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Yusef Yu.N.

Krasnov Research Institute of Eye Diseases;
I.M. Sechenov First Moscow State Medical University (Sechenov University)

Yusef S.N.

Krasnov Research Institute of Eye Disease

Vvedenskiy A.S.

Krasnov Research Institute of Eye Disease

Ivanov M.N.

Krasnov Research Institute of Eye Disease

Alkharki L.

Krasnov Research Institute of Eye Diseases

Fokina N.D.

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Refractive outcomes of out-of-the-bag intraocular lens implantation

Authors:

Yusef Yu.N., Yusef S.N., Vvedenskiy A.S., Ivanov M.N., Alkharki L., Fokina N.D.

More about the authors

Journal: Russian Annals of Ophthalmology. 2022;138(5‑2): 156‑161

DOI: 10.17116/oftalma2022138052156

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To cite this article:

Yusef YuN, Yusef SN, Vvedenskiy AS, Ivanov MN, Alkharki L, Fokina ND. Refractive outcomes of out-of-the-bag intraocular lens implantation. Russian Annals of Ophthalmology. 2022;138(5‑2):156‑161. (In Russ.)
https://doi.org/10.17116/oftalma2022138052156

Подписка 2025 (Russian Annals of Ophthalmology)
 
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For the moment, the refractive outcomes of out-of-the-bag intraocular lens (IOL) implantation remain insufficiently studied.

PURPOSE

To study and compare the refractive outcomes of retropupillary implantation of an iris-claw lens and transscleral suture fixation of IOL in complicated phacoemulsification.

MATERIAL AND METHODS

The study included 70 patients (73 eyes) after complicated phacoemulsification in combination with grade 2 lens subluxation. The first group included 36 patients (39 eyes) who underwent complicated phacoemulsification using torsional ultrasound and retropupillary implantation of an iris-claw lens. The second group included 34 patients (34 eyes) after complicated phacoemulsification using torsional ultrasound and transscleral suture fixation of an elastic hydrophobic IOL. In the postoperative period we performed a comparative evaluation of uncorrected visual acuity and best corrected visual acuity, the average absolute error of IOL optical power calculation, the precision of postoperative refraction within ±0.5 diopters, the degree of induced astigmatism, and the tilt of the IOL.

RESULTS

At three months after surgery uncorrected visual acuity of 0.8—1.0 was achieved in 33.3% of cases in the first group and 17.6% in the second group, the average absolute error of IOL optical power calculation was 0.34±0.08 diopters in the first group and 0.63±0.19 diopters in the second group, the precision of postoperative refraction within ±0.5 diopters was 94.9% in the first group and 85.3% in the second group, the tilt of the IOL was 0.69±0.21° in the first group and 3.19±0.97° in the second group (p<0.05). There were no significant differences in best corrected visual acuity and the degree of induced astigmatism 3 months after surgery.

CONCLUSION

Implantation of an iris-claw lens in the course of complicated phacoemulsification in lens subluxation significantly improves refractive outcomes of the implantation in comparison with transscleral IOL fixation.

Keywords:

cataract
lens subluxation
intraocular lens (IOL)
phacoemulsification

Authors:

Yusef Yu.N.

Krasnov Research Institute of Eye Diseases;
I.M. Sechenov First Moscow State Medical University (Sechenov University)

Yusef S.N.

Krasnov Research Institute of Eye Disease

Vvedenskiy A.S.

Krasnov Research Institute of Eye Disease

Ivanov M.N.

Krasnov Research Institute of Eye Disease

Alkharki L.

Krasnov Research Institute of Eye Diseases

Fokina N.D.

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Received:

19.01.2022

Accepted:

23.03.2022

List of references:

