Skip to main content
Log in

Refractive surgery for high myopia

The Worst-Fechner biconcave iris claw lens

  • Published:
Documenta Ophthalmologica Aims and scope Submit manuscript

Abstract

Surgical correction of high myopia is indicated in a limited number of cases. Techniques include (epi)keratophakia, keratomileusis and implantation of a negative-power IOL. The iris claw lens, fixed to the midperiphery of the iris, has proved its safety in aphakic eyes. The model has been adapted by giving it a vault in order to make it suitable for implantation in high myopic phakic eyes. The implantation technique and short-term results of patients operated by Worst are presented.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Apple DJ, Brems RN, Park RB, Kavka-van Norman D, Hansen SO, Tetz MR, Richards SC, Letchinger SD. Anterior chamber lenses, Part I: Complications and pathology and a review of design. J Cataract Refract Surg 1987; 13: 157–174.

    Google Scholar 

  2. Apple DJ, Hansen SO, Richards SC, Ellis GW, Kavka-van Norman D, Tetz MR, Pfeffer BR, Park RB, Crandall AS, Olson RJ: Anterior chamber lenses, Part II: A laboratory study. J Cataract Refract Surg 1987; 13: 175–189.

    Google Scholar 

  3. Barraquer J. Anterior chamber plastic lenses: Results and conclusions from five years' experience. Trans Ophthalmol Soc UK 1959; 79: 393–424.

    Google Scholar 

  4. Beekhuis WH, McCarey BE, Waring GO, van Rij G. Hydrogel keratophakia: a microkeratome dissection in the monkey model. Br J Ophthalmol 1986; 70: 192–198.

    Google Scholar 

  5. Drews C. The Barraquer experience with intraocular lenses. Ophthalmology 1982; 89: 386–393.

    Google Scholar 

  6. Fechner PU. Die Irisklauen-Linse. Klin Mbl Augenheilk 1987; 191: 26–29.

    Google Scholar 

  7. Fechner PU. Kunstlinse zur Korrektur des phaken kurzsichtigen Auges. Die Kontaktlinse 1989; 1: 22–23.

    Google Scholar 

  8. Fechner PU, van der Heijde GL, Worst JGF. Intraokulare Linse zur Myopiekorrektion des phaken Auges. Klin Mbl Augenheilk 1988; 193: 29–33.

    Google Scholar 

  9. Fechner PU, van der Heijde GL, Worst JGF. The correction of myopia by lens implantation into phakic eyes. Am J Ophthalmol 1989; 107: 659–663.

    Google Scholar 

  10. Fechner PU, Worst JGF. A new concave intraocular lens for the correction of myopia. Eur J Implant Ref Surg 1989; 1: 41–43.

    Google Scholar 

  11. van der Heijde GL: Some optical aspects of implantation of an IOL in a myopic eye. Eur J Implant Ref Surg 1989; 1: 245–248.

    Google Scholar 

  12. van der Heijde GL, Fechner PU, Worst JGF. Optische Konsequenzen der Implantation einer negativen Intraokularlinse bei myopen Patienten. Klin Mbl Augenheilk 1988; 193: 99–102.

    Google Scholar 

  13. McCarey BE, van Rij G, Beekhuis WH, Waring GO. Hydrogel keratophakia: A freehand pocket dissection in the monkey model. Br J Ophthalmol 1986; 70: 187–191.

    Google Scholar 

  14. Nordlohne ME: The intraocular implant lens: Development and results. The Hague: W. Junk Publishers, 1975.

    Google Scholar 

  15. Singh D. Correspondence on the iris claw lens. Eur J Implant Ref Surg 1989; 1: 285, 286.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Worst, J.G.F., Van Der Veen, G. & Los, L.I. Refractive surgery for high myopia. Doc Ophthalmol 75, 335–341 (1990). https://doi.org/10.1007/BF00164848

Download citation

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00164848

Key words

Navigation