Visual outcomes following retropupillary iris-claw lens implantation

Purpose: To evaluate the technique , visual and safety outcomes of retropupillary iris-claw lens implantation in aphakic eyes. Method: All aphakic patients with inadequate capsular support with well defined iris were included. Prospective study was conducted from November 2018 to August 2019 in Ophthalmology department of J.L.N Medical College Ajmer. Surgery was done in two clinical settings in the form of primary implantation at time of cataract extraction surgery and other secondary implantation (who were already aphakic due to any cause). Results: Of the total 30 patients ,10 patients implanted primarily due to capsular rent or weakness of zonular support unmanageable by putting in ciliary sulcus and 20 were secondarily implanted who were already aphakic. At 6 months follow up very few complications noted.In 4 patients ovalization of pupil was noted, whereas high IOP observed only in 1 patient.In 2 patients severe inflammation in the form of AC cells was noted in 1 st month and decentered IOL was noted in only 2 patients.Most of the patients shown very good refractive outcome with minimum astigmatic error. Conclusion: This study suggests that retropupillary iris claw lens insertion is beneficial in aphakia, which is easy and fast method ensuring good refractive outcomes. This surgical procedure has the advantages of a posterior chamber implantation with a low intraoperative and postoperative risk profile.