Abstract
Abstract: :
Purpose: To determine endothelial loss, iris alterations, intraocular oressure and the depht of the anterior chamber in Artisans lens implantation. Methods: This is a prospective, longitudinal, observational and descriptive study. 18 eyes of 16 patients were included. Age average was 28.8 years. Refractive errors before of surgery was -19.63 dioptrics (-14.0- -34.0D) The visual exam included: Visual acuity, manifest and cycloplegic refraction, depth of anterior chamber methods (Haag Stret II, Orbscan II) with optic pachimetry (Haag Stret I, Orbscan II) topography, fundoscopy, iris fluorangiography. In lens calculation, we used the Van der Heijde table, with keratometric average anterior chamber depth and manifest and cycloplegic refraction average. Results: The lowest distance between artisan and corneal endothelium was 1.5 mm. The anterior chamber reduction in 5 mm lens was 33.55% in 6 mm lens was 28.75%. The endothelial loss was 4.9% at third month, 5.1% at nine month and 6.2% at twelve month. Conclusions: The artisan lens is a good alternative for correction high myopia with betther results than other phakic lens. The time of surgery training is necessary to avoid excessive iris manipulation.
Keywords: myopia • visual acuity • refractive surgery: other technologies