2M.D., Kelkit State Hospital, Eye Clinic, Gümüşhane/TURKEY
3M.D., Ergani State Hospital, Eye Clinic, Diyarbakır/TURKEY
4M.D., Kanuni Sultan Süleyman Training and Research Hospital, Eye Clinic, İstanbul/TURKEY
5M.D. Associate Professor, Beyoğlu Eye Training and Research Hospital, İstanbul/TURKEY Purpose: To evaluate anatomical and functional results, early and late complications and scleral tunnel and corneal incision techniques in cases with posterior chamber iris-claw lens (ICL) implantation.
Materials and Methods: Thirty-nine eyes of 37 patients who underwent posterior chamber ICL implantation due to aphakia at Beyoğlu Eye Research and Training Hospital between February 2009 and January 2012 were analyzed retrospectively. Postoperative visual acuity and early and late complications were recorded.
Results: The postoperative best-corrected visual acuity (BCVA) increased in 30 eyes in comparison with preoperative BCVA and remained unchanged in 9 eyes. The most common complications in the early postoperative period were anterior chamber reaction (in 5 eyes) and mild-to-moderate transient corneal edema (in 3 eyes). Elevated intraocular pressure (in 2 eyes), cystoid macular edema (in 1 eye) and epiretinal membrane (in 2 eye) were detected. Four eyes which developed intraocular lens dislocation were treated surgically.
Conclusion: Posterior chamber ICL have been widely used in the treatment of aphakic cases with capsular/ zonular deficiency and anatomic and functional results were found successful. There was no statistically significant difference in the BCVA and cylindrical value between the scleral tunnel and corneal incision techniques at the last postoperative control.
Keywords : Aphakia, posterior chamber iris-claw lens, complications