Evidence map›Paper›PMID 41527004›Full record

ArticleInternational journal of retina and vitreous2026

Outcomes of intraocular lens exchange with combined pars plana vitrectomy and retropupillary iris-claw lens fixation.

Denise Pardini, Carolina Hilgert, Olívia Pereira Kiappe, Talita Virgínia Fernandes de Oliveira, Jorge Henrique Cavalcante Tavares, Marina Roizenblatt, Michel Eid Farah, Maurício Maia, André Maia

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Article in International journal of retina and vitreous, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Denise PardiniDepartment of Ophthalmology, Federal University of São Paulo, 822, Botucatu St. Vila Clementino, São Paulo, SP, Brazil. denise.pardini.marinho@gmail.com.
Carolina HilgertRetina Clinic, 1881, Estados Unidos St. Jardim América, São Paulo, Brazil.
Olívia Pereira KiappeDepartment of Ophthalmology, Federal University of São Paulo, 822, Botucatu St. Vila Clementino, São Paulo, SP, Brazil.
Talita Virgínia Fernandes de OliveiraDepartment of Ophthalmology, Federal University of São Paulo, 822, Botucatu St. Vila Clementino, São Paulo, SP, Brazil.
Jorge Henrique Cavalcante TavaresVision Institute, Instituto Paulista de Estudos e Pesquisas em Oftalmologia (IPEPO), 1083, Borges Lagoa St. Vila Clementino, São Paulo, Brazil.
Marina RoizenblattDepartment of Ophthalmology, Federal University of São Paulo, 822, Botucatu St. Vila Clementino, São Paulo, SP, Brazil.
Michel Eid FarahDepartment of Ophthalmology, Federal University of São Paulo, 822, Botucatu St. Vila Clementino, São Paulo, SP, Brazil.
Maurício MaiaDepartment of Ophthalmology, Federal University of São Paulo, 822, Botucatu St. Vila Clementino, São Paulo, SP, Brazil.
André MaiaDepartment of Ophthalmology, Federal University of São Paulo, 822, Botucatu St. Vila Clementino, São Paulo, SP, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the surgical outcomes of intraocular lens (IOL) exchange combining pars plana vitrectomy (PPV) with retropupillary iris‑claw IOL (ICIOL) fixation.

methodsThis was a retrospective series of 33 eyes of 32 patients undergoing PPV and secondary retropupillary ICIOL implantation. The primary outcomes included the best‑corrected visual acuity (BCVA), refraction (spherical equivalent [SE], refractive astigmatism), surgically induced astigmatism (SIA) and prediction error. Secondary outcomes included pachymetry, intraocular pressure, surgical time, and complications.

resultsThe mean BCVA improved from the baseline logarithm of the minimum angle of resolution (logMAR) visual acuity of 0.73 ± 0.55 to 0.18 ± 0.24 at 6 months (p < 0.001). The mean final SE was − 0.40 ± 0.97 diopters (D) (p = 0.001), mean refractive astigmatism 1.36 ± 1.30 D (p = 0.955), mean SIA 1.39 ± 0.93 D, and mean prediction error − 0.28 ± 0.99 D. The mean pachymetry was stable (preoperative 562 ± 35.09 μm; postoperative 558 ± 42.15 μm; p = 0.122). The mean IOP was 15.85 ± 4.89 mmHg preoperatively and 14.72 ± 4.10 mmHg postoperatively (p = 0.563). The mean surgical time was 25.3 ± 4.5 min. Postoperative events included hyphema in 9.1%, cystoid macular edema in 6%, ocular hypertension in 6%, and IOL dislocation in 6%.

conclusionsIOL exchange with combined PPV and retropupillary ICIOL fixation achieved favorable visual and refractive outcomes with a short operating time and low complication rates, supporting this approach as an efficient option for eyes without capsular support.

Indexed as

AphakiaIntraocular lens exchangePars plana vitrectomyRetropupillary iris‑claw intraocular lensSecondary implants

Identifiers

PMID41527004
PMCPMC12874957

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.