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Special IOL Fixation Techniques

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Complications During and After Cataract Surgery
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Abstract

The benefits of an iris-claw IOL implantation are a short surgical time, a sutureless implantation, an excellent centration without risk of tilting and a short learning curve (approx. 5 surgeries). The disadvantage is that the IOL is fixated into the iris tissue, and a too traumatic implantation may lead to an inflammation. This postoperative inflammation with cellular proliferation of the IOL is induced by macrophages. This occurs, however, only in the learning curve. In addition, sufficient iris tissue is required for implantation. See Sect. 5.1.

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1 Electronic Supplementary Material

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IOL extraction and implantation of an iris-claw IOL 1 (MP4 81263 kb)

Iris-claw implantation and artificial pupil IOL (MP4 82377 kb)

Subluxated IOL operated with one trocar (MP4 117612 kb)

Intrascleral fixation: aphakia (MP4 21849 kb)

Intrascleral fixation with DORC forceps 1 (MP4 20904 kb)

Intrascleral fixation DORC forceps 2 (MP4 67889 kb)

Scleral fixation of a luxated IOL (MP4 31353 kb)

Scleral fixation of IOL (MP4 11473 kb)

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© 2014 Springer-Verlag Berlin Heidelberg

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Spandau, U., Scharioth, G. (2014). Special IOL Fixation Techniques. In: Complications During and After Cataract Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-54449-1_5

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  • DOI: https://doi.org/10.1007/978-3-642-54449-1_5

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-54448-4

  • Online ISBN: 978-3-642-54449-1

  • eBook Packages: MedicineMedicine (R0)

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