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Visual outcomes of phakic intraocular lens Toric Artiflex

Session Details

Session Title: Phakic IOL Implantation I

Session Date/Time: Tuesday 08/10/2013 | 14:00-16:00

Paper Time: 14:18

Venue: Main Lecture Hall (Ground Floor)

First Author: : M.Seca PORTUGAL

Co Author(s): :    C. Vale   M. Lume   R. Salgado   M. Brochado     

Abstract Details


To evaluate the efficacy, stability, quality of vision and safety of the foldable anterior chamber iris supported phakic Intraocular lens (IOL) Toric Artiflex® (Ophtec) for the correction of myopia with astigmatism.


Ophthalmology Department, Centro Hospitalar do Porto - Hospital de Santo António, Porto, Portugal


Seventy six eyes of 54 patients with moderate to high myopia (-0.50 and -13.00 Diopters (D)) and astigmatism (-0.75 to -5.25 D) were implanted with Toric Artiflex®. Mean implanted spherical and cylindrical powers were -1.00 ± -13.00 D and -1.00 ± -5.00 D, respectively. Follow-up period ranged from 6 to 30 months. Outcome measures were uncorrected visual acuity (UCVA), best spectacle corrected visual acuity (BSCVA), refraction and intraocular pressure. Morphometric evaluation (with Orbscan II® and Pentacam HR®), endothelial cell density (with specular microscopy ICONAN®) and contrast sensitivity function under photopic and mesopic conditions were assessed.


All eyes achieved post operative refractions within +/- 1.00 D (spherical equivalent) of the intended refraction, with astigmatism raging from 0.00 to 0.75 D. No eyes experienced loss of BSCVA. Post operative UCVA was ? 8/10 in every case except two eyes with amblyopia that achieved 6/10. There was no significant decrease in ECD at the end of follow-up. Contrast sensitivity function was similar at all spatial frequencies. There was one case of traumatic haptic subluxation which was successfully resolved with a second surgical procedure and few cases of pigment precipitates. No major complications (cataract, glaucoma or endophthalmitis) occurred. Patient satisfaction was very high.


The Artiflex® Toric phakic IOL revealed a stable and predictable visual results, with no major safety-concerned complications and good satisfaction, in the correction of moderate to high myopia and astigmatism.

Financial Interest:


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