Incidence rate and occurrence of visually significant cataract formation and corneal decompensation after implantation of Verisyse/Artisan phakic intraocular lens

Majid Moshirfar,1 Lauren M Imbornoni,2 Erik M Ostler,1 Valliammai Muthappan1 1Moran Eye Center, Department of Ophthalmology and Visual Sciences, University of Utah, Salt Lake City, UT, USA; 2University of Arizona College of Medicine, Tucson, AZ, USA Purpose: To evaluate the incidence rate and indi...

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Autores principales: Moshirfar M, Imbornoni LM, Ostler EM, Muthappan V
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Lenguaje:EN
Publicado: Dove Medical Press 2014
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spelling oai:doaj.org-article:b67bd9cc8e65437a894185d8703982c02021-12-02T00:57:14ZIncidence rate and occurrence of visually significant cataract formation and corneal decompensation after implantation of Verisyse/Artisan phakic intraocular lens1177-5483https://doaj.org/article/b67bd9cc8e65437a894185d8703982c02014-04-01T00:00:00Zhttp://www.dovepress.com/incidence-rate-and-occurrence-of-visually-significant-cataract-formati-a16385https://doaj.org/toc/1177-5483 Majid Moshirfar,1 Lauren M Imbornoni,2 Erik M Ostler,1 Valliammai Muthappan1 1Moran Eye Center, Department of Ophthalmology and Visual Sciences, University of Utah, Salt Lake City, UT, USA; 2University of Arizona College of Medicine, Tucson, AZ, USA Purpose: To evaluate the incidence rate and indications for explantation of Verisyse phakic intraocular lenses (pIOLs) over a 13.6 year period. Subjects and methods: Case series describing six cases of explantation of Verisyse pIOLs, out of 213 eyes with Verisyse pIOLs, implanted over a 13.6 year period by one surgeon at one institution, with mean follow-up of 5.6 years per eye. Results: Four pIOLs were removed to facilitate extraction of a visually significant cataract, one was removed due to both cataract formation and development of corneal decompensation, and another was removed due to development of localized peripheral corneal decompensation. The incidence rate of pIOL removal was five per 1,000 patient-years with pIOL. Mean time from insertion of pIOL to cataract removal was 9.3 years (range 4.0–12.6 years). Mean time from insertion of pIOL to development of corneal decompensation was 10 years (range 6.9–13 years). There was no increase in the rate of cataract extraction in the pIOL population compared to the general population. Conclusion: Cataracts may develop in patients with pIOLs, necessitating removal of the pIOL. Corneal decompensation is a serious complication that appears to be directly related to pIOLs. Corneal decompensation can occur up to 13 years following implantation of pIOLs, and long-term follow-up is important to monitor for this complication. Keywords: Verisyse lens, Artisan lens, phakic IOL, corneal decompensation, cataractMoshirfar MImbornoni LMOstler EMMuthappan VDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2014, Iss default, Pp 711-716 (2014)
institution DOAJ
collection DOAJ
language EN
topic Ophthalmology
RE1-994
spellingShingle Ophthalmology
RE1-994
Moshirfar M
Imbornoni LM
Ostler EM
Muthappan V
Incidence rate and occurrence of visually significant cataract formation and corneal decompensation after implantation of Verisyse/Artisan phakic intraocular lens
description Majid Moshirfar,1 Lauren M Imbornoni,2 Erik M Ostler,1 Valliammai Muthappan1 1Moran Eye Center, Department of Ophthalmology and Visual Sciences, University of Utah, Salt Lake City, UT, USA; 2University of Arizona College of Medicine, Tucson, AZ, USA Purpose: To evaluate the incidence rate and indications for explantation of Verisyse phakic intraocular lenses (pIOLs) over a 13.6 year period. Subjects and methods: Case series describing six cases of explantation of Verisyse pIOLs, out of 213 eyes with Verisyse pIOLs, implanted over a 13.6 year period by one surgeon at one institution, with mean follow-up of 5.6 years per eye. Results: Four pIOLs were removed to facilitate extraction of a visually significant cataract, one was removed due to both cataract formation and development of corneal decompensation, and another was removed due to development of localized peripheral corneal decompensation. The incidence rate of pIOL removal was five per 1,000 patient-years with pIOL. Mean time from insertion of pIOL to cataract removal was 9.3 years (range 4.0–12.6 years). Mean time from insertion of pIOL to development of corneal decompensation was 10 years (range 6.9–13 years). There was no increase in the rate of cataract extraction in the pIOL population compared to the general population. Conclusion: Cataracts may develop in patients with pIOLs, necessitating removal of the pIOL. Corneal decompensation is a serious complication that appears to be directly related to pIOLs. Corneal decompensation can occur up to 13 years following implantation of pIOLs, and long-term follow-up is important to monitor for this complication. Keywords: Verisyse lens, Artisan lens, phakic IOL, corneal decompensation, cataract
format article
author Moshirfar M
Imbornoni LM
Ostler EM
Muthappan V
author_facet Moshirfar M
Imbornoni LM
Ostler EM
Muthappan V
author_sort Moshirfar M
title Incidence rate and occurrence of visually significant cataract formation and corneal decompensation after implantation of Verisyse/Artisan phakic intraocular lens
title_short Incidence rate and occurrence of visually significant cataract formation and corneal decompensation after implantation of Verisyse/Artisan phakic intraocular lens
title_full Incidence rate and occurrence of visually significant cataract formation and corneal decompensation after implantation of Verisyse/Artisan phakic intraocular lens
title_fullStr Incidence rate and occurrence of visually significant cataract formation and corneal decompensation after implantation of Verisyse/Artisan phakic intraocular lens
title_full_unstemmed Incidence rate and occurrence of visually significant cataract formation and corneal decompensation after implantation of Verisyse/Artisan phakic intraocular lens
title_sort incidence rate and occurrence of visually significant cataract formation and corneal decompensation after implantation of verisyse/artisan phakic intraocular lens
publisher Dove Medical Press
publishDate 2014
url https://doaj.org/article/b67bd9cc8e65437a894185d8703982c0
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AT ostlerem incidencerateandoccurrenceofvisuallysignificantcataractformationandcornealdecompensationafterimplantationofverisyseartisanphakicintraocularlens
AT muthappanv incidencerateandoccurrenceofvisuallysignificantcataractformationandcornealdecompensationafterimplantationofverisyseartisanphakicintraocularlens
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