1. بسم الله الرحمن الرحيم IN THE NAME OF GOD

2. Implantation of an Artisan phakic intraocular lens for the correction of high myopia, high hyperopia, aphakia H. Khakshoor, MD S. Afzali,MD Khatam eye hospital Mashhad university of medical sciences

3. Purpose : To evaluate the efficacy of Artisan intraocular lens (IOL) for the correction of: To evaluate the efficacy of Artisan intraocular lens (IOL) for the correction of: – high myopia – high hyperopia – aphakia instead of angle fixation ACIOL iris or scleral fixation PCIOL. iris or scleral fixation PCIOL.

4. Methods : 96 eyes of 48 patients with 96 eyes of 48 patients with – 76 high myopia, – 10 hyperopia – 10 aphakia had Artisan lens implantation to correct their refractive errors.

5. Methods : Postoperative examinations were performed on 1 d, 1 w, 1 m, 3 m and 6 m after surgery. Postoperative examinations were performed on 1 d, 1 w, 1 m, 3 m and 6 m after surgery. – UCVA – BCVA – manifest refraction – intraocular pressure – complications were evaluated.

6. Technique: Clear corneal incision at the steep meridian. Clear corneal incision at the steep meridian. Anterior chamber forming with viscoelastic Anterior chamber forming with viscoelastic PI at the incision site. PI at the incision site. IOL insertion in Anterior chamber and clawing to iris IOL insertion in Anterior chamber and clawing to iris Suturing of limbal incision with nylon 10-0 Suturing of limbal incision with nylon 10-0 Irrigation/Aspiration (viscoelastic material) Irrigation/Aspiration (viscoelastic material)

8. Results : Preoperative UCVA improved from 20/400 to 20/30 at 3 months after removal suture. Preoperative UCVA improved from 20/400 to 20/30 at 3 months after removal suture. Postoperative manifest refraction was −1.00 ± 0.75 D (−3.00 to −0.00 D) at 3 months after surgery, and stabled during the follow-up period. Postoperative manifest refraction was −1.00 ± 0.75 D (−3.00 to −0.00 D) at 3 months after surgery, and stabled during the follow-up period. Postoperative BCVA was 20/25. Postoperative BCVA was 20/25.

9. Complications: No serious complications such as: No serious complications such as: – angle closure – open angle Gluacoma – progressive endothelial cell loss – Pupilary block – Reaction the days after the operation. Only 3 eyes were observed with hypopiun Only 3 eyes were observed with hypopiun

10. Note: One of the patients was a 42 years old woman with aphakia. One of the patients was a 42 years old woman with aphakia. Her refraction before surgery was +13.00D. Her refraction before surgery was +13.00D. BCVA 10/10. BCVA 10/10. After surgery and artisan IOL insertion with power of +8.00D her refraction was +23.00D. After surgery and artisan IOL insertion with power of +8.00D her refraction was +23.00D. Reoperation was done and artisan IOL was removed. Reoperation was done and artisan IOL was removed. We noticed that the power of the IOL was negative (about -8.00D). We noticed that the power of the IOL was negative (about -8.00D). The IOL was labeled wrong in the factory. The IOL was labeled wrong in the factory.

11. Conclusion: Currently, implantation of an Artisan iris-claw IOL is safe and effective for: Currently, implantation of an Artisan iris-claw IOL is safe and effective for: – high myopia – high hyperopia – aphakia Because this operation method has not a serious complication such as: Because this operation method has not a serious complication such as: – Glaucoma – Endothelial cell lose high quality of VA high quality of VA It is better to use this method for high numbers instead of PRK, LASIK It is better to use this method for high numbers instead of PRK, LASIK

12. Conclusion: Because this operation method has not a serious complication such as: Because this operation method has not a serious complication such as: – Glaucoma – Endothelial cell loss high quality of VA high quality of VA It is better to use this method for high numbers instead of PRK, LASIK, LASEK, Epi- LASIK It is better to use this method for high numbers instead of PRK, LASIK, LASEK, Epi- LASIK