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David Diaz-Valle, Pedro Arriola-Villalobos, Ricardo Cuina-Sardina, Diana Santander-Garcia, Jose M. Benitez-del-Castillo; Efficacy and Safety of Iris-Supported Artisan Lenses in Complicated Cases of Aphakia without Capsular Support. Invest. Ophthalmol. Vis. Sci. 2011;52(14):4716. doi: https://doi.org/.
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© ARVO (1962-2015); The Authors (2016-present)
To evaluate the efficacy and safety of Artisan iris-supported intraocular lenses (IOL) in complicated cases of aphakia without capsular support.
Uncorrected visual acuity (UCVA), best corrected visual acuity (BCVA), spherical equivalent (SE), endothelial cell count (ECD), and clinical complications were evaluated. Eleven consecutive eyes of ten patients with complicated cases of aphakia without capsular support were submitted for surgery. Five eyes had anterior or posteriorly luxated IOL, and four eyes had pupilary abnormalities that required surgical reconstruction. Postoperative examinations were performed at 6 and 18 months. An iris-supported Artisan IOL was implanted for aphakia correction.
Eighteen months after Artisan lens implantation, BCVA was 20/40 or better in 6 eyes (55%). BCVA improved in 10 patients (90%). One patient developed a choroidal neovascular membrane. Mean postoperative SE was -1.25 ± 0.8 diopter. Mean endothelial cell loss was 12.59 ± 6.7 % 18 months postoperatively. The cell loss occurred predominantly during the first six months (9.19 ± 5.1 %). Cystoid macular edema (CME) was observed in a patient that previously developed CME. Mean macular thickness at 18 months was 219 ± 67µ . Mean postoperative intraocular pressure was 15 ± 2 mm Hg. All eyes achieved the desired anatomic results. No other serious complications were observed.
Secondary Artisan IOL implantation is an effective and safe procedure to correct aphakia in complicated eyes without capsular support. Considering good visual rehabilitation and low rate of complications, this procedure is recommended in aphakic eyes.
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