Comparative evaluation and analysis of sutured Scleral fixating intraocular lens (SFIOL) versus Retro pupillary iris claw lens implantation in the management of post cataract surgery aphakia in a tertiary care, teaching hospital in central Maharashtra.
Valay Chirag Parekh
, Dr Ajay Tammewar , Dr Anjali Kapse , Dr Anil Singh , Dr Praful Chaudhari
Sutured SFIOL, Retropupillary Iris Claw IOL, PCIOL, Aphakia.
Background- In modern ophthalmology, when executing a cataract surgery, a Rigid or a foldable intraocular lens (IOL) is implanted in the patient’s eye while still rendering the posterior capsule intact. Posterior chamber intraocular lens (PCIOL) implantation is not viable if the capsular support is insufficient or non-existent. A supplementary Iris claw lens or Scleral fixed IOL may be implanted if the condition warrants it. Aim – To assess and compare the visual acuity and sequelae (comprising of complications) of sutured Scleral fixating intraocular lenses (SFIOL) versus Retro pupillary iris claw lens implantation in the management of post cataract surgery aphakia. Methods – A retrospective comparative analysis of 120 aphakic eyes (post cataract surgery) was done where one group underwent sutured Scleral fixating intraocular lens implantation and the other group had undergone retropupillary iris claw lens implantation with a minimum follow up period of 6 months. Results – Improvement in UCVA (uncorrected visual acuity) and BCVA (best corrected visual acuity) was significantly seen in both SFIOL as well as Iris claw lens implantation(p<0.001). Time required for surgical implantation of Iris claw lens was remarkably less compared to SFIOL(p<0.001).(iris claw = 22.21 ± 4.56 minutes, SFIOL= 45.23 ±4.93minutes). Average intraocular pressure post operatively was almost similar in both the groups. Increased incidence of iritis (post operatively) (15%) was seen in retropupillary iris claw lens implantation compared to sutured SFIOL (10%). Frequent rise in intraocular pressure was seen in 12% of eyes fitted with iris claw lens and 18% of the same group also experienced oval shaped pupil. Conclusion- Both the groups retropupillary iris claw lens vs sutured SFIOL had approximately similar visual rehabilitation of 6/18-6/6(BCVA) for post cataract aphakia. In the SFIOL group Cystoid Macular Edema(CME) lasted until the final follow up in 3 cases and had no problems linked to sutures. Advantage of Iris claw implantation is that it required lesser surgical time whereas oval shaped pupil and immediate inflammation post operatively were the notable drawbacks.
"Comparative evaluation and analysis of sutured Scleral fixating intraocular lens (SFIOL) versus Retro pupillary iris claw lens implantation in the management of post cataract surgery aphakia in a tertiary care, teaching hospital in central Maharashtra.", IJSDR - International Journal of Scientific Development and Research (www.IJSDR.org), ISSN:2455-2631, Vol.7, Issue 9, page no.978 - 983, September-2022, Available :https://ijsdr.org/papers/IJSDR2209158.pdf
Volume 7
Issue 9,
September-2022
Pages : 978 - 983
Paper Reg. ID: IJSDR_201788
Published Paper Id: IJSDR2209158
Downloads: 000347287
Research Area: Medical Science
Country: Mumbai , Maharashtra , India
ISSN: 2455-2631 | IMPACT FACTOR: 9.15 Calculated By Google Scholar | ESTD YEAR: 2016
An International Scholarly Open Access Journal, Peer-Reviewed, Refereed Journal Impact Factor 9.15 Calculate by Google Scholar and Semantic Scholar | AI-Powered Research Tool, Multidisciplinary, Monthly, Multilanguage Journal Indexing in All Major Database & Metadata, Citation Generator
Publisher: IJSDR(IJ Publication) Janvi Wave
