July 2019
Volume 60, Issue 9
Open Access
ARVO Annual Meeting Abstract  |   July 2019
Iris-clip lens implantation in vitrectomised eyes
Author Affiliations & Notes
  • Sandro Di Simplicio
    Vitreoretinal Service, Royal Victoria Infirmary, Newcastle upon Tyne, ENGLAND, United Kingdom
  • Michael Mikhail
    Vitreoretinal Service, Royal Victoria Infirmary, Newcastle upon Tyne, ENGLAND, United Kingdom
  • Footnotes
    Commercial Relationships   Sandro Di Simplicio, None; Michael Mikhail, None
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science July 2019, Vol.60, 2050. doi:
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      Sandro Di Simplicio, Michael Mikhail; Iris-clip lens implantation in vitrectomised eyes. Invest. Ophthalmol. Vis. Sci. 2019;60(9):2050.

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      © ARVO (1962-2015); The Authors (2016-present)

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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.


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