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					‫بسم هللا الرحمن الرحيم‬
      ‫‪IN THE NAME OF GOD‬‬
Implantation of an Artisan phakic intraocular
 lens for the correction of high myopia, high
             hyperopia, aphakia

              H. Khakshoor , MD
                 S. Afzali ,MD
              Khatam eye hospital
      Mashhad university of medical sciences
Purpose :

• To evaluate the efficacy of Artisan intraocular
   lens (IOL) for the correction of:
    – high myopia
    – high hyperopia
    – aphakia instead of angle fixation ACIOL
       iris or scleral fixation PCIOL.
Methods :



• 96 eyes of 48 patients with
   – 76 high myopia,
   – 10 hyperopia
   – 10 aphakia
     had Artisan lens implantation to correct their
     refractive errors.
Methods :

• Postoperative examinations were performed on 1 d, 1 w, 1
  m, 3 m and 6 m after surgery.
   –   UCVA
   –    BCVA
   –    manifest refraction
   –    intraocular pressure
   –   complications
       were evaluated.
Technique:

   •   Clear corneal incision at the steep meridian.
   •   Anterior chamber forming with viscoelastic
   •   PI at the incision site.
   •   IOL insertion in Anterior chamber and clawing to iris
   •   Suturing of limbal incision with nylon 10-0
   •    Irrigation/Aspiration (viscoelastic material)
Results :

• Preoperative UCVA improved from 20/400 to 20/30 at
    3 months after removal suture.
•    Postoperative manifest refraction was −1.00 ± 0.75 D
    (−3.00 to −0.00 D) at 3 months after surgery, and stabled
    during the follow-up period.
•   Postoperative BCVA was 20/25.
Complications:

• No serious complications such as:

   – angle closure
   –    open angle Gluacoma
   –    progressive endothelial cell loss
   –   Pupilary block
   –   Reaction the days after the operation.
       Only 3 eyes were observed with hypopiun
Note:

• One of the patients was a 42 years old woman with
    aphakia.
•   Her refraction before surgery was +13.00D.
•   BCVA 10/10.
•   After surgery and artisan IOL insertion with power of
    +8.00D her refraction was +23.00D.
•   Reoperation was done and artisan IOL was removed.
•    We noticed that the power of the IOL was negative
    (about -8.00D).
•   The IOL was labeled wrong in the factory.
Conclusion:
 • Currently, implantation of an Artisan iris-claw
     IOL is safe and effective for:
      – high myopia
      – high hyperopia
      – aphakia
 •   Because this operation method has not a
     serious complication such as:
      – Glaucoma
      – Endothelial cell lose
 •   high quality of VA
 •   It is better to use this method for high numbers
     instead of PRK, LASIK
Conclusion:

• Because this operation method has not a serious complication
    such as:
     – Glaucoma
     – Endothelial cell loss
•   high quality of VA
•   It is better to use this method for high numbers instead of
    PRK, LASIK, LASEK, Epi- LASIK

				
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posted:8/16/2012
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