Copenhagen 2016 Registration Programme Exhibitor Information Virtual Exhibition Satellite Meetings Glaucoma Day 2016 Hotel Star Alliance
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10 - 14 Sept. 2016, Bella Center, Copenhagen, Denmark

This Meeting has been awarded 27 CME credits

 

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Visual outcomes after lensectomy and iris claw Artisan intraocular lens implantation in patients with Marfan syndrome

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Session Details

Session Title: Presented Poster Session: Solutions for Traumatic Cases

Session Date/Time: Tuesday 13/09/2016 | 09:30-11:00

Paper Time: 10:30

Venue: Poster Village: Pod 3

First Author: : P.Malekifar IRAN

Co Author(s): :    M. Javadi   H. Esfandiari   H. Mohammad Rabie   F. Javadi     

Abstract Details

Purpose:

To review our experience with crystalline lens extraction and iris claw Artisan IOL implantation in patients with lens subluxation secondary to Marfan syndrome.

Setting:

Parviz Malekifar, MD, Mohammad Ali Javadi, MD ,Hamed Esfandiari, MD, Hossein Mohammad Rabie, MD, Fatemeh Javadi, MD, shahid beheshti university of medical sciences, eye research of labbafinejad hospital

Methods:

A retrospective analysis of 12 eyes of 9 patients with lens subluxation due to Marfan syndrome who underwent crystalline lens removal and Artisan IOL (Ophtec, Groningen, Netherlands) implantation. A questionnaire of pre and post-operative data, including demographics, pre and post-operative co morbidities and complications was completed. Patients were evaluated for visual outcome and occurrence of complications. Uncorrected visual acuity (UCVA), best-corrected visual acuity (BCVA) and spherical equivalents (SE) were compared before and after lens extraction and IOL insertion.

Results:

The mean age of the participants was 30.03 ± 15.02 years and mean post-operative follow-up time was 44.5 ±16.4 months. Mean BCVA also showed a significant improvement from 0.5 ± 0.3 at the baseline to 0.2 ± 0.2 postoperatively (P=0.006). SE changed significantly from -11.38 ± 1.99preoperatively to -0.45 ± 1.65 postoperatively (P=0.003). All eyes had the IOL implanted at desired position. Post-operative complications were retinal detachment in one case and IOL dislocation in another patient. No other complication such as ocular hypertension, angle abnormalities, clinical cystoids macular edema and corneal decompensation was observed during the follow up period.

Conclusions:

Artisan IOL implantation after lens extraction appears to be an attractive alternative for optical correction in cases of Marfan syndrome with ectopia lentis. It confers a significant improvement in visual acuity with reasonable risk profile.

Financial Disclosure:

NONE

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