chen Y. Three-year follow-up of secondary anterior iris fixation of an aphakic intraocular lens to correct aphakia. J Cataract Refract Surg. 2012;38:1595–601.CrossRefPubMed
18.
go back to reference Huerva V, Soldevila J, Sanchez MC. Iris-claw intraocular lens for treatment of late in-the-bag IOL dislocations associated with pseudoexfoliation syndrome. J Emmetropia. 2015;6:73–7. Huerva V, Soldevila J, Sanchez MC. Iris-claw intraocular lens for treatment of late in-the-bag IOL dislocations associated with pseudoexfoliation syndrome. J Emmetropia. 2015;6:73–7.
19.
go back to reference Kristianslund O, Råen M, Østern AE, Drolsum L. Late in-the-bag intraocular lens dislocation: a randomized clinical trial comparing lens repositioning and lens exchange. Ophthalmology. 2017;124:151–9.CrossRefPubMed Kristianslund O, Råen M, Østern AE, Drolsum L. Late in-the-bag intraocular lens dislocation: a randomized clinical trial comparing lens repositioning and lens exchange. Ophthalmology. 2017;124:151–9.CrossRefPubMed
21.
go back to reference van der Heijde. Some optical aspects of implantation of an IOL in a myopic eye. Eur J Implant Refract Surg. 1989;1:254–48. van der Heijde. Some optical aspects of implantation of an IOL in a myopic eye. Eur J Implant Refract Surg. 1989;1:254–48.
22.
go back to reference http://www.ophtec.com/professional/en/cataract-surgery/intra-ocularlenses/artisan-aphakia/artisan-aphakia-ref-205. Accessed 27 Oct 2016. http://www.ophtec.com/professional/en/cataract-surgery/intra-ocularlenses/artisan-aphakia/artisan-aphakia-ref-205. Accessed 27 Oct 2016.
23.
24.
go back to reference Huerva V. Myopic iris-claw intraocular lens for late intraocular lens-capsular bag complex dislocation using the T2 formula. JCRS Online Case Reports. 2014;2:e38–40.CrossRef Huerva V. Myopic iris-claw intraocular lens for late intraocular lens-capsular bag complex dislocation using the T2 formula. JCRS Online Case Reports. 2014;2:e38–40.CrossRef
25.
go back to reference Sheard RM, Smith GT, Cooke DL. Improving the prediction accuracy of the SRK/T formula: the T2 formula. J Cataract Refract Surg. 2010;36:1829–34.CrossRefPubMed Sheard RM, Smith GT, Cooke DL. Improving the prediction accuracy of the SRK/T formula: the T2 formula. J Cataract Refract Surg. 2010;36:1829–34.CrossRefPubMed
26.
go back to reference Schmidt I, Langenbucher A, Moussa S, Schirra F, Seitz B, Eppig T. Retroiridal implantation of a Verisyse™ iris claw lens: refractive outcome and individualized intraocular lens constants. Ophthalmologe. 2015;112(3):261–5.CrossRefPubMed Schmidt I, Langenbucher A, Moussa S, Schirra F, Seitz B, Eppig T. Retroiridal implantation of a Verisyse™ iris claw lens: refractive outcome and individualized intraocular lens constants. Ophthalmologe. 2015;112(3):261–5.CrossRefPubMed
27.
go back to reference Choragiewicz T, Rejdak R, Grzybowski A, Nowomiejska K, Moneta-Wielgoś J, Ozimek M, Jünemann AG. Outcomes of Sutureless iris-claw lens implantation. J Ophthalmol. 2016;2016:7013709.CrossRefPubMedPubMedCentral Choragiewicz T, Rejdak R, Grzybowski A, Nowomiejska K, Moneta-Wielgoś J, Ozimek M, Jünemann AG. Outcomes of Sutureless iris-claw lens implantation. J Ophthalmol. 2016;2016:7013709.CrossRefPubMedPubMedCentral
28.
go back to reference Galvis V, Tello A, Carreño NI, Revelo ML. Retropupillary iris-claw intraocular lens in aphakic eyes. J Cataract Refract Surg. 2013;39:970–1.CrossRefPubMed Galvis V, Tello A, Carreño NI, Revelo ML. Retropupillary iris-claw intraocular lens in aphakic eyes. J Cataract Refract Surg. 2013;39:970–1.CrossRefPubMed
29.
