Long Term Follow-up of Retropupillary Fixation of Iris-clipped Intraocular Lens for Children with Inadequate Capsular Support

Abstract

Children with weak or absent capsular support requiring lens removal and intraocular lens implantation present
as one of the more challenging cases in pediatric ophthalmology practice. The authors present a case series with postoperative follow-up of at least five years after retropupillary fixation of iris-clipped lenses. All cases had improved visual acuity with only minor focal iris atrophy as complication in one case. Retropupillary fixation of iris-clipped IOL should be included in an ophthalmologist's armamentarium when operating on cases with weak or absent capsular support.