gms | German Medical Science

21st Annual Meeting of the German Retina Society and 8th Symposium of the International Society of Ocular Trauma (ISOT)

German Retina Society
International Society of Ocular Trauma

19.06. - 22.06.2008, Würzburg

Secondary IOL Implantation: Which Choice?

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. DocISOTRG2008V084

The electronic version of this article is the complete one and can be found online at:

Published: June 18, 2008

© 2008 Forlini et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.



Purpose: Aim of this presentation is to show the options in case of secondary implant or IOL exchange in post-traumatic cases.

Methods: We present a case series in which a posterior iris-claw IOL (Ophtec Artisan) and a cosmetic IOL (Ophtec RF 311) are used.An anterior 25 gauge infusion and triamcinolone-assisted anterior vitrectomy when necessary are used.The posterior iris-fixed IOL is inserted through a corneal tunnel at 12 o’clock. The IOL is grasped with a forceps and the iris tissue is captured in the haptics using a spatula trough a paracentesis. At 3 and 9 o’clock.The cosmetic IOL is implanted by scleral fixation or on the anterior capsula, when present. When possible, a pupillary plasty is performed, using the iris remnants.Those techniques are performed “open sky” or“closed eye”.

Results: One case or iris.claw subluxation in 196 implant since 2002 to 2007. The triamcinolone helps to show capsular residuals useful to the possible implantation, being guided the surgeon in the choice of this last one. In the series of cosmetic IOLs (28 cases since 2002 to 2007), none case of (sub)luxation and 4 cases of anterior and intermediate uveitis.

Conclusions: The choice of the IOL implantation depends on the degree of involvement, of the bag-zonula system. The posterior iris-fixed IOL is a valid alternative to the conventional scleral-fixed IOL. The cosmetic IOL is a good solution in cases of functional and hestetical problems. The 25G anterior infusion and the use of triamcinolone is indicated in these cases.