Visual Outcomes Following Artisan Aphakia Iris Claw Lens Implantation

Overview

Journal Eye (Lond)

Specialty Ophthalmology

Date 2010 Oct 16

PMID 20948556

Citations 12

Authors

K S Lett

P R Chaudhuri

Affiliations

Soon will be listed here.

Abstract

Objective: To assess the visual outcome of eyes undergoing Artisan lens implantation for aphakia, to identify reasons for poor outcomes, and to report incidences of post-operative uveitis, glaucoma, or hyphaema.

Methods: A retrospective analysis of 32 eyes rendered aphakic through various causes, which subsequently underwent Artisan lens implantation.

Results: A total of 32 eyes from 31 patients were reviewed. Follow-up ranged from 6 to 42 months, mean 17.3 months. The commonest cause of aphakia was following complicated phacoemulsification in 17 of the 32 eyes (53.1%). At final follow-up, 21 of the 32 eyes (65.6%) achieved best-corrected visual acuity (BCVA) better than that measured pre-operatively and 10 of the 32 eyes (31.3%) matched their pre-operative BCVA. Of 33 eyes, only 1 (0.03%) attained a final BCVA worse than pre-operatively, owing to non-arteritic anterior ischaemic optic neuropathy. A total of 4 of the 33 eyes (12.5%) had pre-existing glaucoma or ocular hypertension; no additional intraocular pressure problems were identified during the follow-up period.

Conclusion: This study suggests that Artisan iris claw lens insertion is beneficial in acquired aphakia, matching or exceeding pre-operative BCVA in the overwhelming majority of the cases. In addition, this series did not identify any post-operative problems with uveitis, glaucoma, or hyphaema.

Citing Articles

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Iris-Claw Intraocular Lens Implantation in Various Clinical Indications: A 4-Year Study.

Sedziak-Marcinek B, Wylegala A, Chelmecka E, Marcinek M, Wylegala E J Clin Med. 2021; 10(6).

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Surgical Outcomes of Retropupillary-Fixated Iris-Claw Intraocular Lens.

Mansoori T, Agraharam S, Sannapuri S, Manwani S, Balakrishna N J Curr Ophthalmol. 2020; 32(2):149-153.

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Five-year follow-up of secondary iris-claw intraocular lens implantation for the treatment of aphakia: Anterior chamber versus retropupillary implantation.

Toro M, Longo A, Avitabile T, Nowomiejska K, Gagliano C, Tripodi S PLoS One. 2019; 14(4):e0214140.

PMID: 30970023 PMC: 6457484. DOI: 10.1371/journal.pone.0214140.

Iris-claw versus posterior chamber fixation intraocular lens implantation in pediatric traumatic cataract.

Kavitha V, Balasubramanian P, Heralgi M Taiwan J Ophthalmol. 2017; 6(2):69-74.

PMID: 29018714 PMC: 5602692. DOI: 10.1016/j.tjo.2016.04.001.

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