Clinical results of the aphakia correction using iris-fixated anterior chamber intraocular lens (Artisan) Authors have no financial interest Luis Izquierdo.

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Presentation transcript:

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 scleral-fixated posterior chamber intraocular lenses in cases of aphakia without capsular support.