What question did this study set out to answer?

This research aims to evaluate the effectiveness, safety, and complications associated with primary iris-claw intraocular lens implantation in complicated cataract surgeries.

April 3, 2026The Pan-American Journal of OphthalmologyOpen Access

Rescue by primary retropupillary iris-claw intraocular lens in complicated cataract surgery: Risk factors, postoperative visual outcomes, and complications

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This research aims to evaluate the effectiveness, safety, and complications associated with primary iris-claw intraocular lens implantation in complicated cataract surgeries.
Conducted a prospective cross-sectional study from January to December 2022
Included 50 eyes with intraoperative posterior capsule rent or zonular dehiscence
Performed primary retropupillary fixation of a single-piece PMMA iris-claw IOL
Evaluated best-corrected visual acuity and intraocular pressure pre- and postoperatively
Followed up at day 1, 1 week, and 1 month
64% of eyes had preoperative visual acuity worse than counting fingers at 3 m
72% achieved visual acuity of ≥6/12 at 1 month post-surgery
Identified preoperative risk factors included small pupil, pseudoexfoliation, and various types of cataracts
Complications included transient Descemet's membrane folds, stromal edema, elevated intraocular pressure, and pupil irregularities, all managed medically
No instances of intraocular lens disenclavation or dislocation were reported

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Implication

Prospective study assesses visual outcomes and complications in cataract surgery with iris-claw lens implantation, suggesting effective intervention.

Cite This Study

Ksheeraja et al. (2026) studied this question.

synapsesocial.com/papers/69cf5eee5a333a821460db8f https://doi.org/10.4103/pajo.pajo_131_25

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Implication

Prospective study assesses visual outcomes and complications in cataract surgery with iris-claw lens implantation, suggesting effective intervention.

Rescue by primary retropupillary iris-claw intraocular lens in complicated cataract surgery: Risk factors, postoperative visual outcomes, and complications

Key Points

Discussion

Implication

Cite This Study

Rescue by primary retropupillary iris-claw intraocular lens in complicated cataract surgery: Risk factors, postoperative visual outcomes, and complications

Key Points

Discussion

Implication

Cite This Study

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