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Artiflex toric phakic IOL (tPIOL) for special situation Case 1: unilateral keratoconus; Case 2: suspected keratoconus

Poster Details

First Author: J.Cazal SPAIN

Co Author(s):    E. Duarte Cobos   R. Jimenez           

Abstract Details


To assess the safety, efficacy, predictability, and refractive outcome of implanting Ophtec Artiflex Toric phakic intraocular lenses (pIOLs) in eyes with keratoconus and thin cornea.


Ocular VisiĆ³ Clinic , Barcelona ,Spain


Three eyes one keratoconic patient and two from a suspected keratoconus patient had undergone Iris Fixation tPIOL implantation under topical anesthesia. The keratoconus suspected patient underwent bilateral simultaneous Artiflex tPIOL imlantation. Uncorrected visual acuity (UCVA), best spectacle-corrected visual acuity (BSCVA), refraction, corneal topographic and biomecanical findings, adverse events, and postoperative complications were noted.


No intraoperative or postoperative complications were observed. An improvement in UCVA and BSCVA was found after Artiflex Toric Phakic IOL procedures in all eyes. All eyes were emmetropic within 1 diopter (D), whereas the mean manifest refractive spherical equivalent refraction reduced from -3.62+/- 0.622 D (range, -3.125 to -4.50 D) to 0.42 D (range, plano to -0.35 D).


The implantation of Artiflex iris-fixated tPIOLs in patients with stable keratoconus or biomechanically suspected cornea for correction of astigmatism and myopia is safe, predictable, and effective. Due to the progressive nature of keratoconus, proper patient counseling is necessary FINANCIAL DISCLOSURE?: No

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