Abstract
Purpose :
Intraocular lens (IOL) placement in children with poor lens support structure is a challenging clinical problem. The goal of this retrospective review is to investigate efficacy and safety the Artisan aphakia iris claw anterior chamber IOL in children. This study is among the first to report outcomes of this anterior chamber IOL in children in the United States.
Methods :
Artisan aphakia iris claw anterior chamber IOLs were placed in 27 eyes of 17 patients ranging from ages 4 through 18. Patients were followed for a minimum of 4 months. Outcomes such as need for further procedures, complications, and visual acuity were reviewed retrospectively.
Results :
After an average of 3 years of follow up after IOL placement, no patients underwent IOL removal. Four (15%) of the eyes required reoperation: 3 for re-enclavation and 1 for lysis of an iridocorneal adhesion. No visually significant complications attributable to the IOL were encountered. There was a significant change in visual acuity from preoperative baseline to last follow up from logMAR 0.56 to 0.24 (p < 0.05).
Conclusions :
The Artisan aphakia iris claw anterior chamber IOL demonstrates a promising option for children with ectopia lentis or other aphakic eyes with poor capsular support. This study found a low reoperation rate, no significant complications, and improved visual acuity over short term follow up.
This abstract was presented at the 2019 ARVO Annual Meeting, held in Vancouver, Canada, April 28 - May 2, 2019.