title: The posterior iris-claw lens outcome study: 6-month follow-up.
abstract: OBJECTIVE
  The purpose of this study was to evaluate functional and anatomical outcomes of posterior iris-claw intraocular lens (IOL) implant for correction of aphakia in eyes with inadequate capsular support.
  
  
  METHODS
  Prospective case series of 108 aphakic eyes with inadequate capsular support which underwent posterior iris-claw IOL with a 6-month follow-up period was conducted. The cases belonged to two clinical settings: elective secondary implantation and those with intraoperative posterior dislocation of cataractous lens or IOL. Main outcome measures were visual acuity, anterior chamber reaction, stability of IOL, endothelial cell count, intraocular pressure (IOP), and cystoid macular edema (CME).
  
  
  RESULTS
  The mean best-corrected visual acuity was LogMAR 0.25. None had chronic anterior chamber inflammation. The mean difference in central endothelial counts before surgery and 1 month after surgery was 104.21 cell/mm2 (4.92%). There was no statistically significant difference in central endothelial cell count at 1 and 6 months (P = 0.91) and also in the central macular thickness at preoperative and after 6 months suggestive of CME (P = 0.078). Three eyes had raised IOP which were managed with neodymium-doped yttrium aluminum garnet laser peripheral iridotomy. There were no IOL dislocations or other adverse events in our series.
  
  
  CONCLUSIONS
  Posterior chamber iris-claw lenses are a good option in eyes with inadequate posterior capsular support. Chronic inflammation, poor lens stability, or significant central endothelial cell loss was not observed during the 6-month follow-up period.
authors.affiliation: Department of Cataract and Refractive Surgery, PBMA's H. V. Desai Eye Hospital, Pune, Maharashtra, India.
authors.forename: Nana Madhukar
authors.initials: NM
authors.lastname: Jare
authors.affiliation: Department of Cataract and Refractive Surgery, PBMA's H. V. Desai Eye Hospital, Pune, Maharashtra, India.
authors.forename: Ashwini Ganesh
authors.initials: AG
authors.lastname: Kesari
authors.affiliation: Department of Cataract and Refractive Surgery, PBMA's H. V. Desai Eye Hospital, Pune, Maharashtra, India.
authors.forename: Salil S
authors.initials: SS
authors.lastname: Gadkari
authors.affiliation: Department of Cataract and Refractive Surgery, PBMA's H. V. Desai Eye Hospital, Pune, Maharashtra, India.
authors.forename: Madan D
authors.initials: MD
authors.lastname: Deshpande
mesh_terms: D001036:Aphakia, Postcataract / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007498:Iris / Q000601:surgery*; D007910:Lenses, Intraocular; D008297:Male; D057852:Posterior Capsule of the Lens / Q000601:surgery; D011446:Prospective Studies; D011474:Prosthesis Design; D012029:Refraction, Ocular; D013997:Time Factors; D014792:Visual Acuity