First Author: M.Sanchez Garcia SPAIN
Co Author(s): M. Serrano Garcia A. Gonzalez Gonzalez C. Mantolan Sarmiento L. Cordoves Dorta
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The ideal intraocular lens in cases of aphakia without capsular support is debated. Choices include anterior chamber lenses, iris- or scleral-sutured lenses, and iris-claw lenses. Our aim was to report our long-term evaluation of the use of implantation of the Artisan iris-claw intraocular lens in several aphakic conditions without capsular support.
Hospital Universitario de Canarias
A retrospective analysis of patients without capsular support, in which we performed Artisan iris-claw intraocular lens implantation . Either anterior or posterior vitrectomy procedures were performed with 20–, 23-, or 25-gauge techniques for different associated anterior or posterior segment indications. We reviewed the refractive outcome, anatomical outcome, long-term stability of the implants, and possible long-term complications
The study comprised 78 eyes of 78 patients. Mean age was 68 ± 15.23 years (range, 53-83 years). The mean follow-up was 12 months (range 12 monts to 36 months). The final mean corrected distance visual acuity (CDVA) (0.37 ± 0.54 [SD] LogMAR) was significantly better than preoperatively (0.63 ± 0.33 LogMAR) (P < .05). Mean central endothelial cell density was 2096 ± 808 cells/mm(2) preoperatively. After surgery mean endothelial cell density decreased statistically not significant with a loss of 6.5 % to 1959 ± 643cells/mm(2) (p > 0.05) at one year follow-up visit. Complications included cystoid macular edema in 2 eyes (2.6 %), epirretinal membrane in 3 eyes (3,84%), retinal detachement in 1 eye (1.28 %). pupil ovalisation in 2 eyes (2,6 %) and spontaneous IOL disenclavation in one eye (1.28 %).
Artisan iris-claw intraocular lens for secondary implantations is a valid alternative strategy to scleral-fixated or angle-supported IOL implantation, provid good visual outcomes with a favorable complication rate and can be used for a wide range of indications in eyes without adequate capsule support.