go back to reference Wolter-Roessler M, Küchle M. Correction of aphakia with retroiridally fixated IOL. Klin Monatsbl Augenheilkd. 2008;225:1041–4.CrossRefPubMed Wolter-Roessler M, Küchle M. Correction of aphakia with retroiridally fixated IOL. Klin Monatsbl Augenheilkd. 2008;225:1041–4.CrossRefPubMed
30.
go back to reference Farrahi F, Feghhi M, Haghi F, Kasiri A, Afkari A, Latifi M. Iris claw versus Scleral fixation intraocular lens implantation during pars Plana Vitrectomy. J Ophthalmic Vis Res. 2012;7:118–24.PubMedPubMedCentral Farrahi F, Feghhi M, Haghi F, Kasiri A, Afkari A, Latifi M. Iris claw versus Scleral fixation intraocular lens implantation during pars Plana Vitrectomy. J Ophthalmic Vis Res. 2012;7:118–24.PubMedPubMedCentral
31.
go back to reference Gonnermann J, Klamann MK, Maier AK, Rjasanow J, Joussen AM, Bertelmann E, Rieck PW, Torun N. Visual outcome and complications after posterior iris-claw aphakic intraocular lens implantation. J Cataract Refract Surg. 2012;38:2139–43.CrossRefPubMed Gonnermann J, Klamann MK, Maier AK, Rjasanow J, Joussen AM, Bertelmann E, Rieck PW, Torun N. Visual outcome and complications after posterior iris-claw aphakic intraocular lens implantation. J Cataract Refract Surg. 2012;38:2139–43.CrossRefPubMed
32.
go back to reference Häberle H, Schiedel S, Pham DT. Retroiridal iris claw lens as routine procedure. Klin Monatsbl Augenheilkd. 2014;231:995–8.CrossRefPubMed Häberle H, Schiedel S, Pham DT. Retroiridal iris claw lens as routine procedure. Klin Monatsbl Augenheilkd. 2014;231:995–8.CrossRefPubMed
33.
go back to reference Drolsum L, Ringvold A, Nicolaissen B. Cataract and glaucoma surgery in pseudoexfoliation syndrome: a review. Acta Ophthalmol Scand. 2007;85:810–21.CrossRefPubMed Drolsum L, Ringvold A, Nicolaissen B. Cataract and glaucoma surgery in pseudoexfoliation syndrome: a review. Acta Ophthalmol Scand. 2007;85:810–21.CrossRefPubMed
34.
go back to reference Evereklioglu EH, Bekir NA, Borazan M, Zorlu F. Comparison of secondary implantation of flexible open-loop anterior chamber and scleral-fixated posterior chamber intraocular lenses. J Cataract Refract Surg. 2003;29:301–8.CrossRefPubMed Evereklioglu EH, Bekir NA, Borazan M, Zorlu F. Comparison of secondary implantation of flexible open-loop anterior chamber and scleral-fixated posterior chamber intraocular lenses. J Cataract Refract Surg. 2003;29:301–8.CrossRefPubMed
35.
go back to reference Dadeya S, Kamlesh, Kumari Sodhi P. Secondary intraocular lens (IOL) implantation: anterior chamber versus scleral fixation long-term comparative evaluation. Eur J Ophthalmol. 2003;13:627–33.PubMed Dadeya S, Kamlesh, Kumari Sodhi P. Secondary intraocular lens (IOL) implantation: anterior chamber versus scleral fixation long-term comparative evaluation. Eur J Ophthalmol. 2003;13:627–33.PubMed
36.
go back to reference Kwong YY, Yuen HK, Lam RF, Lee VY, Rao SK, Lam DS. Comparison of outcomes of primary scleral-fixated versus primary anterior chamber intraocular lens implantation in complicated cataract surgeries. Ophthalmology. 2007;114:80–5.CrossRefPubMed Kwong YY, Yuen HK, Lam RF, Lee VY, Rao SK, Lam DS. Comparison of outcomes of primary scleral-fixated versus primary anterior chamber intraocular lens implantation in complicated cataract surgeries. Ophthalmology. 2007;114:80–5.CrossRefPubMed
37.
go back to reference Gonnermann J, Amiri S, Klamann M, Maier AK, Joussen AM, Rieck PW, Torun N, Bertelmann E. Endothelial cell loss after retropupillary iris-claw intraocular lens implantation. Klin Monatsbl Augenheilkd. 2014;231:784–7.CrossRefPubMed Gonnermann J, Amiri S, Klamann M, Maier AK, Joussen AM, Rieck PW, Torun N, Bertelmann E. Endothelial cell loss after retropupillary iris-claw intraocular lens implantation. Klin Monatsbl Augenheilkd. 2014;231:784–7.CrossRefPubMed
38.
