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Fig. 1 | BMC Ophthalmology

Fig. 1

From: Long-term follow-up of retropupillary iris-claw intraocular lens implantation: a retrospective analysis

Fig. 1

ae: RPICIOL implantation in a post-traumatic aphakia case with iridodialysis. a Aphakia with large iridodialysis; b Iris suturing with 10–0 polypropylene; c The IOL was introduced into the anterior chamber and oriented orthogonal to the corneal tunnel; d Positioning of the iris-claw lens behind the iris and enclavation of the iris tissue in the right haptic using a long spatula. Next, fixation of the haptic proximal to the paracentesis was performed using the same spatula; e Iris reconstruction completed and RPICIOL implanted. fj: RPICIOL implantation in a post-cataract surgery aphakia case. f 25-gauge infusion into the anterior chamber and introduction of the RPICIOL; g The iris-claw lens was rotated and oriented in the horizontal meridian (3 to 9 o’clock) with a hook; hi The RPICIOL was held with special forceps and enclavation of iris tissue in the claws of the lens was performed with a long spatula introduced through a lateral paracentesis by applying light pressure on the iris mid-periphery at the site exactly overlying the haptics, first at 9 o’clock then at 3 o’clock; j Immediate post-operative outcome; the IOL was stable and centered. ko: RPICIOL implantation in a post-traumatic aphakia case. k Anterior dislocation of a posterior chamber IOL in the anterior chamber with iris laceration; l Removal of the dislocated IOL; m Iridoplasty with polypropylene 10–0 suture; n Introduction of the iris-claw lens; o The eye after finishing the operation. pt: RPICIOL implantation in a post-cataract surgery aphakia case. pq Posterior dislocation of a posterior chamber IOL in the vitreous cavity; r Removal of the posteriorly dislocated IOL after vitrectomy, to the anterior chamber; st Introduction of the iris-claw lens, and the eye after finishing the operation

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