Clinical results of the aphakia Clinical results of the aphakia correction using iris-fixated anterior correction using iris-fixated anterior chamber intraocular lens (Artisan)chamber intraocular lens (Artisan)

Authors have no financial interestAuthors have no financial interest

Luis Izquierdo Jr MD. MMed, Maria A Henriquez MD, Cesar Bernilla MD.Luis Izquierdo Jr MD. MMed, Maria A Henriquez MD, Cesar Bernilla MD.

Oftalmosalud Instituto de OjosOftalmosalud Instituto de OjosUNMSM UNMSM

Lima – PerúLima – Perú..

CONTROL ID: 558020

PURPOSE PURPOSE

To evaluate efficacy, predictability and safety of Artisan-intraocular lens (IOL) secondary implantation for aphakia correction.

METHODSMETHODS

• 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) 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 TechniqueSurgical 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.

RESULTSRESULTS

• 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.

CONCLUSIONCONCLUSION

• 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.