Secondary Artisan iris-fixated intraocular lens implantation for correction of aphakia

• Main Author: Ahmed H Mohamed
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2016-01-01
• Series: Delta Journal of Ophthalmology
• Subjects: aphakia; artisan; complicated phacoemulsification; iris-claw intraocular lens
• Online Access: http://www.djo.eg.net/article.asp?issn=1110-9173;year=2016;volume=17;issue=1;spage=9;epage=13;aulast=Mohamed
• ISSN: 1110-9173; 2090-4835

Purpose The aim of this study was to assess the visual and refractive outcome after Artisan lens secondary implantation for correction of aphakia and to report the incidence of complications. Patients and methods A total of 24 eyes of 24 patients rendered aphakic after complicated phacoemulsification and extracapsular cataract extraction were implanted with Artisan aphakia lens in Qena University Hospital. All patients underwent complete ophthalmic examination including uncorrected visual acuity, best-corrected visual acuity (BCVA), and manifest refraction both preoperatively and at 1 day, 1 week, 1 month, 2 months, and 6 months after surgery. Any intraoperative or postoperative complications were recorded. Results A total of 24 eyes of 24 patients were included, 16 of whom were men and eight were women. The mean follow-up was 7.2 ± 1.1 months (range = 6-9 months). The cause of aphakia was a complicated phacoemulsification (13 cases) and extracapsular cataract extraction (11 cases). At the final follow-up, the mean postoperative BCVA improved from 0.55 ± 0.19 preoperatively to 0.68 ± 0.20 postoperatively. Analysis of the final BCVA compared with that measured preoperatively demonstrated that 13 eyes (54%) improved, 12 eyes (50%) matched preoperative BCVA, and one eye (4%) decreased due to the occurrence of cystoid macular edema. The mean postoperative spherical equivalent was 1.00 ± 0.67 D, whereas it was 9.50 ± 1.7 D preoperatively. Of the 24 eyes, two developed high intraocular pressure in the early postoperative period. Conclusion Secondary implantation of Artisan iris-claw fixated lens is an effective and safe modality for correction of aphakia in eyes lacking sufficient capsular support.