Clinicalresults of theaphakiacorrectionusing iris-fixated anterior chamber intraocular lens (Artisan) Authorshave no financialinterest Luis Izquierdo Jr MD. MMed, Maria A Henriquez MD, Cesar Bernilla MD. Oftalmosalud Instituto de Ojos UNMSM Lima – Perú. CONTROL ID: 558020
PURPOSE To evaluate efficacy, predictability and safety of Artisan-intraocular lens (IOL) secondary implantation for aphakia correction.
METHODS • Uncorrected visual acuity (UCVA), best spectacle-corrected visual acuity (BSCVA), manifiest refraction, endothelial cell count, and clinical outcomes were evaluated. • Seventeen consecutive eyes of 16 patients with aphakia were implanted with the artisan aphakia lens. Postoperative examinations were done at 1 month, 6 months, and one year.
ArtisanAphakic IOL (Specifications) • Anterior aphakic Lens iris fixated • Optic: Plane –convex (+2.0 up 9.0 D) Biconvex (+9.5 up 30 D.) • Optical Zone: 5.0 mm. • Total diameter: 8.5 mm • Material: PMMA CQ-UV • A- Contast: 115.0 • ARTISAN Pediatric Aphakia 4.4/6.5 and 4.4/7.5 Designed for small eyes.
SurgicalTechnique • Surgical was performed under topical plus intracameral anesthesia. • A scleral tunnel incision of 6.0 mm was used • Anterior vitrectomy was performed • Two paracenteses was placed at 3 and 9 o’ clock • Acetiylcholine was injected in the A.C. and filled with sodium hyalunorate • The IOL was fixated to the iris with enclavation forceps thru the parecenteses. • A peripheral iridectomy was performed. • The scleral corneal wound was closed.
RESULTS • All patient improve their UCVA. BSCVA was improved in 15 eyes (88,23 %) and 2 eyes remain the same. • Mean postoperative spherical equivalent (SE) was -0.36 diopter (D). • Mean endothelial cell loss was 11.2% at 12 months postoperatively, with no statistical change between six to twelve months. • Cystoid macular edema was observed in one patient who resolved during the follow up. • No other complications were observed.
CONCLUSION • Artisan-Verysise aphakic IOL is a safe, predictable, and good option for aphakic eyes. • We think is a good alternative to scleral-fixated posterior chamber intraocular lenses in cases of aphakia without capsular support.