To Analyse the Visual Outcomes and Immediate Postoperative Complications After Retropupillary Iris-Claw Lens Implantation in A Tertiary Care Hospital- A Prospective Study

Abstract

Background: To analyse the visual outcomes and immediate postoperative complications after retro pupillary iris-claw lens implantation in a tertiary care hospital.

Methods: In this prospective investigation, retro pupillary iris claw lens implantation was performed on 46 patients who lacked sufficient capsular support. The research was carried out in Raipur, Chhattisgarh, India, at the Shri Aurobindo Medical Research Centre. The time frame for the study was December 2022 to July 2023.

 Results: A total of 46 individuals (20 men and 26 women) had retro pupillary iris claw lenses placed in their eyes. 56.52 ±7.029 years was the patients' mean age (41-70 years). Fifteen aphakic eyes (32.39%) had the IOLs placed as a secondary treatment, and 31 eyes (67.39%) had them inserted during primary lens surgery (SICS). Pupil ovalization in 12 eyes (26.08%), striate keratopathy in 14 eyes (30.43%), Descemet membrane folds in 9 eyes (19.56%), the shallow anterior chamber in 7 eyes (15.21%), corneal edema in 5 eyes (10.86%), and choroidal detachment in 2 eyes (4.34%), were among the immediate post-operative problems.

 Conclusions: The implantation of retro pupillary iris claws in patients who had insufficient posterior capsular support yielded positive results. Iris claw lens implantation can be completed in the primary setting rather than waiting for secondary implantation at a later time, as evidenced by the identical visual acuity in both primary and secondary implantation.