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Case Series Of 6 Cases Of Keratoplasty With Retrofixation Of Iris Claw Lens

Case Series Of 6 Cases Of Keratoplasty With Retrofixation Of Iris Claw Lens. Sagar Kharosekar MS Ajay K MS, Chetan A MS Suchi Smita MS, Sri Ganesh MS. The authors have no financial interest. We have no financial interest. Purpose: To study results of 5 cases of PK &

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Case Series Of 6 Cases Of Keratoplasty With Retrofixation Of Iris Claw Lens

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  1. Case Series Of 6Cases Of Keratoplasty WithRetrofixationOfIris Claw Lens SagarKharosekar MS Ajay K MS, Chetan A MS SuchiSmita MS, Sri Ganesh MS The authors have no financial interest

  2. We have no financial interest • Purpose: To study results of 5 cases of PK & 1 case of descemet’s stripping femtosecond laser assisted endothelial keratoplasty with retrofixation of Iris claw lens with min. F/U of 6 mths.

  3. Methods • In cases without posterior capsule where keratoplasty is required retrofixated Iris claw lens after +/- ACIOL explantation & anterior vitrectomy done in cases of bullous keratopathy • Routine post op F/U up & treatment done.

  4. Methods • Iris enclavation areas monitered by UBM at 3 & 6 mths. • IOL and Iris planes compared on UBM • AC & vitreous cells monitered postop at 1,2,4,12 & 24wks . • Pre and post op BCVA at 6 mths compared.

  5. Results • Iris enclavation was firm in all cases till last follow up in all 6 cases. • Iris & IOL planes were parallel in all 6 cases without any tilt. • No cases had postop uveitis.

  6. Results • 1 case had acute allograft rejection at 8 wks • 1 had graft infiltrate (GPC in pairs) which led to graft failure at 11 wks Still till last F/U, retrofixated IOL was well in place. • In rest of the cases, BCVA improved from average 1.4/60, <N36 to 6/24, N 8.6 at 6 mths.

  7. Conclusion • Retrofixation of Iris claw lens appears to be good alternative to SFIOL or aphakic CLs in cases without posterior capsule where keratoplasty is needed • Further long term studies comparing results with SFIOL cases are of course required to know the efficacy & safety of these lenses.

  8. Conclusion • Iris atrophy leading to late slippage of the lens on long term seems unlikely but needs to be monitered and studied. • Can be used with even dilated, fixed irregular pupils provided we get a good chunk of iris for enclavation on both sides.

  9. Thank you

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