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- Title
Dislocated Intraocular Lens Extraction and Iris-Claw Lens Implantation in Vitrectomized and Non-vitrectomized Eyes.
- Authors
Ersöz, M. Giray; Hocaoğlu, Mümin; Muslubaş, Işıl Bahar Sayman; Arf, Serra; Karaçorlu, Murat
- Abstract
Objectives: To compare the outcomes and complications of dislocated intraocular lens (IOL) extraction and secondary iris-claw IOL (ICIOL) implantation in vitrectomized and non-vitrectomized eyes. Materials and Methods: This retrospective study included 19 vitrectomized eyes and 11 non-vitrectomized eyes that underwent dislocated IOL extraction and secondary anterior chamber ICIOL implantation between June 2014 and September 2017 and had at least one year of follow-up. Results: There were no significant differences between the groups in terms of demographic data, operative time, baseline anatomic and functional measurements, or postoperative changes in these measurements (all p>0.05). Postoperative best corrected visual acuity was significantly higher than preoperative values in both groups (both p<0.05). Complication rates did not differ between the groups (all p>0.05). In both groups, endothelial cell density was significantly lower at postoperative 1 year compared to preoperative measurements. There was no significant difference between groups regarding endothelial cell loss (p=0.49). One vitrectomized eye had corneal decompensation. Other complications included hyphema, transient increase of intraocular pressure, secondary glaucoma, pupillary irregularity, and dislocation of ICIOL. Mean operative time was 26.4±5.9 minutes. Conclusion: Dislocated IOL extraction and secondary anterior chamber ICIOL implantation is a safe treatment option in both vitrectomized and non-vitrectomized eyes.
- Subjects
VITREOUS body surgery; IRIS surgery; SURGICAL complication risk factors; EYE hemorrhage; COMPARATIVE studies; EPITHELIAL cells; OPHTHALMIC surgery; GLAUCOMA; PATIENT aftercare; INTRAOCULAR lenses; PATIENT safety; POSTOPERATIVE period; RISK assessment; VISUAL acuity; DECISION making in clinical medicine; PUPIL diseases; TREATMENT effectiveness; RETROSPECTIVE studies; MEDICAL device removal; PREOPERATIVE period; TREATMENT duration; DISEASE risk factors
- Publication
Turkish Journal of Ophthalmology / Turk Oftalmoloji Dergisi, 2019, Vol 49, Issue 5, p277
- ISSN
1300-0659
- Publication type
Article
- DOI
10.4274/tjo.galenos.2019.79735