Aphakia korrekciója irisklip műlencse retropupillaris beültetésével | Correction of aphakia with the implantation of the retropupillary iris clip intraocular artificial lens

Absztrakt: Bevezetes es celkitűzes: Az aphakia műteti korrekcioja sokszor komoly kihivas az operatőr szamara. A szerzők celja a retropupillarisan beultetett irisklip műlencsekkel szerzett tapasztalataik ismertetese. Modszer: A 2014. januar 1. es 2015. december 31. kozotti eseteket gyűjtottek ossze retrospektiv modon. Azokat a betegeket vontak be a tanulmanyba, akiknel retropupillarisan irisklip VRSA 54 (AMO Advanced Medical Optics, Amerikai Egyesult Allamok) beulteteset vegeztek el. A betegek kovetesi ideje legalabb harom honapos volt. Ertekeltek a műlencse stabilitasat, a műteti es műtet utani szovődmenyeket es a betegek latoelesseget. Eredmenyek: A fenti időszakban 11 esetben (egy nő, tiz ferfi) vegeztek ilyen beavatkozast. A műtet idejen a betegek atlageletkora 57,7 ev volt (25–74 ev). Negy esetben primer, het esetben szekunder beultetest vegeztek. A műlencse az irishez minden esetben rogzithető volt. A műtet előtti legjobb korrigalt latoelesseg 0,43 (0,1–1,0), a kovetesi idő vegen 0,49 (0,04–1,0) volt. Kovetkeztetesek: A rertopupillarisan beultetett iriskliplencse-implantacioval a betegek minden esetben jol rehabilitalhatoak voltak. Orv. Hetil., 2017, 158(1), 20–24. | Abstract: Introduction and aim: The correction of aphakia might be a challenge for the surgeon. The aim of this study is to describe the authors’ experience with the implantation of the retropupillary iris clip intraocular lens. Method: Patients between January 2014 and December 2015 were included in the retrospective study. Retropupillary implantation of iris clip intraocular lens VRSA 54 (AMO Advanced Medical Optics, USA) was performed in all cases. The minimum follow up period was three months. The stability of the intraocular lens and the intraoperative and postoperative complications and the visual acuity were evaluated. Results: During this time period 11 cases (1 female, 10 males) were included in the study. The mean age at the time of the implantation was 57.7 years (between 25–74 years). In 4 cases the iris clip lens was implanted during the first intervention, in 7 cases during the secondary procedure. In all cases the lens was fixated onto the iris posteriorly. The best corrected visual acuity before the iris clip implantation was 0.43 (0.1–1.0) and postoperatively at the time of the follow up 0.49 (0.04–1.0). Conclusions: With the use of the retropupillary implanted iris clip intraocular lens all of the patients could have been rehabilitated without major complications. Orv. Hetil., 2017, 158(1), 20–24.