Abstract

Purpose : This study seeks to juxtapose the results of secondary procedures following cataract surgery using retropupillary iris claw IOL fixation and scleral-fixated IOL placement.
Methods : A retrospective scrutiny of 70 eyes that underwent iris claw IOL and SFIOL surgeries between January 2021 and August 2022 was included. observation period was one year and the choice between the two surgical techniques was governed by individual surgeon preferences. Examination focused on parameters : BCVA ,past surgical history and procedural approach and complications.
Results : Iris claw IOL recipients exhibited improved BCVA compared to SFIOL recipients at 1month postop, this waned by the 1year follow-up. both groups experienced significant enhancement in UCVA with claw IOL’s progressing from 2/60 to 6/24 and SFIOL’s from 1/60 to 6/36. BCVA of 6/12 or better was seen in 71% of eyes with claw IOL and 57% with SFIOL. rates of astigmatism post op was significantly higher in the SFIOL group