Aphakia correction with retropupillary fixated iris-claw lens (Artisan) – long-term results

Aphakia correction with retropupillary fixated iris-claw lens (Artisan) – long-term results

Maurice Schallenberg,1,2 Dirk Dekowski,1 Angela Hahn,1 Thomas Laube,1,3 Klaus-Peter Steuhl,1 Daniel Meller11Department of Ophthalmology, University Hospital Essen, University of Duisburg-Essen, Essen, Germany; 2HELIOS Klinikum Wuppertal, Wuppertal, Germany; 3Zentrum für Augenheilkunde PD D...

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Autores principales: Schallenberg M, Dekowski D, Hahn A, Laube T, Steuhl KP, Meller D
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2013
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Ophthalmology
RE1-994
Acceso en línea:https://doaj.org/article/1814ed895f1b4ebf83d3166e2e6045da
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spelling oai:doaj.org-article:1814ed895f1b4ebf83d3166e2e6045da2021-12-02T00:09:41ZAphakia correction with retropupillary fixated iris-claw lens (Artisan) – long-term results1177-5483https://doaj.org/article/1814ed895f1b4ebf83d3166e2e6045da2013-12-01T00:00:00Zhttp://www.dovepress.com/aphakia-correction-with-retropupillary-fixated-iris-claw-lens-artisan--a15366https://doaj.org/toc/1177-5483 Maurice Schallenberg,1,2 Dirk Dekowski,1 Angela Hahn,1 Thomas Laube,1,3 Klaus-Peter Steuhl,1 Daniel Meller11Department of Ophthalmology, University Hospital Essen, University of Duisburg-Essen, Essen, Germany; 2HELIOS Klinikum Wuppertal, Wuppertal, Germany; 3Zentrum für Augenheilkunde PD Dr Laube, Düsseldorf, GermanyPurpose: To evaluate the technique, safety, and efficacy of the retropupillary implantation of iris-claw intraocular lenses in a long-term follow-up study.Patients and methods: This retrospective study included 31 eyes of 31 patients who underwent an Artisan aphakic intraocular lens implantation between January 2006 and February 2011 at the University Hospital Essen, Essen, Germany and at the Zentrum für Augenheilkunde PD Dr Laube, Düsseldorf, Germany. Preoperative data collected included demographics, etiology of aphakia, previous surgeries, preoperative eye pathology, intraocular pressure, clinical signs of endothelial cell loss, and best corrected visual acuity. Operative data and postoperative outcomes included the best corrected visual acuity, lens position, intraocular pressure, pigment dispersion, clinical signs of endothelial cell loss, development of macular edema, and other complications.Results: Thirty-one patients were included. The mean follow-up was 25.2 months (range: 4–48 months). The mean best corrected visual acuity postoperatively was 0.64 logarithm of the minimum angle of resolution (logMAR) and varied from 0 logMAR to 3 logMAR. Some patients had a low visual acuity preoperatively because of preoperative eye pathologies. In 22 patients the visual acuity improved, in two patients the visual acuity remained unchanged, and seven patients showed a decreased visual acuity. Complications were peaked pupils (n=10) and retinal detachment in one case. Four patients showed an iris atrophy and high intraocular pressure was observed only in one patient. Subluxation of the intraocular lens, endothelial cell loss, and macular edema were not observed.Conclusion: The presented long-term results demonstrate that retropupillary iris-claw lens implantation is a safe and effective method for the correction of aphakia in patients without capsule support. This surgical procedure has the advantages of a posterior chamber implantation with a low intraoperative and postoperative risk profile.Keywords: aphakia, iris-claw lens, Artisan IOL, retropupillary fixated IOLSchallenberg MDekowski DHahn ALaube TSteuhl KPMeller DDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2014, Iss default, Pp 137-141 (2013)
institution DOAJ
collection DOAJ
language EN
topic Ophthalmology
RE1-994
spellingShingle Ophthalmology
RE1-994
Schallenberg M
Dekowski D
Hahn A
Laube T
Steuhl KP
Meller D
Aphakia correction with retropupillary fixated iris-claw lens (Artisan) – long-term results
description Maurice Schallenberg,1,2 Dirk Dekowski,1 Angela Hahn,1 Thomas Laube,1,3 Klaus-Peter Steuhl,1 Daniel Meller11Department of Ophthalmology, University Hospital Essen, University of Duisburg-Essen, Essen, Germany; 2HELIOS Klinikum Wuppertal, Wuppertal, Germany; 3Zentrum für Augenheilkunde PD Dr Laube, Düsseldorf, GermanyPurpose: To evaluate the technique, safety, and efficacy of the retropupillary implantation of iris-claw intraocular lenses in a long-term follow-up study.Patients and methods: This retrospective study included 31 eyes of 31 patients who underwent an Artisan aphakic intraocular lens implantation between January 2006 and February 2011 at the University Hospital Essen, Essen, Germany and at the Zentrum für Augenheilkunde PD Dr Laube, Düsseldorf, Germany. Preoperative data collected included demographics, etiology of aphakia, previous surgeries, preoperative eye pathology, intraocular pressure, clinical signs of endothelial cell loss, and best corrected visual acuity. Operative data and postoperative outcomes included the best corrected visual acuity, lens position, intraocular pressure, pigment dispersion, clinical signs of endothelial cell loss, development of macular edema, and other complications.Results: Thirty-one patients were included. The mean follow-up was 25.2 months (range: 4–48 months). The mean best corrected visual acuity postoperatively was 0.64 logarithm of the minimum angle of resolution (logMAR) and varied from 0 logMAR to 3 logMAR. Some patients had a low visual acuity preoperatively because of preoperative eye pathologies. In 22 patients the visual acuity improved, in two patients the visual acuity remained unchanged, and seven patients showed a decreased visual acuity. Complications were peaked pupils (n=10) and retinal detachment in one case. Four patients showed an iris atrophy and high intraocular pressure was observed only in one patient. Subluxation of the intraocular lens, endothelial cell loss, and macular edema were not observed.Conclusion: The presented long-term results demonstrate that retropupillary iris-claw lens implantation is a safe and effective method for the correction of aphakia in patients without capsule support. This surgical procedure has the advantages of a posterior chamber implantation with a low intraoperative and postoperative risk profile.Keywords: aphakia, iris-claw lens, Artisan IOL, retropupillary fixated IOL
format article
author Schallenberg M
Dekowski D
Hahn A
Laube T
Steuhl KP
Meller D
author_facet Schallenberg M
Dekowski D
Hahn A
Laube T
Steuhl KP
Meller D
author_sort Schallenberg M
title Aphakia correction with retropupillary fixated iris-claw lens (Artisan) – long-term results
title_short Aphakia correction with retropupillary fixated iris-claw lens (Artisan) – long-term results
title_full Aphakia correction with retropupillary fixated iris-claw lens (Artisan) – long-term results
title_fullStr Aphakia correction with retropupillary fixated iris-claw lens (Artisan) – long-term results
title_full_unstemmed Aphakia correction with retropupillary fixated iris-claw lens (Artisan) – long-term results
title_sort aphakia correction with retropupillary fixated iris-claw lens (artisan) – long-term results
publisher Dove Medical Press
publishDate 2013
url https://doaj.org/article/1814ed895f1b4ebf83d3166e2e6045da
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