AI Article Synopsis
- The study aimed to assess the visual outcomes and complications from implanting Artisan iris-claw lenses in children with aphakia and insufficient capsular support.
- The research involved 25 aphakic eyes from 18 patients aged over 2 years, focusing on visual acuity and intraocular pressure at multiple intervals post-surgery.
- Results showed significant improvements in visual acuity after one year, but some complications, including dislocation and pupillary block, were noted.
Article Abstract
Purpose: To evaluate the visual outcomes and complications after Artisan iris-claw lens implantation in aphakic children with insufficient capsular support.
Methods: In this prospective, interventional noncontrolled study, aphakic eyes of consecutive patients >2 years of age with insufficient capsular support who underwent Artisan intraocular lens (IOL) implantation between June 2011 and December 2012 were followed for 1 year. Patients with anterior chamber depth <3 mm, central endothelial cell density (CECD) <2500 cells/mm(²), uncontrolled glaucoma, or uveitis were excluded. Best-corrected visual acuity, intraocular pressure (IOP), and CECD were measured at 1, 6, and 12 months postoperatively.
Results: A total of 25 aphakic eyes of 18 patients (mean age, 7.86 ± 3.08 years) with insufficient capsular support for a standard posterior chamber IOL were included, 18 eyes with subluxated lens and 7 following trauma. The mean preoperative logMAR best-corrected visual acuity for traumatic aphakic patients was 0.95 ± 0.36; for patients with subluxation, 0.7 ± 0.26. Values improved at 1 year to 0.38 ± 0.15 (P < 0.002) and 0.3 ± 0.2 (P < 0.0001), respectively. One year after surgery the CECD (2892.64 ± 441.79 cells/mm(²)) was significantly reduced from the preoperative and 1 month postoperative values (3573.36 ± 468.9 cells/mm(2), 3081 ± 495 cells/mm(²); P < 0.0001, P < 0.02 resp.). Two cases (8%) developed traumatic dislocation. Pupillary block occurred in 1 case (4%).
Conclusions: Artisan IOL implantation for pediatric aphakia achieved a good visual outcome.
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| http://dx.doi.org/10.1016/j.jaapos.2015.03.014 | DOI Listing |
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