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The iris\u2010claw lens has two haptics with fine fissures for folding (enclavating) the mid\u2010peripheral part of the iris stroma and can either be placed in front of or posterior to the iris. In particular, the retropupillary implantation has been increasingly chosen probably due to having an anatomical position similar to that of the crystalline lens. The present review is based on a literature review and also on the authors\u2019 clinical experience with this lens, and it focuses on surgical techniques and outcomes especially related to the characteristics of this lens, having haptics with claws that fixate the lens to the posterior iris. Implanting retropupillary iris\u2010claw lenses has a relatively short learning curve, and there are only few complications reported during surgery. Retropupillary iris\u2010claw lenses have demonstrated generally favourable efficiency and safety. However, the outcomes are probably more influenced by the reason for surgery and eye comorbidity than the lens itself. Albeit seldom reported, the postoperative complications have mostly been related to atrophy of the iris at the site of the haptics, or IOL decentration or disenclavation of one of the haptics. To date, however, there are few randomized clinical trials comparing this lens to other lens alternatives in eyes exhibiting insufficient capsular or zonular support for placing the lens in the ciliary sulcus. In the future, prospective studies with large samples should be performed to gain insights into the long\u2010term safety of retropupillary placed iris\u2010claw lenses, and for comparisons with the various other techniques of lens fixation.<\/jats:p>","DOI":"10.1111\/aos.14824","type":"journal-article","created":{"date-parts":[[2021,3,8]],"date-time":"2021-03-08T10:14:47Z","timestamp":1615198487000},"page":"826-836","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":27,"title":["Implantation of retropupillary iris\u2010claw lenses: A review on surgical management and outcomes"],"prefix":"10.1111","volume":"99","author":[{"given":"Liv","family":"Drolsum","sequence":"first","affiliation":[{"name":"Department of Ophthalmology Oslo University Hospital Oslo Norway"},{"name":"Institute of Clinical Medicine University of Oslo Oslo 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