Minimally invasive surgery technique for re-enclavation of prepupillary iris-claw IOLs

Papazoglou, A; Zinkernagel, Martin (2014). Minimally invasive surgery technique for re-enclavation of prepupillary iris-claw IOLs. Klinische Monatsblätter für Augenheilkunde, 231(4), pp. 318-320. Ferdinand Enke Verlag 10.1055/s-0034-1368238

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BACKGROUND

Disenclavation is a common complication of prepupillary iris-claw intraocular lenses (IOL). We present a new minimally invasive revision surgery technique for reenclavation of prepupillary iris-claw IOLs using standard 23 Gauge (G) vitrectomy instruments.

HISTORY AND SIGNS

Three cases of revision surgery by unilaterally dislocated prepupillary iris-claw IOLs are presented.

THERAPY AND OUTCOME

Two 20 G sideports 90 degrees apart were constructed. Healon 10® was injected to maintain the anterior chamber. A standard enclavation needle was introduced to rotate the optic into correct position and a 23 G endgrasping forceps was used to grasp and stabilize the IOL for enclavation. The reenclavation was successful in all three cases and the mean visual acuity improved from preoperatively 0.1 (range counting fingers [CF] to 0.25) to 0.6 (range 0.4 to 0.8) with no significant induction of astigmatism.

CONCLUSIONS

This minimally invasive reenclavation technique for repositioning of the prepupillary iris claw IOL appears to lead to successful and rapid visual rehabilitation.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Ophthalmology

UniBE Contributor:

Zinkernagel, Martin Sebastian

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0023-2165

Publisher:

Ferdinand Enke Verlag

Language:

English

Submitter:

Sebastian Wolf

Date Deposited:

16 Apr 2015 10:03

Last Modified:

02 Mar 2023 23:26

Publisher DOI:

10.1055/s-0034-1368238

PubMed ID:

24771156

BORIS DOI:

10.7892/boris.66807

URI:

https://boris.unibe.ch/id/eprint/66807

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