  1. Yusef SN, Yusef YuN. Comparison study of new nucleus fragmentation technique in dense cataract phacoemulsification. Vestnik oftal’mologii. 2012; 128(5):18-20. (In Russ.).
  2. Avetisov SE, Mamikonyan VR, Yusef YuN, Yusef SN, Ivanov MN, Avetisov KS. Hybrid phacoemulsification: a new stage in the improvement of cataract surgery. Vestnik oftal’mologii. 2014;130(2):4-7. (In Russ.).
  3. Malyugin BE. State-of-the-art cataract surgery and intraocular optical correction. Vestnik oftal’mologii. 2014;130(6):80-88. (In Russ.).
  4. Pershin KB, Pashinova NF, Konovalova MM, Tsygankov AYu, Konovalov ME, Temirov NE. Short term analysis of new- single-piece asphtric diffractive trifocal intraocular lens implantation. Oftal’mologia. 2019;16 (1):19-25. (In Russ.). https://doi.org/10.18008/1816-5095-2019-1-19-25
  5. Reddy J, Devta S, Vupparaboina K, Ali M, Vadavalli P. Early results of circularity and centration of capsulotomy prepared by three different methods. International Journal of Ophthalmology. 2021;14(1):76-82.  https://doi.org/10.18240/ijo.2021.01.11
  6. Avetisov SE, Lipatov DV. Functional results of correction of aphakia by different methods. Vestnik oftal’mologii. 2000;116(4):12-15. (In Russ.).
  7. Holt D, Stagg B, Young J, Ambati B. ACIOL, sutured PCIOL, or glued IOL: Where do we stand? Current Opinion in Ophthalmology. 2012;23(1):62-67.  https://doi.org/10.1097/ICU.0b013e32834cd5e5
  8. Yusef SN, Yusef YuN, Ivanov MN. Some features of phakoemulsification in lens subluxation. Vestnik oftal’mologii. 2013;129(3):12-15. (In Russ.).
  9. Voronin GV, Mamikonyan VR, Kharlap SI, Mashkova NA. Artisan iris-clow IOL implantation in cases of bilateral lens luxation into the vitreous body. Vestnik oftal’mologii. 2014;130(4):81-87. (In Russ.).
  10. Kozhukhov AA, Unguryanov OV, Rumiantsev AD. Classification and analysis of scleral IOL fixation methods. Sovremennye tehnologii v oftalmologii. 2019;5:49-54. (In Russ.). https://doi.org/10.25276/2312-4911-2019-5-49-54
  11. Metha R, Aref A. Intraocular lens implantation in the ciliary sulcus: challenges and risks. Clinical Ophthalmology. 2019;13:2317-2323. https://doi.org/10.2147/OPHT.S205148
  12. Torii T, Tamaoki A, Kojima T, Matsuda T, Kaga T, Ichikawa K. Comparison of clinical outcomes between intracapsular implantation and intrascleral fixation using the same model of intraocular lens. Clinical Ophthalmology. 2020;14:3965-3974. https://doi.org/10.2147/OPHT.S268126
  13. Ashena Z, Maqsood S, Ahmed S, Nanavaty M. Effect of intraocular lens tilt and decentration on visual acuity, dysphotopsia and wavefront aberrations. Vision. 2020;4(3):41.  https://doi.org/10.3390/vision4030041
  14. Yusef YuN, Yusef SN, Ivanov MN, Fokina ND, Alkharki L. Some features of phakoemulsification in lens subluxation. Vestnik oftal’mologii. 2019;135(3): 104-108. (In Russ.). https://doi.org/10.17116/oftalma2019135031104
  15. Veronese C, Maiolo C, Armstrong G, Promavera L, Torrazza C, Mora L, Ciardella A. New surgical approach for suturless scleral fixation. European Journal of Ophthalmology. 2020;30(3):612-615.  https://doi.org/10.1177/1120672120902020
  16. Kumar VK, Dushin NV. Implantation of intraocular lens «Iris-claw» in complicated forms of aphakia. Klinicheskaja oftal’mologija. 2002;3(4):158-161. (In Russ.).
  17. Baykara M, Ozcetin H, Yilmaz S, Timuçin OB. Posterior iris fixation of the iris-claw intraocular lens implantation through a scleral tunnel incision. American Journal of Ophthalmology. 2007;144(4):586-591.  https://doi.org/10.1016/j.ajo.2007.06.009
  18. Frolov MA, Kumar V, Isufai E, Dzhumova AA. Rehabilitation of patients with intraocular lens dislocation by implanting iris-claw IOL in retropupillary space. Oftal’mologija. 2010;7(3):18-21. (In Russ.).
  19. Choi EY, Lee CH, Kang HG, Han JY, Byeon SH, Kim SS, Koh HJ, Kim M. Long-term surgical outcomes of primary retropupillary iris claw intraocular lens implantation for the treatment of intraocular lens dislocation. Scientific Reports. 2021;11(1):726.  https://doi.org/10.1038/s41598-020-80292-3
  20. Li L, Wang K, Yan Y, Song X, Liu Z. Research on calculation of the IOL tilt and decentration based on surface fitting. Computational and Mathematical Methods in Medicine. 2013;2013:572530. https://doi.org/10.1155/2013/572530
  21. Jujo T, Kogo J, Sasaki H, Sekine R, Sato K, Ebisutani S, Toyoda Y, Kitaoka Y, Takagi H. 27-gauge trocar-assisted suturless intraocular lens fixation. BMC Ophthalmology. 2021;21(1):8.  https://doi.org/10.1186/s12886-020-01758-6
  22. Avetisov SE, Ambartsumian AR, Avetisov KS. Diagnostic capabilities of ultrasound biomicroscopy in phaco surgery. Vestnik oftal’mologii. 2013;129(5): 32-42. (In Russ.).
  23. Pashtaev NP. Hirurgiya podvyvihnutogo i vyvihnutogo v steklovidnoe telo hrustalika. Cheboksary: GOU «Institut usovershenstvovaniya vrachej»; 2006. (In Russ.).

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