Assessment of outcome and complications of retro pupillary fixated iris-claw intraocular lenses in a pediatric population

The purpose of this study was to report outcome and complications of retro pupillary fixated iris- claw intraocular lenses in a paediatric population (12 year and less). Design: Retrospective study.23 paediatric patients (34eyes) who underwent retro pupillary iris claw lens implantation between July 2012 to Sept 2018 at Anuradhasuperspeciality eye Hospital, Sangli, Maharashtra. Post-operative visual acuity and complications were analysed. Result: The average follow-up time was 20 months, and the average age of the patients was 67months (5m to 12 years). Almost 70% patients were in age group of 2 to8 years. Best-corrected median visual acuity values were increased from less than 6/60 to 6/36 On Snellen’s chart [ vision was checked with age specific methods ]. In which, 40% eyes have improved visual acuity up to 6/24 or better. 70% have visual acuity 6/36 and better. Most common complication observed were hyphema, corneal oedema and anterior chamber reaction. Other complication observed werehypotony, fish mouthing, subluxated IOL, RD and CD. Conclusion: Compared with previous similar studies, this study utilized the largest Paediatric patient group under 12 year of age lowest mean age of patient. Our study demonstrates that iris-claw intraocular lens implantation behind the iris is safe and easy technique in children with ectopialentis and children with lack of capsular support with good visual outcome and low complication rate.