Shruti Padmakar Shirwadkar, Nayana Potdar, Chhaya Shinde, Rahul Waghmore
BACKGROUND There are several alternatives for the surgical treatment of Aphakia (scleral fixation, intrascleral fixation, angle supported anterior chamber, ciliary sulcus supported, iris fixation intraocular lenses). Each technique has its own merits and demerits. Hence surgical correction of aphakia still remains challenging and controversial. The purpose of this study was to compare outcomes and complications of posterior fixated iris claw and sulcus supported lens from a tertiary care hospital. We wanted to compare visual outcome and complications of posterior iris claw intraocular lenses and sulcus placed intraocular lenses. METHODS This is a prospective interventional hospital-based study. A minimum of 60 patients fulfilling the inclusion criteria coming to our tertiary care hospital were selected for follow up study from January 2014 to December 2015. RESULTS 70.3% iris claw lenses and 76.6% of sulcus supported lenses had final BCVA 6/18-6/6. 26.5% iris claw lenses and 21.6% sulcus supported lenses had final BCVA in 6/60-6/24 group. Only 3.2% iris claw lenses and 1.8% were in less than 6/60 group. Mean logMAR visual acuity at the end of 6 weeks was comparable in both the groups. There were no significant differences between two groups in mean intraocular pressure at 1 week and at the end of 6 weeks. There was no significant difference between the two groups in operative complications. CONCLUSIONS Posterior fixed IOL was comparable to sulcus supported IOL in terms of BCVA at 6 weeks, intraocular pressure and operative complications.
