Iris-claw lens in phakic eyes to correct hyperopia: preliminary study.
OBJECTIVE
To evaluate the results of implanting convex, iris-fixated, anterior chamber intraocular lenses (IOLs) in phakic eyes to correct high hyperopia.


METHODS
Robert Koch Hospital, Hannover-Gehrden, Germany (Center A), and Dr. Daljit Singh Eye Hospital, Amritsar, India (Center B).


METHODS
Two eyes at Center A and 67 at Center B had implantation of an anterior chamber, convex, iris-fixated IOL. Follow-up of the 2 eyes at Center A was 91 months. Mean follow-up at Center B was 78 months +/- 24 (SD) (range 12 to 120 months).


RESULTS
At Center B, all eyes except two in one patient had clear corneas and no iritis or glaucoma at the last follow-up. The patient with complications (glaucoma and corneal degeneration in both eyes) did not return for follow-up until more than 4 years postoperatively and thus did not have adequate postoperative care.


CONCLUSIONS
Implantation of a convex iris-claw lens into the anterior chamber of phakic eyes to correct high hyperopia was successful from a refractive aspect. The clinical risks appear tolerable. However, life-long observation by endothelial microscopy is mandatory.
Fechner
P U
PU
Robert Koch Hospital, Hannover-Gehrden, Germany.
Singh
D
D
Wulff
K
K
D000293:Adolescent; D000328:Adult; D000867:Anterior Chamber / Q000601:surgery*; D002648:Child; D005500:Follow-Up Studies; D006801:Humans; D006956:Hyperopia / Q000601:surgery*; D007498:Iris; D019654:Lens Implantation, Intraocular / Q000379:methods*; D007908:Lens, Crystalline; D008297:Male; D008875:Middle Aged; D010865:Pilot Projects; D012029:Refraction, Ocular; D016896:Treatment Outcome; D014792:Visual Acuity