go back to reference Güell JL, Verdaguer P, Elies D, Gris O, Manero F, Mateu-Figueras G, Morral M. Secondary iris-claw anterior chamber lens implantation in patients with aphakia without capsular support. Br J Ophthalmol. 2014;98:658–63.CrossRefPubMed Güell JL, Verdaguer P, Elies D, Gris O, Manero F, Mateu-Figueras G, Morral M. Secondary iris-claw anterior chamber lens implantation in patients with aphakia without capsular support. Br J Ophthalmol. 2014;98:658–63.CrossRefPubMed
39.
go back to reference Güell JL, Verdaguer P, Mateu-Figueras G, et al. Unilateral iris-claw intraocular lens implantation for Aphakia: a paired-eye comparison. Cornea. 2016;35:1326–32.CrossRefPubMed Güell JL, Verdaguer P, Mateu-Figueras G, et al. Unilateral iris-claw intraocular lens implantation for Aphakia: a paired-eye comparison. Cornea. 2016;35:1326–32.CrossRefPubMed
40.
go back to reference Hazar L, Kara N, Bozkurt E, Ozgurhan EB, Demirok A. Intraocular lens implantation procedures in aphakic eyes with insufficient capsular support associated with previous cataract surgery. J Refract Surg. 2013;29:685–91.CrossRefPubMed Hazar L, Kara N, Bozkurt E, Ozgurhan EB, Demirok A. Intraocular lens implantation procedures in aphakic eyes with insufficient capsular support associated with previous cataract surgery. J Refract Surg. 2013;29:685–91.CrossRefPubMed
41.
go back to reference Xue K, Hildebrand GD. Retropupillary artisan intraocular lens implantation in very young children with aphakia following penetrating eye injuries. J AAPOS. 2013;17:428–31.CrossRefPubMed Xue K, Hildebrand GD. Retropupillary artisan intraocular lens implantation in very young children with aphakia following penetrating eye injuries. J AAPOS. 2013;17:428–31.CrossRefPubMed
42.
go back to reference Menezo JL, Cisneros AL, Rodriguez-Salvador V. Endothelial study of iris-claw phakic lens: four year follow-up. J Cataract Refract Surg. 1998;24:1039–49.CrossRefPubMed Menezo JL, Cisneros AL, Rodriguez-Salvador V. Endothelial study of iris-claw phakic lens: four year follow-up. J Cataract Refract Surg. 1998;24:1039–49.CrossRefPubMed
43.
go back to reference Liu E, Cole S, Werner L, Hengerer F, Mamalis N, Kohnen T. Pathologic evidence of pseudoexfoliation in cases of in-the-bag intraocular lens subluxation or dislocation. J Cataract Refract Surg. 2015;41:929–35.CrossRefPubMed Liu E, Cole S, Werner L, Hengerer F, Mamalis N, Kohnen T. Pathologic evidence of pseudoexfoliation in cases of in-the-bag intraocular lens subluxation or dislocation. J Cataract Refract Surg. 2015;41:929–35.CrossRefPubMed
44.
go back to reference Steeples LR, Jones NP. Late in-the-bag intraocular lens dislocation in patients with uveitis. Br J Ophthalmol. 2015;99:1206–10.CrossRefPubMed Steeples LR, Jones NP. Late in-the-bag intraocular lens dislocation in patients with uveitis. Br J Ophthalmol. 2015;99:1206–10.CrossRefPubMed
45.
go back to reference Saffra N, Rakhamimov A, Masini R, Rosenthal KJ. Anterior chamber iris claw lens for the treatment of Aphakia in a patient with Megalocornea. Case Rep Ophthalmol. 2015;6:164–9.CrossRefPubMedPubMedCentral Saffra N, Rakhamimov A, Masini R, Rosenthal KJ. Anterior chamber iris claw lens for the treatment of Aphakia in a patient with Megalocornea. Case Rep Ophthalmol. 2015;6:164–9.CrossRefPubMedPubMedCentral
Metadata
Title
Calculation of iris-claw IOL power for correction of late in-the-bag IOL complex dislocation
Authors
Valentín Huerva
Francisco J. Ascaso
Isabel Caral
Andrzej Grzybowski
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Ophthalmology / Issue 1/2017
Electronic ISSN: 1471-2415
DOI
https://doi.org/10.1186/s12886-017-0516-1

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