May 11, 2026 · Journal of cataract and refractive surgery · DOI: 10.1097/j.jcrs.0000000000001975

Comparison of decentration, tilt, and dynamic stability between retropupillary iris claw and scleral fixated intraocular lenses with flanged haptics

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The authors aimed to compare the decentration, tilt, and dynamic stability of retropupillary iris claw intraocular lenses (IOLs) versus scleral fixated IOLs with flanged haptics. They found that while decentration was similar between the two groups, iris claw lenses exhibited less tilt but greater dynamic instability during eye movements. Overall, visual acuity and complication rates were comparable, suggesting that each lens type has distinct advantages and disadvantages in terms of stability and alignment.

Johannes Zeilinger, Paul Regitnig, Martin Kronschläger, Manuel Ruiss, Pablo Artal, Juan Tabernero, Sophie Maedel, Oliver Findl

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