Comparison of anterior and posterior chamber implantation of iris claw lens in corneal transplant patients
Articles > Article · 2021
Authors: Mine ESEN BARIŞ, Melis PALAMAR ONAY, SAİT EĞRİLMEZ, AYŞE YAĞCI
European Eye Research, Refereed Journals of Other Institutions, International, Scopus, 2021, vol 1, pp 1-5
Summary
<p><span id="ContentPlaceHolder1_lblContent">INTRODUCTION: This study aims to compare the surgical outcomes of anterior chamber (AC) and posterior chamber (PC) implantation of iris claw lens (ICL) combined with penetrating corneal transplantation (P-CT), in eyes with no capsular support.<br>METHODS: The records of 20 P-CT cases who underwent ICL implantation were retrospectively evaluated. The eyes were grouped according to the location of implantation; AC ICL and PC ICL. Pre- and post-surgical best-corrected visual acuity (BCVA), post-operative complications, and graft rejection rates were compared between the two groups. Mean follow-up time was 28 (range, 12 and 76) months.<br>RESULTS: ICLs were implanted during P-CT surgery in 14 (70%) eyes and as a secondary procedure after P-CT in 6 (30%) eyes. ICLs were implanted in PC in 12 (60%) and in AC in 8 (40%) eyes. Mean pre-operative BCVA was 0.064 (range, 0.001–0.02) in the PC group and 0.02 (range, 0.001–0.1) in the AC group (p=0.86). Mean post-operative BCVA was 0.17 (range, 0.0001–1.0) in the PC group and 0.14 (range, 0.0001–0.4) in the AC group (p=0.81). Glaucoma developed in 5 (41.6%) eyes with PC ICL. No eye with AC ICL developed glaucoma overtime.<br>DISCUSSION AND CONCLUSION: Both AC and PC ICL implantations provide favorable visual outcomes and complication rates in CT patients. However, PC implantation of ICL seems to increase glaucoma incidence.</span><br></p>