Small-incision iris fixation of foldable intraocular lenses in the absence of capsule support.
OBJECTIVE
To report visual outcomes and complications of modified McCannel iris suture fixation of small-incision foldable acrylic intraocular lenses (IOLs) for aphakia in the absence of capsule support.


METHODS
Retrospective interventional case series.


METHODS
Forty-six patients who underwent foldable acrylic IOL implantation using peripheral iris suture fixation for aphakia in the absence of capsule support.


METHODS
Data from 46 patients who underwent iris fixation of a foldable acrylic IOL were retrospectively evaluated for underlying diagnoses, surgical history, clinical results, and complications.


METHODS
Postoperative best-corrected visual acuity (BCVA), spherical equivalent, and surgical complications.


RESULTS
Best-corrected visual acuity improved from 20/100 to 20/50 (P = 0.01), with 97% of eyes maintaining or improving BCVA after a mean (+/- standard deviation) follow-up of 24.1+/-12.4 months. Complications included transient low-grade uveitis (3 [6.5%]), transient pigment dispersion (3 [6.5%]), IOL dislocation (2 [4.3%]), elevated intraocular pressure (1 [2.2%]), and retinal detachment (1 [2.2%]). No new cases of cystoid macular edema or worsening of glaucoma occurred.


CONCLUSIONS
Small-incision peripheral iris fixation of 3-piece acrylic foldable IOLs in the absence of capsule support appears to be an effective technique with few severe adverse events.
Condon
Garry P
GP
Drexel University College of Medicine, Pittsburgh, Pennsylvania, USA.
Masket
Samuel
S
Kranemann
Christoph
C
Crandall
Alan S
AS
Ahmed
Iqbal Ike K
II
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001035:Aphakia / Q000473:pathology* / Q000601:surgery*; D004867:Equipment Design; D005260:Female; D005548:Foreign-Body Migration / Q000209:etiology; D006801:Humans; D007498:Iris / Q000601:surgery*; D007903:Lens Capsule, Crystalline / Q000473:pathology; D019654:Lens Implantation, Intraocular / Q000009:adverse effects / Q000379:methods*; D007910:Lenses, Intraocular; D008297:Male; D008875:Middle Aged; D009798:Ocular Hypertension / Q000209:etiology; D012163:Retinal Detachment / Q000209:etiology; D012189:Retrospective Studies; D013536:Suture Techniques; D014605:Uveitis / Q000209:etiology; D014792:Visual Acuity