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Retropupillary implantation of iris-claw lens shows long-term safety and stability in large patient sample
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PARIS — Retropupillary implantation of the Artisan iris-claw IOL in aphakic eyes without capsular support is a valid alternative to classic scleral-fixated or angle-supported IOL implantation, as shown by the long-term experience of one surgeon.
 Cesare Forlini |
"In the era of mini-invasive surgery, this technique can be considered the gold standard of IOL implantation in eyes without capsular support. While scleral fixation requires opening of the conjunctiva and sclera, a limbal incision is all you need with this method," Cesare Forlini, MD, said at the meeting of the European Society of Cataract and Refractive Surgeons. "Both cataract surgery and small-gauge vitrectomy can be performed through the same incision."
The Artisan iris-claw lens (Ophtec) is implanted under the iris, upside down, with the concave part posteriorly facing the pupil. The natural posterior chamber aqueous flow pushes the lens against the iris, maintaining it in a stable position.
"There is also an aesthetic advantage compared to implanting a phakic lens in the anterior chamber," Dr. Forlini said.
Retrospective analysis of 320 eyes showed long-term stability of the implant and few complications.