title: Iris reconstruction combined with iris-claw intraocular lens implantation for the management of iris-lens injured patients.
abstract: OBJECTIVE
  To study the efficiency and safety of iris reconstruction combined with iris-claw intraocular lens (IOL) implantation in the patients with iris-lens injuries.
  
  
  METHODS
  Retrospective, noncomparable consecutive case series study.
  
  
  METHODS
  Eleven patients (11 eyes) following iris-lens injuries underwent iris reconstructions combined with iris-claw IOL implantations. Clinical data, such as cause and time of injury, visual acuity (VA), iris and lens injuries, surgical intervention, follow-up period, corneal endothelial cell count, and optical coherence tomography, were collected.
  
  
  RESULTS
  Uncorrected VA (UCVA) in all injured eyes before combined surgery was equal to or <20/1000. Within a 1.1-4.2-year follow-up period, a significant increase, equal to or better than 20/66, in UCVA was observed in six (55%) cases, and in best-corrected VA (BCVA) was observed in nine (82%) cases. Postoperative BCVA was 20/40 or better in seven cases (64%). After combined surgery, the iris returned to its natural round shape or smaller pupil, and the iris-claw IOLs in the 11 eyes were well-positioned on the anterior surface of reconstructed iris. No complications occurred in those patients.
  
  
  CONCLUSIONS
  Iris reconstruction combined with iris-claw IOL implantation is a safe and efficient procedure for an eye with iris-lens injury in the absence of capsular support.
authors.forename: Shufang
authors.initials: S
authors.lastname: Hu
authors.forename: Mingling
authors.initials: M
authors.lastname: Wang
authors.forename: Tianlin
authors.initials: T
authors.lastname: Xiao
authors.affiliation: Eye Hospital, Wenzhou Medical College, Wenzhou, China.
authors.forename: Zhenquan
authors.initials: Z
authors.lastname: Zhao
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D005131:Eye Injuries / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007498:Iris / Q000293:injuries / Q000601:surgery*; D019654:Lens Implantation, Intraocular / Q000379:methods*; D007908:Lens, Crystalline / Q000293:injuries* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design; D019651:Plastic Surgery Procedures / Q000379:methods*; D012029:Refraction, Ocular; D012189:Retrospective Studies; D055815:Young Adult