BACKGROUND The ideal intraocular lens in cases of aphakia without capsular support is debated. Choices include anterior chamber lenses, iris- or scleral-sutured lenses, and iris-claw lenses. Our aim was to report our long-term evaluation of the use of retropupillary implantation of the Artisan iris-claw intraocular lens (RPICIOL) in several aphakic conditions without capsular support. METHODS...

IMPORTANCE The efficacy and safety of primary intraocular lens (IOL) implantation during early infancy is unknown. OBJECTIVE To compare the visual outcomes of patients optically corrected with contact lenses vs IOLs following unilateral cataract surgery during early infancy. DESIGN, SETTING, AND PARTICIPANTS The Infant Aphakia Treatment Study is a randomized clinical trial with 5 years of f...

For this issue on low vision, the Community Eye Health Journal contacted low vision practitioners in India, Tanzania, Nepal, and Peru to help gather the views of eighteen people attending their low vision clinics. The people varied in age from 14 to 81, and suffered from a range of vision problems including nystagmus, retinitis pigmentosa, diabetic retinopathy, and bilateral aphakia. The interv...

Selection of Patients Between November, 1961, and October, 1964, 182 cases of detached retina came to surgery. They were treated as follows: Arruga string operation, 112 cases; silicone rod implant, 33 cases; scieral resection or overlay, 20 cases; diathermy, 17 cases. Other patients were seen in whom operation was either not advised or was refused. Indications for the Arruga string operation w...

Senile cataract is the leading cause of severe vision loss and blindness worldwide, affecting approximately 20 million people. Anterior chamber intraocular lens (AC IOLs) remain a surgical option for visual rehabilitation required after surgical extraction of the cataract lens. Relevant publications in the PUBMED database were searched for articles regarding the types, visual outcomes and the c...

PURPOSE To describe a case of free migration of intraocular glass in aphakia after glaucoma surgery. METHODS We report the case of a 27-year-old man with a history of perforating injury to the right eye 10 years previously and glaucoma surgery 1 year previously presenting with 1 month of pain and frequent floaters in front of the right eye. On examination, the glass fragment was seen to lie f...

OBJECTIVE To evaluate parenting stress following infants' cataract extraction surgery, and to determine if levels of stress differ between 2 treatments for unilateral congenital cataract in a randomized clinical trial. METHODS At surgery, an intraocular lens (IOL) was implanted or children were left aphakic, treated with contact lens (CL). Stress measures were administered 3 months after surg...

Implantation of intraocular lens with Iris-fixation is a safe, efficient and predictable surgical procedure, which empowers the refractive surgeon with singular capabilities. Among their advantages are the reversibility, preservation of accommodation and a broad spectrum of ametropic correction. This lens also appears to be a valid option, with a favorable complication rate, for the treatment o...