title: Phakic iris-claw IOL implantation, with Bursa technique, through a self-sealing scleral tunnel and without iridotomy or iridectomy.
abstract: OBJECTIVE
  To present a novel technique for the implantation of phakic iris-claw intraocular lenses (IOL) in highly myopic cases.
  
  
  METHODS
  Twelve cases, under the age of 40, with high myopia were included in this retrospective study. The mean follow-up span was 14.4+/-5.8 months. Phakic iris-claw IOL implantation was performed, through a 5.5 or 6.5 mm self sealing scleral tunnel with Bursa technique. No suturing and opening a peripheral iridectomy or iridotomy was required in our study. Pre- and postoperative patient evaluation included manifest and cycloplegic refractions, uncorrected visual acuity, best-corrected visual acuity (BCVA), induced astigmatism, and intraocular pressure (IOP) assessments.
  
  
  RESULTS
  All eyes gained one to nine lines of BCVA of the Snellen chart. The vector analysis revealed an induced astigmatism of 0.63 D. No significant IOP change was detected throughout the follow-up.
  
  
  CONCLUSIONS
  The data suggest that nonfoldable iris fixated phakic IOL implantation, through a self-sealing incision with Bursa technique, is safe and requires no iridectomy or iridotomy in cases with deep anterior chambers.
authors.affiliation: Department of Ophthalmology, Uludag University School of Medicine, Bursa, Turkey. hozcetin@uludag.edu.tr
authors.forename: H
authors.initials: H
authors.lastname: Ozcetin
authors.forename: M
authors.initials: M
authors.lastname: Baykara
authors.forename: A T
authors.initials: AT
authors.lastname: Ozmen
authors.forename: O
authors.initials: O
authors.lastname: Yalcinbayir
mesh_terms: D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007429:Intraocular Pressure / Q000502:physiology; D032801:Iridectomy; D007498:Iris / Q000601:surgery*; D019654:Lens Implantation, Intraocular / Q000379:methods*; D008297:Male; D008866:Microsurgery / Q000379:methods; D009216:Myopia / Q000601:surgery*; D054120:Phakic Intraocular Lenses; D010865:Pilot Projects; D012029:Refraction, Ocular / Q000502:physiology; D012189:Retrospective Studies; D012590:Sclera / Q000601:surgery*; D013524:Surgical Flaps; D014792:Visual Acuity / Q000502:physiology