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Automated Perimetry
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PureSee Kesintisiz Yüksek Kalitede Görüş
TJ-CEO 2012 , Vol 7 , Num 1
Turkish Abstract Abstract PDF Similar Articles Mail to Author
Iris Claw Lenses in The Surgical Management of Aphakia with Capsular and/or Zonular Insufficiency
Zafer ÖZTAŞ1, Tansu ERAKGÜN2, Melis PALAMAR ONAY3, Cumali DEĞİRMENCİ4, Sait EĞRİLMEZ5
1M.D., Burdur State Hospital Eye Clinic, Burdur/TURKEY
2M.D. Professor, Ege University Faculty of Medicine, Department of Ophthalmology, İzmir/TURKEY
3M.D., Ege University Faculty of Medicine, Department of Ophthalmology, İzmir/TURKEY
4M.D. Asistant, Ege University Faculty of Medicine, Department of Ophthalmology, İzmir/TURKEY
5M.D. Associate Professor, Ege University Faculty of Medicine, Department of Ophthalmology, İzmir/TURKEY
Purpose: To evaluate the anatomic and functional results of iris claw lenses (ICL) in the surgical management of aphakic cases with capsular and/or zonular insufficiency.
Materials and Methods: The data of 25 eyes of 25 cases who had undergone ICL (Artisan Aphakia, Ophtec) implantation in Ege University Faculty of Medicine, Department of Ophthalmology between February 2006 and November 2008 were retrospectively evaluated. Pre- and post-operative best corrected visual acuity (BCVA) were calculated according to Logmar equivalents, and keratometry values and corneal thickness were measured. Scheimpflug camera system (Pentacam, Oculus, Wetzlar, Germany) was used to if any demonstrate the presence of tilt or dislocation of ICL and measure the central corneal thickness.
Results: A total of 0.23 Logmar equivalent (2.3 standart line) increase in post-operative BCVA was evident (p=0.019, T Test). The comparison of pre- and post-operative BCVA revealed increment in 14, decrement in 4 cases and no change in 7 cases. Post-operative keratometric astigmatism increased with a mean of 1.04 diopters (p=0.001, T Test), central corneal thickness increased approximately 1% (p=0.000, T Test). In the early post-operative period pupillary block was detected in 1, ICL tilt in 3 cystoid macular edema in 3 cases. In the late post-operative period retinal detachment in 1, cystoid macular edema in 1, graft failure due to herpetic keratitis in 1 case were experienced.
Conclusion: ICL lenses were found to have satisfactory anatomic and functional results in the treatment of aphakic cases with capsular/zonular insufficiency.
Keywords : Aphakia, iris claw lens, complication, pentacam
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