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Almost 40 years of retropupillary fixation of iris claw IOLs

Poster Details

First Author: K.Gerstmeyer GERMANY

Co Author(s):    S. Scholtz   F. Krogmann   G. Auffarth              

Abstract Details


For primary or secundary surgical correction of aphakia in combination with lens (sub) luxation and instable capsular resp. zonula fibres support the implantation of retropupilarily fixated iris claw IOLs are regarded as a safe and effective option.


K. Gerstmeyer, Eye Clinic Johannes Wesling Klinikum Minden , S. Scholtz, International Vision Correction Research Centre (IVCRC), University Heidelberg, F. Krogmann, International Vision Correction Research Centre (IVCRC), University Heidelberg, G.U. Auffarth, University Eye Clinic Heidelberg, International Vision Correction Research Centre (IVCRC), University Heidelberg


Selective literature research of books and articles in journals via PubMed, Google Scholar and Google, additional analysis and summary of personal direct literature search


Iris Claw IOLs have been introduced in Europe in 1978 for the first time. Initially used as secondary implant in cases of traumatic cataract this new IOL and technique has been used for primary implantation post ICCE and ECCE very soon, since 1986 a modified IOL also used for implantation in phacic eyes. Contrarily to the widely accepted opinion in literature, retropupillary fixation was not used in 2002 for the first time, but already in 1980 with a slightly different design using the ingenious "lobster claw" fixation.


Especially with regards to an increasing number of revision procedures in late-in-bag dislocations of IOLs the technique of retropupillary fixation will be indispensable also in future.

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