A PROSPECTIVE STUDY OF VISUAL OUTCOMES AND COMPLICATIONS OF PRIMARY AND SECONDARY RETRO PUPILLARY IRIS-CLAW INTRAOCULAR LENS IMPLANTATION
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Keywords
Retropupillary iris-claw intraocular lens (RPICL), Primary, Secondary, Visual outcomes, Complications.
Abstract
Background: In cases where there is insufficient capsular support, retro pupillary iris-claw intraocular lens (RPICL) implantation is one of the treatment options. This lens can be implanted during primary cataract surgery or as a secondary procedure weeks after the primary cataract surgery. The aim of this was a comparative study on visual outcomes and complications of primary and secondary retro pupillary iris-claw intraocular lens (RPICL).
Methods: This prospective study was done from December 2023 to November 2024. 52 patients fulfilling inclusion criteria, who attended the ophthalmology department of PGIMER and CH, Bhubaneswar were included in this study. 21 patients underwent primary RPICL implantation and 31 patients secondary RPICL implantation. The preoperative and postoperative evaluation was done with visual acuity, slit-lamp examination, IOP, and fundus examination. Follow-up was done on postoperative day 1, 2 weeks, 4 weeks,8 weeks. Results were analyzed with SPSS version 20.0.
Results: There were 52 total of 52 eyes of 52 patients of which primary RPICL was implanted in 21 eyes and secondary RPICL in 31 eyes. Post-operative complications on day 1 were more in primary implantation. 52% of primary implantation had corneal edema on postoperative day 1. Pupil ovalization was found in 19% of both groups. 2% of cases had RPICL haptic displacement. Only one patient (2%) had developed cystoid macular edema.
Conclusion: This study aims to provide a comparative analysis of these outcomes to guide clinical decision-making
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Dr. Lipika Panda
Associate Professor, Department of Ophthalmology, PGIMER and CH, Bhubaneswar, Odisha, India.
Dr. Sasmita Sahoo
Senior Resident, Department of Ophthalmology, PGIMER and CH, Bhubaneswar, Odisha, India.