Transcript Clinical results of the aphakia correction using iris

Clinical results of the aphakia
correction using iris-fixated anterior
chamber intraocular lens (Artisan)
Authors have no financial interest
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.
Artisan Aphakic 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.
Surgical Technique
• 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 scleralfixated posterior chamber intraocular lenses in
cases of aphakia without capsular support.