Transcript Implantation of an Artisan phakic intraocular lens for the

‫بسم هللا الرحمن الرحيم‬
‫‪IN THE NAME OF GOD‬‬
Implantation of an Artisan phakic intraocular
lens for the correction of high myopia, high
hyperopia, aphakia
H. Khakshoor , MD
S. Afzali ,MD
Khatam eye hospital
Mashhad university of medical sciences
Purpose :
• To evaluate the efficacy of Artisan intraocular
lens (IOL) for the correction of:
– high myopia
– high hyperopia
– aphakia instead of angle fixation ACIOL
iris or scleral fixation PCIOL.
Methods :
• 96 eyes of 48 patients with
– 76 high myopia,
– 10 hyperopia
– 10 aphakia
had Artisan lens implantation to correct their
refractive errors.
Methods :
• Postoperative examinations were performed on 1 d, 1 w, 1
m, 3 m and 6 m after surgery.
–
–
–
–
–
UCVA
BCVA
manifest refraction
intraocular pressure
complications
were evaluated.
Technique:
•
•
•
•
•
•
Clear corneal incision at the steep meridian.
Anterior chamber forming with viscoelastic
PI at the incision site.
IOL insertion in Anterior chamber and clawing to iris
Suturing of limbal incision with nylon 10-0
Irrigation/Aspiration (viscoelastic material)
Results :
• Preoperative UCVA improved from 20/400 to 20/30 at 3
•
•
months after removal suture.
Postoperative manifest refraction was −1.00 ± 0.75 D
(−3.00 to −0.00 D) at 3 months after surgery, and stabled
during the follow-up period.
Postoperative BCVA was 20/25.
Complications:
• No serious complications such as:
– angle closure
–
–
–
–
open angle Gluacoma
progressive endothelial cell loss
Pupilary block
Reaction the days after the operation.
Only 3 eyes were observed with hypopiun
Note:
• One of the patients was a 42 years old woman with
•
•
•
•
•
•
aphakia.
Her refraction before surgery was +13.00D.
BCVA 10/10.
After surgery and artisan IOL insertion with power of
+8.00D her refraction was +23.00D.
Reoperation was done and artisan IOL was removed.
We noticed that the power of the IOL was negative
(about -8.00D).
The IOL was labeled wrong in the factory.
Conclusion:
• Currently, implantation of an Artisan iris-claw
•
•
•
IOL is safe and effective for:
– high myopia
– high hyperopia
– aphakia
Because this operation method has not a
serious complication such as:
– Glaucoma
– Endothelial cell lose
high quality of VA
It is better to use this method for high numbers
instead of PRK, LASIK
Conclusion:
• Because this operation method has not a serious complication
•
•
such as:
– Glaucoma
– Endothelial cell loss
high quality of VA
It is better to use this method for high numbers instead of
PRK, LASIK, LASEK, Epi- LASIK