Retropupillary fixated iris claw lens -an option for aphakia management

Aim: To study visual and surgical outcome in aphakic patients after implantation of retropupillary fixated iris claw lens. Materials and Methods: Medical records of the patients operated in Bharati Hospital, Sangli for the treatment of aphakia by secondary retropupillary fixated iris claw lens from September 2017 to August 2018 were included in the study. The data collected included the preoperative best corrected visual acuity (BCVA), auto-refractokeratometry, anterior segment evaluation on the slit lamp and posterior segment evaluation done by indirect ophthalmoscopy after pupillary dilatation with tropicamide eyedrops. The patients were also assessed for lacrimal sac patency and Goldmann applantion tonometry for intraocular pressure (IOP). Intraocular lens (IOL) power was calculated by SRK-T formula in aphakic mode by immersion based biometry. At follow up i.e. day 7 and 1 month, findings of patients include in study were BCVA, slit lamp examination and auto-refractokeratometry. Results: 86.66% patients operated by retropupillary fixated iris claw lens had postoperative improvement in visual acuity as compared to preoperative visual acuity. Conclusions: Retropupillary fixated Iris claw lens is an effective method of aphakia management with good visual outcomes and easy learning curve. Keywords: Aphakia, Iris claw lens, Visual acuity.