Anterior chamber and retropupillary iris-claw intar ocular lens fixation comparison of clinical outcomes: a systematic review Article Swipe
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· 2024
· Open Access
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· DOI: https://doi.org/10.1097/ms9.0000000000002856
Background: In cataract surgery, optimal intraocular lens (IOL) placement is typically within the capsular bag. However, in the absence of sufficient capsular support, alternative techniques such as scleral-sutured IOLs, anterior chamber IOLs, and iris-fixated IOLs either in the anterior chamber or retropupillary are employed. The choice between these methods depends on factors like surgeon expertise, patient-specific anatomy, and clinical circumstances, with anterior chamber iris-claw IOLs offering a more straightforward approach and retropupillary techniques potentially providing additional benefits requiring advanced skills. Objective: This systematic review aims to evaluate the clinical outcomes of anterior chamber versus retropupillary iris-claw IOLs fixation. Methods: Adhering to the Preferred Reporting Items for Systematic Review and Meta-analysis guidelines, a comprehensive literature search was conducted using PubMed, Cochrane Central, Scopus, and Web of Science databases until May 2024. These searches focused on specific terms related to the methods, and data were extracted using a standardized online sheet. Results: The review encompassed nine studies, including two randomized control trials (RCTs) and seven observational studies (Cohort and case controls). A total of 714 patients were evaluated, comprising 295 females (41.3%) and 419 males (58.7%), with a mean age of 60.11 years (SD = 10.22). Conclusion: The studies underscore the ongoing debate regarding the optimal surgical approach for IOL implantation in cases of insufficient capsular support. Both anterior chamber and retropupillary techniques demonstrates efficacy, with the latter offering potential advantages through retropupillary iris-claw IOL implantation via scleral approach. However, larger-scale studies with longer follow-up periods are still needed to definitively establish the relative merits of the different procedures.
Related Topics
- Type
- review
- Language
- en
- Landing Page
- https://doi.org/10.1097/ms9.0000000000002856
- OA Status
- diamond
- Cited By
- 1
- References
- 12
- Related Works
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- OpenAlex ID
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Raw OpenAlex JSON
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https://openalex.org/W4405566460Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1097/ms9.0000000000002856Digital Object Identifier
- Title
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Anterior chamber and retropupillary iris-claw intar ocular lens fixation comparison of clinical outcomes: a systematic reviewWork title
- Type
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reviewOpenAlex work type
- Language
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enPrimary language
- Publication year
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2024Year of publication
- Publication date
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2024-12-19Full publication date if available
- Authors
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Khaled Moghib, Izere Salomon, Yasmeen Abdelglel, Samar A. Amer, Ali Salah, Suhel F Batarseh, N. Abbas, Amr K. HassanList of authors in order
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https://doi.org/10.1097/ms9.0000000000002856Publisher landing page
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YesWhether a free full text is available
- OA status
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diamondOpen access status per OpenAlex
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https://doi.org/10.1097/ms9.0000000000002856Direct OA link when available
- Concepts
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Medicine, IRIS (biosensor), Claw, Ophthalmology, Fixation (population genetics), Lens (geology), Optometry, Surgery, Optics, Artificial intelligence, Computer science, Mechanical engineering, Environmental health, Engineering, Population, Biometrics, PhysicsTop concepts (fields/topics) attached by OpenAlex
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1Total citation count in OpenAlex
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2025: 1Per-year citation counts (last 5 years)
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12Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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