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International Ophthalmology

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01-02-2018 | Original Paper

Primary iris claw IOL retrofixation with intravitreal triamcinolone acetonide in cases of inadequate capsular support

Authors: Aditya Kelkar, Rachana Shah, Viraj Vasavda, Jai Kelkar, Shreekant Kelkar

Published in: International Ophthalmology | Issue 1/2018

Abstract

Purpose

To assess the outcomes and analyze complication rates following primary iris claw IOL retrofixation with intravitreal triamcinolone acetonide.

Methods

This is a retrospective interventional case series. Patients with poor capsular support—diagnosed preoperatively or owing to intraoperative complications—were treated with iris claw IOL retrofixation with intravitreal triamcinolone acetonide. The data were retrospectively analyzed.

Results

104 eyes of 102 patients with poor capsular support who underwent the procedure between 2010 and 2013 were analyzed. The minimum follow-up period was 12 months (ranging from 12 to 36 months). Iris claw IOL was implanted in—traumatic subluxated cataracts—24 cases (23.07%), non-traumatic subluxated cataracts in 16 cases (15.38%), or as a complication of cataract surgery—intraoperative posterior capsular rent in 48 cases (46.15%) and intraoperative nucleus drop in 16 cases (15.38%). The final mean best-corrected logMAR visual acuity improved from 1.36 ± 0.64 preoperatively to 0.36 ± 0.32 at 1-year follow-up. Complications included pupil ovalization in 11 cases (10.57%), transient elevation in intraocular pressure in 7 eyes (6.73%), postoperative hypotony in 5 eyes (4.80%), cystoid macular edema in 2 eyes (1.92%), retinal detachment in 1 eye (0.96%), vitreous hemorrhage in 1 eye (0.96%), and hyphema in 1 eye (0.96%).

Conclusion

Primary iris claw IOL retrofixation provided excellent alternative in patients with inadequate capsular support. The visual outcomes were good along with favorable rates of complications. The addition of triamcinolone acetonide helps in reducing the chances of cystoid macular edema.

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Title: Primary iris claw IOL retrofixation with intravitreal triamcinolone acetonide in cases of inadequate capsular support
Authors: Aditya Kelkar
Rachana Shah
Viraj Vasavda
Jai Kelkar
Shreekant Kelkar
Publication date: 01-02-2018
Publisher: Springer Netherlands
Published in: International Ophthalmology / Issue 1/2018
Print ISSN: 0165-5701
Electronic ISSN: 1573-2630
DOI: https://doi.org/10.1007/s10792-017-0467-9

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Primary iris claw IOL retrofixation with intravitreal triamcinolone acetonide in cases of inadequate capsular support

Abstract

Purpose

Methods

Results

Conclusion

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