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Yusef Yu.N.

FGBU "NII glaznykh bolezneĭ" RAMN, Moskva

Iusef S.N.

Uchrezhdenie Rossiĭskoĭ akademii meditsinskikh nauk "NII glaznykh bolezneĭ" RAMN, Moskva

Avetisov K.S.

FGBU "NII glaznykh bolezneĭ" RAMN

Vvedenskiĭ A.S.

FGBU "NII glaznykh bolezneĭ" RAMN, Moskva

Shkoliarenko N.Iu.

FGBU "NII glaznykh bolezneĭ" RAMN, Moskva

Reznikova E.V.

Research Institute of Eye Disease, 11A Rossolimo St., Moscow, Russian Federation, 119021

Alkhumidi K.

Research Institute of Eye Disease, 11A Rossolimo St., Moscow, Russian Federation, 119021

Surgical technique of retropupillary iris-claw fixated IOL reimplantation

Authors:

Yusef Yu.N., Iusef S.N., Avetisov K.S., Vvedenskiĭ A.S., Shkoliarenko N.Iu., Reznikova E.V., Alkhumidi K.

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Journal: Russian Annals of Ophthalmology. 2018;134(3): 95‑98

DOI: 10.17116/oftalma2018134395

Views: 893

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To cite this article:

Yusef YuN, Iusef SN, Avetisov KS, Vvedenskiĭ AS, Shkoliarenko NIu, Reznikova EV, Alkhumidi K. Surgical technique of retropupillary iris-claw fixated IOL reimplantation. Russian Annals of Ophthalmology. 2018;134(3):95‑98. (In Russ.)
https://doi.org/10.17116/oftalma2018134395

Подписка 2025 (Russian Annals of Ophthalmology)
 
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Prevention and treatment of cataract surgery complications in patients with lens subluxation remains one of the current problems of phaco surgeries. Purpose: to develop and to test the surgical technique for reimplantation of in-the-bag dislocated intraocular lenses (IOL) or sulcus-fixated IOL. Material and methods. Surgical outcomes of 150 patients (150 eyes) with in-the-bag IOL dislocation (122 eyes) or sulcus fixated IOL dislocation (28 eyes) were analyzed. The follow-up period lasted 1—3 years. Results. In all cases the dislocated IOL was removed and retropupillary iris-claw «Artisan» IOL implantation was performed. After the IOL exchange, visual acuity improved in all patients, while the fixation of retropupillary IOL remained stable. Conclusion. This surgical technique of dislocated IOL exchange coupled with retropupillary implantation of «Artisan» IOL provides reliable anatomic and functional results.

Keywords:

cataract
IOL
capsular bag
dislocation
implantation

Authors:

Yusef Yu.N.

FGBU "NII glaznykh bolezneĭ" RAMN, Moskva

Iusef S.N.

Uchrezhdenie Rossiĭskoĭ akademii meditsinskikh nauk "NII glaznykh bolezneĭ" RAMN, Moskva

Avetisov K.S.

FGBU "NII glaznykh bolezneĭ" RAMN

Vvedenskiĭ A.S.

FGBU "NII glaznykh bolezneĭ" RAMN, Moskva

Shkoliarenko N.Iu.

FGBU "NII glaznykh bolezneĭ" RAMN, Moskva

Reznikova E.V.

Research Institute of Eye Disease, 11A Rossolimo St., Moscow, Russian Federation, 119021

Alkhumidi K.

Research Institute of Eye Disease, 11A Rossolimo St., Moscow, Russian Federation, 119021

List of references:

  1. Avetisov SE, Yusef YuN, Mamikonyan VR, Vvedensky AS, Yusef SN, Mutonen NV. Original method of exocapsular nuclear phacofragmentation in phacoemulsification. Vestnik oftal’mologii. 2002;118(5):18-21. (In Russ.)
  2. Yusef SN, Yusef YuN, Ivanov MN. Some features of phacoemulsification in lens subluxation. Vestnik oftal’mologii. 2013; 129(3):12-15. (In Russ.)
  3. Avetisov KS. Differentiated approach to hybrid phacoemulsification in small pupil. Vestnik oftal’mologii. 2015;131(3):61-— 63. (In Russ.) https://doi.org/10.17116/ophthalma2015131361-63
  4. Yusef YuN, Yusef SN, Avetisov KS, Vvedensky AS. Technique for surgical repositioning of in-the-bag dislocated intraocular lenses. Vestnik oftal’mologii. 2016; 132(1):53-56. (In Russ.) https://doi.org/10.17116/ophthalma2016132153-56
  5. Egorova AV, Vasiliev AV, Smolyakova GP. Results of surgical treatment of IOL dislocation. Oftal’mohirurgija. 2017;1:6-9. (In Russ.)
  6. Shchuko AG, Mishenko OP, Senchenko NYa, Yureva TN. Risk factors and complications arising in case of late spontaneous dislocations of the complex «posterior chamber IOL-capsular bag» into the vitreous body. Oftal’mohirurgija. 2017;1:21-26. (In Russ.)
  7. Avetisov SE, Ambartsumyan AR, Avetisov KS. Diagnostic capabilities of ultrasound biomicroscopy in phaco surgery. Vestnik oftal’mologii. 2013;129(5):32-41. (In Russ.)
  8. Güell JL, Velasco F, Malecaze F, Vázquez M, Gris O, Manero F. Secondary Artisan-Verysise aphakic lens implantation. J Cataract Refract Surg. 2005;31(12):2266-2271. https://doi.org/10.1016/j.jcrs.2005.06.047
  9. Gonnermann J, Klamann MK, Maier AK, Rjasanow J, Joussen AM, Bertelmann E, Rieck PW, Torun N. Visual outcome and complications after posterior iris-claw aphakic intraocular lens implantation. J Cataract Refract Surg. 2012;38(12):2139-2143. https://doi.org/10.1016/j.jcrs.2012.07.035
  10. Baykara M, Ozcetin H, Yilmaz S, Timuçin OB. Posterior iris fixation of the iris-claw intraocular lens implantation through a scleral tunnel incision. Am J Ophthalmol. 2007;144(4):586-591. https://doi.org/10.1016/j.ajo.2007.06.009
  11. Wolter-Roessler M, Küchle M. Correction of aphakia with retroiridally fixated IOL. Klin Monbl Augenheilkd. 2008;225(12):1041-1044. https://doi.org/10.1055/s-2008-1027721
  12. Frolov MA, Kumar V, Isufai E, Dzhumova AA. Rehabilitation of patients with intraocular lens dislocation by implantingiris-claw IOL in retropupillary space. Oftal’mologija. 2010;7(3):18-21. (In Russ.)
  13. Voronin GV, Mamikonyan VR, Kharlap SI, Mashkova NA. Artisan iris-clow IOL omplantation in cases of bilateral lens luxation into the vitreous body. Vestnik oftal’mologii. 2014;130(4):81-87. (In Russ.)
  14. Gonnermann J, Amiri S, Klamann M, Maier AK, Joussen AM, Rieck PW, Torun N, Bertelmann E. Endothelial cell loss after retropupillary iris-claw intraocular lens implantation. Klin Monbl Augenheilkd. 2014;231(8):784-787. https://doi.org/10.1055/s-0034-1368453

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