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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

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The golden standard of secondary IOL implantation in mini invasive era

Meeting Abstract

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  • 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

The electronic version of this article is the complete one and can be found online at: http://www.egms.de/en/meetings/rg2008/08rg088.shtml

Published: June 18, 2008

© 2008 Forlini et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

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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.