title: Retropupillary fixation of iris-claw lens in visual rehabilitation of aphakic eyes.
abstract: BACKGROUND
  Surgical outcome of retropupillary fixation of iris claw lens.
  
  
  OBJECTIVE
  To evaluate the various indications, intra and post-operative complications, and visual outcome of retropupillary fixation of iris claw lens in aphakic eyes.
  
  
  METHODS
  The study design is a retrospective study at a tertiary eye care center.
  
  
  METHODS
  Review of medical records of 61 aphakic eyes of 61 patients, who were rehabilitated with retropupillary fixation of an iris claw lens, with a follow-up duration of at least 1 year.
  
  
  METHODS
  Data analysis was performed using paired t-test and Chi-square test.
  
  
  RESULTS
  Mean preoperative uncorrected visual acuity was 1.66 ± 0.3 LogMAR and postoperative acuity at 1 year was 0.53 ± 0.5 LogMAR (P = 0.00001). Preoperative distant best-corrected visual acuity was 0.30 ± 0.48 LogMAR and postoperative acuity at 1 year was 0.27 ± 0.46 LogMAR (P = 0.07). Mean preoperative astigmatism was 1.43 ± 1.94 D and postoperatively was 1.85 ± 2.16 D (P = 0.0127). Mean endothelial cell count was 2353.52 ± 614 cells/mm2 preoperatively which decreased to 2200 ± 728 cells/mm2 at 1 year follow-up (P = 0.006). There was no significant difference in central macular thickness and intraocular pressure pre and post-surgery. Complications included ovalization of pupil in 9.83%, hypotony in 1.63%, toxic anterior segment syndrome in 1.63%, cystoid macular edema in 11.47%, epiretinal membrane in 3.27%, and iris atrophy in 6.55%.
  
  
  CONCLUSIONS
  Iris claw is a safe and an effective method of rehabilitating aphakic eyes.
authors.affiliation: Department of Vitreoretina, Sankara Eye Hospital, Guntur, Andhra Pradesh, India.
authors.forename: G
authors.initials: G
authors.lastname: Jayamadhury
authors.affiliation: Department of Vitreoretina, Sankara Eye Hospital, Guntur, Andhra Pradesh, India.
authors.forename: Sudhakar
authors.initials: S
authors.lastname: Potti
authors.affiliation: Department of Vitreoretina, Sankara Eye Hospital, Guntur, Andhra Pradesh, India.
authors.forename: K Vinaya
authors.initials: KV
authors.lastname: Kumar
authors.affiliation: Department of Vitreoretina, Sankara Eye Hospital, Guntur, Andhra Pradesh, India.
authors.forename: R Madhu
authors.initials: RM
authors.lastname: Kumar
authors.affiliation: Department of Vitreoretina, Sankara Eye Hospital, Guntur, Andhra Pradesh, India.
authors.forename: K C
authors.initials: KC
authors.lastname: Divyansh Mishra
authors.affiliation: Department of Vitreoretina, Sankara Eye Hospital, Guntur, Andhra Pradesh, India.
authors.forename: Srinivasa Rao
authors.initials: SR
authors.lastname: Nambula
mesh_terms: D000368:Aged; D001036:Aphakia, Postcataract / Q000503:physiopathology / Q000534:rehabilitation / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007498:Iris / Q000601:surgery*; D007910:Lenses, Intraocular; D008297:Male; D011474:Prosthesis Design; D011680:Pupil; D012189:Retrospective Studies; D013997:Time Factors; D014792:Visual Acuity