Turkiye Klinikleri Journal of Medical Sciences

.: ORIGINAL RESEARCH
Longitudinal Changes in Macular Thickness After Retropupillary Iris Claw Intraocular Lens Implantation: A 1-year Observational Study and Comparison with Scleral Fixated Intraocular Lenses
İris Kıskaçlı Arka Kamara Lens İmplantasyonu Sonrası Makula Kalınlığı Değişimi: Bir Yıllık İzlem ve Skleral Fiksasyon ile Karşılaştırma
Esin SÖĞÜTLÜ SARIa, Alper YAZICIb, Gözde ŞAHİNc, Cenap GÜLERc, Fatih KENARd
aDepartment of Ophthalmology, Bursa Uludağ University Faculty of Medicine, Bursa, TURKEY
bBeta Eye Hospital, Manisa, TURKEY
cDepartment of Ophthalmology, Balıkesir University Faculty of Medicine, Balıkesir, TURKEY
dClinic of Opthalmology, Medicana Hospital, İstanbul, TURKEY
Turkiye Klinikleri J Med Sci. 2021;41(1):7-14
doi: 10.5336/medsci.2020-78127
Article Language: EN
Full Text
ABSTRACT
 Objective: To evaluate longitudinal changes in macular thickness after retropupillary iris claw intraocular lens (RP-ICIOL) implantation in eyes with post-cataract aphakia and to compare the results with scleral fixated intraocular lens (SFIOL). Material and Methods: The patients were enrolled between 2013 to 2016. Patients were divided into two groups as the ones with RP-ICIOL implanted eyes and SFIOL implanted eyes. Preoperatively and within 1 year postoperatively macular thickness were analysed. Results: RP-ICIOL group consisted of 22 eyes of 22 patients, SFIOL group consisted of 36 eyes of 36 patients. In RP-ICIOL group, statistically significant thickening in central foveal [1 mm, central foveal thickness (CFT)] macular thicknesses was observed firstly at 1st week and progressively increased during the 3 months (p0.050). CME was observed in 1 eye in RP-ICIOL group (4.54%), and 2 eye in SFIOL group (5.55%). Conclusion: The transient and subclinical macular thickening presented in all macular zones after RPICIOL implantation. These thickening started at first week, and progressively increased in the period of 3 months, then it reduced to baseline values at 1 year postoperatively. RP-ICIOL and SFIOL have similar effects on macular thickening.

Keywords: Retropupillary fixated iris claw intraocular lens; macular thickness; scleral fixated intraocular lens; aphakia
ÖZET
 Amaç: Katarakt cerrahisi sonrası arka kamara iris kıskaçlı göz içi lensi (AİKGİL) yerleştirilen hastalarda ameliyat sonrası makula kalınlığındaki değişimin incelenmesi ve sonuçların skleral fiksasyon uygulanan hastalar ile karşılaştırılması. Gereç ve Yöntemler: 2013 ve 2016 yılları arasında görülen hastalar çalışmaya alındı. Hastalar, AİKGİL ve skleral fiksasyon göz içi lens (SFGİL) yerleştirilenler olmak üzere 2 gruba ayrıldı. Ameliyat öncesi ve 1 yıllık takip süresince makula kalınlığı istatistiksel olarak karşılaştırıldı. Bulgular: AİKGİL grubu 22 hastanın 22 gözünden; SFGİL grubu ise 36 hastanın 36 gözünden oluşmaktaydı. AİKGİL grubunda santral [1 mm, santral foveal kalınlık (central foveal thickness (CFT)] makuler zonda 1. haftada istatistiksel olarak anlamlı bir artış tespit edildi ve bunun 3 aylık takip boyunca ilerleyici olarak arttığı görüldü (p0,050). Kistoid makula ödemi AİKGİL grubunda 1 gözde (%4,54), SFGİL grubunda ise 2 gözde (%5,55) görüldü. Sonuç: AİGİL implantasyonu sonrası geçici ve subklinik makuler kalınlık artışı oluşmaktadır. Bu artış 1. haftada başlamakta, 3. aya kadar progresif olarak artmakta ve 1. yılın sonunda başlangıç değerlerine dönmektedir. AİKGİL ve SFGİL'in makular kalınlığa etkileri benzerdir.

Anahtar Kelimeler: Arka kamara iris kıskaçlı lens; makuler kalınlık; skleral fiksasyon lensi; afaki
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