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D. Pulido, J. M. Paulin-Huerta, E. Chavez-Mondragon, A. Ramirez-Miranda; Six-Month Follow-Up of Iris Suture Fixation of Foldable Acrylic IOLs in the Absence of Capsular Support. Invest. Ophthalmol. Vis. Sci. 2010;51(13):4580.
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Iris-sutured IOLs have comparative advantages over the other options, including reduced inflammation, absence of suture exposure risk, and respect for angle structures.In this study we report visual outcome, complications and OCT, and Specular Microscopy findings of modified McCannel iris suture fixation of small- incision foldable acrylic intraocular lenses (IOLs) for aphakia in the absence of capsule support.
6 patients who underwent iris fixation of a foldable acrylic IOL were evaluated with Preoperative and postoperative SD-OCT and Specular microscopy,we also report surgical history, clinical results, and complications.
BCVA dramatically improved from 20/400 to 20/40 in all the eyes, follow-up of 6 to 10 months. Complications included transient, transient pigment dispersion (80%), IOL dislocation (20%), elevated intraocular pressure (20%]).OCT showed no significant changes in central macula thickness in 6 to 10 months follow-upand the endothelial cell loss did not worsen from physiological numbersin 6 months follow-up .
Iris fixation of 3-piece acrylic foldable IOLs in the absence of capsule support appears to be an effective technique with few severe adverse events, such as CME assessed by SD-OCT or corneal decompensation.
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