Endocapsular iris reconstruction implants for acquired iris defects: a clinical study.
OBJECTIVE
To report the clinical efficacy, safety, and long-term follow-up data on the use of endocapsular iris reconstruction implants (IRIs) during cataract surgery in patients with acquired iris defects.


METHODS
Single centre, retrospective, noncomparative, interventional case series. Five eyes of four patients with acquired iris defects and visually significant cataracts underwent clear cornea phacoemulsification and intraocular lens (IOL) implantation combined with insertion of endocapsular IRI. Data on the best-corrected visual acuity (BCVA), degree of preoperative and postoperative glare, photophobia, surgical complications, and long-term implant stability were analysed.


RESULTS
In all patients, IRI were successfully placed within the capsular bag during cataract surgery. There were no intraoperative or postoperative complications. Mean follow-up period was 29 months (range, 16-42). BCVA, subjective glare, and photophobia improved in all five eyes. Desired anatomic results were achieved in all of them.


CONCLUSIONS
In patients with acquired iris defects, implantation of endocapsular IRI during cataract surgery appears to be a safe and effective procedure. At a mean time gate of 29 months, both IOLs and IRI appeared to remain stable within the capsular bag.
Srinivasan
S
S
Department of Ophthalmology, Arrowe Park Hospital, Wirral, UK. sathish@tiscali.co.uk
Yuen
C
C
Watts
M
M
Prasad
S
S
D000328:Adult; D000368:Aged; D005500:Follow-Up Studies; D006801:Humans; D007498:Iris / Q000293:injuries / Q000601:surgery*; D007499:Iris Diseases / Q000601:surgery*; D019654:Lens Implantation, Intraocular / Q000379:methods*; D008297:Male; D008875:Middle Aged; D019919:Prosthesis Implantation; D012189:Retrospective Studies; D016896:Treatment Outcome; D014792:Visual Acuity