gms | German Medical Science

21. Jahrestagung der Retinologischen Gesellschaft gemeinsam mit dem
8. Symposium der International Society of Ocular Trauma

Deutsche Gesellschaft für Retinologie
International Society of Ocular Trauma

19.06. - 22.06.2008, Würzburg

The golden standard of secondary IOL implantation in mini invasive era

Meeting Abstract

  • Cesare Forlini - Ravenna/Italy
  • M. Forlini - Ravenna/Italy
  • A. Bratu - Bucarest/Romania
  • A. Aversano - Ravenna/Italy
  • P. Rossini - Ravenna/Italy

Retinologische Gesellschaft. International Society of Ocular Trauma. 21. Jahrestagung der Retinologischen Gesellschaft gemeinsam mit dem 8. Symposium der International Society of Ocular Trauma. Würzburg, 19.-22.06.2008. Düsseldorf: German Medical Science GMS Publishing House; 2008. DocISOTRG2008V087

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Veröffentlicht: 18. Juni 2008

© 2008 Forlini et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen ( Er darf vervielfältigt, verbreitet und öffentlich zugänglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.



Purpose: Trauma can give rise to several alterations on an IOL stability, with the risk of the breaking of the capsular bag and of the zonula. In this cases a new fixation of the IOL is called for, as it can't be set in a suitable bag anymore, as suggested by A. Mohr (1999). To present a case series of Iris-Claw IOLs implantations on the posterior Iris surface, in trauma cases.

Methods: A series of trauma cases with post-traumatic aphakia, and iris damages.

In all cases it is performed a posterior iris-claw IOL implantation, also in cases of iris damage, after iris and pupil reconstruction. After a cornel tunnel of 6 mm at h12, and a double service tunnel at h 3 and h 9 the IOL is introduced in the anterior chamber with a forceps, then it is pushed behind the iris. Finally, with a hook through 3 and 9 o'clock keratotomy two haptics are clawed in the iris tissue.

Results: 15 cases, follow up 12 months. IOL stable and centered. One case of subluxation due to lost of the fixation of one IOL in one side: then repositioned without any complications.

Conclusions: The iris fixing on the posterior iris plane allows us not to tilt the IOL, to observe in the patience the lower subjective dazzling, to notice the best stability given by the natural posterior-anterior flow and the best aesthetic result, as the observer doesn't see the classical reflection tilting, typical in a anterior iris-fixing IOL.