Abstract
Purpose :
To study complication rates and long-term best-corrected visual acuity (BCVA) in vitrectomised eyes undergoing iris-clip lens implantation.
Methods :
Retrospective case series including all patients who had undergone iris-clip lens implantation at the time of vitrectomy or having had previous vitrectomy, between February 2015 and March 2018. Patients were identified using theatre logbook and their electronic records were analysed.
Results :
Ninety-four eyes of eighty-nine patients were included in the study. Mean follow-up was 19.6 months (range 2-39). 60% of eyes underwent vitrectomy (anterior or posterior) at the time of iris-clip lens implantation. 40% eyes were vitrectomised before iris-clip lens implantation. Preoperative mean BCVA was 1.7LogMar that improved to 0.3LogMar postoperatively. In terms of complications; 17 eyes (18%) developed CMO, 4 eyes (4%) developed glaucoma and 3 eyes (3.1%) had uveitis. Eyes with anteriorly implanted lenses seem to have better mean BCVA and less cystoid macular oedema but this was statistically insignificant (P<0.07).
Conclusions :
Iris-clip lens implantation after vitrectomy is a safe and effective way of correcting aphakia in different conditions without capsular support.
This abstract was presented at the 2019 ARVO Annual Meeting, held in Vancouver, Canada, April 28 - May 2, 2019.