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C. Forlini, P. Rossini, M. Forlini; Secondary Iol Implantation in the Transconjunctival Era. Invest. Ophthalmol. Vis. Sci. 2009;50(13):5576.
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Aim of this presentation is to show the options in case of secondary implant or IOL exchange using a posterior iris-claw fixated IOL.
We present a case series in which a posterior iris-claw IOL (Ophtec Artisan) is used. An anterior 25 gauge infusion and triamcinolone-assisted anterior vitrectomy when necessary are used. The posterior iris-fixed IOL is inserted through a corneal tunnel at 12 o’clock. The IOL is grasped with a forceps and the iris tissue is captured in the haptics using a spatula trough a paracentesis. At 3 and 9 o’clock. The cosmetic IOL is implanted by scleral fixation or on the anterior capsula, when present. When possible, apupillary plasty is performed, using the iris remnants. Those techniques are performed "open sky" or"closed eye". 234 implants since May 2002 to 30 September 2008.
Two cases of IOL subluxation and one case of complete luxation in the vitreous chamber (this due to a stiff and sutured iris tissue in a post-traumatic case. None case of iridocyclitis, pigmentary glaucoma or other post-surgical complications.
The choice of the IOL implantation depends on the degree of involvement, of the bag-zonula system. The posterior iris-fixed IOL is a valid alternative to the conventional scleral-fixed IOL.
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