Visual outcome and complications after iris-claw aphakic intraocular lens (Artisan) implantation

Poster Details

First Author: M.Sanchez Garcia SPAIN

Co Author(s):    M. Serrano Garcia   A. Gonzalez Gonzalez   C. Mantolan Sarmiento   L. Cordoves Dorta                    

Abstract Details


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.

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