Dr. Anant Singhi

Dr.Nisha Ahuja

Abstract

Aim: To compare post operative IOP in patients undergoing iris claw implantation with and without surgical peripheral iridectomy

Materials and methods: Patients who underwent iris claw implantation belonging to two groups, one with surgical peripheral iridectomy(PI) and one without peripheral iridectomy, were followed postoperatively for intraocular pressure and other parameters were also studied. Results: 55 out of 60 patients achieved vision better than 6/18 on Snellen’s chart. Corneal edema and raised IOP was the most common complication followed by ovalization of pupil. Iritis was seen in only 10 % patients. Mean IOP on day 1 post surgery was significantly higher in patients who underwent iris claw implantation without surgical PI. Though at 6 weeks both groups were comparable with normal IOP.

Conclusion: IOP is seen to be raised in cases with Iris claw implantation without surgical PI on day 1 but it resolves with medical management. Final IOP were similar in both the groups.