Visual And Aberrometric Outcomes After Lensectomy In Patients With Marfan Syndrome With Retropupillary Iris Claw Artisan Implantation

The study was to describe the visual and aberrometric results after lensectomy and Artisan retropupillary implantation.

Settings: Oftalmosalud Institute of Eyes, Lima, Peru.

It is a retrospective study, which included 22 eyes with Marfan Syndrome and ectopia lentis undergoing lensectomy and retropupillary Artisan implantation at the Oftalmosalud Eye Institute, Lima, Peru between January and April 2023. The main outcomes were Uncorrected Visual Acuity (UCVA), Best Corrected Acuity (BCVA), refraction, topography, corneal tomography and aberrometry measured with Pentacam (Oculus, Inc., Germany), Nidek OPD-Scan III (Nidek Technologies, Gamagori, Japan) and Peramis. (SCHWIND eye-tech-solutions, Kleinostheim, Germany). The statistical analysis was performed with the software-R.2.2.

The mean age of the patient group was 23 years with a range between 4 and 60. The BCVA was 0.60 ± 0.55 LogMAR and 0.18 ± 0.23 LogMAR, pre and post procedure respectively, the Spherical Equivalent (SE) was -5.58 ± 6.37 D and -1.17 ± 2.25 D, respectively. The high-order internal aberrations were RMS 0.36, Vertical Tilt -0.137, Vertical Trefoil -0.197, Vertical Coma -0.066 and Spherical -0.071. 2 cases of IOL dislocation (8%) and 1 of Retinal Detachment (4%) were reported.

In our experience, with the safety and effectiveness observed in the procedures, we suggest not waiting for a moderate or severe subluxation for surgical indication, especially in the pediatric population to avoid amblyopia.