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Comparison of three intraocular lens implantation procedures for aphakic eyes with insufficient capsular support: A network meta -analysis

American Journal of Ophthalmology May 17, 2018

Li X, et al. - Researchers compared the clinical outcomes and main complications of transscleral-fixated (TSF), intrascleral-fixated (ISF) and iris-fixated (IF) intraocular lenses (IOLs). Among TSF, ISF and IF, Comparable postoperative visual outcomes were seen for eyes with insufficient capsular support. Nonetheless, among approaches, there was a different risk of some complications. Superiorities of IF were seen in lower risk of IHO and glaucoma escalation as well as shorter surgical time. In greater endothelial cell impairment, IF was at disadvantage. Since a clear contraindication to one of the surgical approaches could be seen in some patients, eventually, the decision of surgical approach depended on surgeon’s experience and the presenting pathology.
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