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Outcomes of iris-enclaved artisan-ophtec intraocular lens implantation

Poster Details

First Author: M.Kamel SAUDI ARABIA

Co Author(s):    S. Eissa              

Abstract Details

Purpose:

Children treated by lensectomy for ectopia lentis, traumatic cataract with lens subluxation or severe persistent fetal vasculature-related cataracts lack capsular support for implantation of standard, posterior-chamber intraocular lenses (IOL). We reported previously use of trans-scleral sutured IOLs in this population.1 Here we describe outcomes of Artisan iris-enclaved IOL implantation.

Setting:

Magrabi hospital Aseer KSA

Methods:

Clinical outcome data were collated prospectively in 28 aphakic eyes of 17 implanted children (7 Marfan Syndrome; 5 Familial Ectopia Lentis; 5 Persistent Fetal Vasculature). All children had difficulties with contact lens or spectacle wear. Peripheral iridectomy was performed at IOL implantation. Mean age at surgery was 8.1 yrs (range 1-17 years); mean follow-up was 3.1 yrs.

Results:

Aphakic spherical correction averaged 14.06 D (range +7.75 to +19.75). 26/28 eyes (93%) were corrected to within +/- 1.0 D of emmetropia and all to within 1.5 D. Uncorrected visual acuity improved from an average logMAR 1.50 (20/640) to 0.17 (20/30); best-corrected acuity improved an average 2 Snellen lines (0.18 logMAR). Four eyes (20%) required an additional vitrectomy or laser-iridotomy for pupillary block 1 day to 9 mos after IOL implantation. Two IOLs (7%) were explanted; one for repeated de-enclavation and one for microcornearelated glaucoma and corneal decompensation.

Conclusions:

Discussion: Implantation of the Artisan aphakic IOL improved visual acuity substantially and was well-tolerated in the majority of children. Repeat vitrectomy at IOL implantation is recommended to reduce the risk of pupillary block caused by vitreous plugging of the iridectomy. Conclusion: Implantation of the Artisan aphakic IOL improved visual acuity substantially andwas well-tolerated in the majority of children. Repeat vitrectomy at IOL implantation is recommended to reduce the risk of pupillary block caused by vitreous plugging of the iridectomy

Financial Disclosure:

NONE

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