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A meta-analysis of sutureless scleral-fixated intraocular lens versus retropupillary iris claw intraocular lens for the management of aphakia.
Chang, Yu-Min; Weng, Tzu-Heng; Tai, Ming-Cheng; Chen, Yi-Hao; Lee, Cho-Hao; Chang, Wei-Cheng; Hsieh, Meng-Wei; Chien, Ke-Hung.
Affiliation
  • Chang YM; Department of Ophthalmology, Tri-Service General Hospital; and School of Medicine,, National Defense Medical Center, Number 325, Section 2, Chang-Gong Rd, Nei-Hu District, Taipei, 114, Taiwan, Republic of China.
  • Weng TH; Department of Ophthalmology, Tri-Service General Hospital; and School of Medicine,, National Defense Medical Center, Number 325, Section 2, Chang-Gong Rd, Nei-Hu District, Taipei, 114, Taiwan, Republic of China.
  • Tai MC; Department of Ophthalmology, Tri-Service General Hospital; and School of Medicine,, National Defense Medical Center, Number 325, Section 2, Chang-Gong Rd, Nei-Hu District, Taipei, 114, Taiwan, Republic of China.
  • Chen YH; Department of Ophthalmology, Tri-Service General Hospital; and School of Medicine,, National Defense Medical Center, Number 325, Section 2, Chang-Gong Rd, Nei-Hu District, Taipei, 114, Taiwan, Republic of China.
  • Lee CH; Division of Hematology and Oncology Medicine, Department of Internal Medicine, Tri-Service General Hospital; and School of Medicine, National Defense Medical Center, Taipei, Taiwan.
  • Chang WC; Department of Ophthalmology, Taoyuan General Hospital, Ministry of Health and Welfare, Taoyuan, Taiwan.
  • Hsieh MW; Graduate Institute of Clinical Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan.
  • Chien KH; Department of Ophthalmology, Taoyuan Armed Forces General Hospital, Taoyuan, Taiwan. nsinkoph0311@gmail.com.
Sci Rep ; 14(1): 2044, 2024 01 24.
Article in En | MEDLINE | ID: mdl-38267491
ABSTRACT
This study compared the visual outcomes and complications between sutureless scleral-fixated intraocular lens and iris claw intraocular lens implantation in aphakia without adequate capsule and/or zonule support. Studies comparing the clinical outcomes of scleral-fixated intraocular lens and iris claw intraocular lens implantation published until April 2022 were retrieved from the PubMed, EMBASE, Cochrane Library, and Google Scholar databases. The outcomes included postoperative final visual acuity, surgical time, surgery-induced astigmatism, and complications. The weighted mean difference and odds ratio were calculated. Two randomized controlled trials and five cohort studies, including 244 and 290 eyes in the scleral-fixated intraocular lens group and iris claw group, respectively, were included. Scleral-fixated intraocular lens implantation results in a better postoperative final corrected distance visual acuity compared with iris claw intraocular lens implantation; however, it is more time-consuming. Scleral-fixated intraocular lens implantation seems to have lesser incidences of surgery-induced astigmatism. Furthermore, both procedures have a similar complication rate. Therefore, based on current best evidence, these two procedures should be considered according to patient's conditions.
Subject(s)

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Aphakia / Lenses, Intraocular Type of study: Clinical_trials / Observational_studies / Risk_factors_studies / Systematic_reviews Limits: Humans Language: En Journal: Sci Rep Year: 2024 Document type: Article Affiliation country: China Country of publication: United kingdom

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Aphakia / Lenses, Intraocular Type of study: Clinical_trials / Observational_studies / Risk_factors_studies / Systematic_reviews Limits: Humans Language: En Journal: Sci Rep Year: 2024 Document type: Article Affiliation country: China Country of publication: United kingdom