Clinical Outcomes Of Retro-Pupillary Iris Claw Iol Fixation In Pediatric Age Group.
Published 2022 - 40th Congress of the ESCRS
Reference: PE048 | Type: ESONT - Abstract | DOI: 10.82333/tgsa-9481
Authors: Tavishi Singhal* 1 , Sudarshan Khokhar 2
1Ophthalmology,Dr.RPCentre for Ophthalmic sciences,Delhi,India, 2Ophthalmology,Dr/RPCentre for ophthalmic sciences,Delhi,India
Purpose
To study the clinical outcomes of retro-pupillary iris claw IOL fixation in pediatric age group.
Setting/Venue
Dr.Rajendra Prasad Centre for Ophthalmic Sciences, AIIMS,New Delhi,India
Methods
We conducted an ambispective study where we took 50 eyes of children of the ages (5-15years) with subluxated lens or aphakia with insufficient capsular support who underwent retro-pupillary iris claw IOL fixation from Jan 2019 till August 2020( retrospective arm)and from Aug 2020 till Aug 2021(prospective arm) at our centre and recorded their clinical outcomes in terms of visual acuity, pupil size,central macular thickness, effective lens position on UBM and complications,if any.
Results
With a mean follow-up period of 15months(6months to 30months) and a mean age of 8.32years,the BCVA on last follow up was 0.30(±0.24). The MRSE was +1.12(±1.91)D at our last follow-up.The endothelial cell count dropped by 2.8% from its pre-op value.About 44% eyes had early horizontal pupil ovalisation, 14% had corneal edema on post-op day one, 10% developed IOL disenclavation .About 2% had wound leak on post-op day one which required resuturing .One eye developed retinal detachment in the follow up period.Pupil dilation wasn't affected.No eyes developed uveitis, glaucoma or macular edema.
Conclusions