A retrospective analysis of the first Indian experience on Artisan phakic intraocular lens

Senthil, Sirisha; Reddy, Kasu Prasad; Ravisankar,; Srilakshmi,

doi:10.4103/0301-4738.27950

Cited by 19 publications

(18 citation statements)

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“…In several studies, cases of elevated IOP in the early postoperative period resolved without further damage and were probably related to retained OVD or steroid medication. 416,21,25,61,118,119 Phakic Intraocular Lens Rotation Photographic analysis after implantation of toric Artisan pIOLs showed no rotation greater than 2 degrees at 6 months follow-up in a report by Tehrani et al 35 Using Scheimpflug photography, Baumeister et al 120 examined the postoperative stability of pIOLs and report that the iris-fixated pIOL had the best positional stability compared with anterior chamber and posterior chamber pIOLs. Therefore, the iris-fixated pIOL is particularly interesting for toric pIOL designs.…”

Section: Intraocular Pressure Elevationmentioning

confidence: 97%

“…After pIOL exchange, inflammation in the anterior chamber disappeared completely. Senthil et al 21 report postoperative iritis in 3% of the eyes after Artisan implantation that resolved completely. Moshirfar et al 23 report an incidence of 1.2% of cells and flare for 1 month after Artisan/Verisyse surgery.…”

Section: Iris-fixated Anterior Chamber Piol Complicationsmentioning

confidence: 97%

“…In 3 eyes, an IOL with a 5.0 mm optic was exchanged for an IOL with a 6.0 mm optic, with no glare noticed afterward. Senthil et al 21 report no glare and halos after implantation of the Artisan pIOL in 60 myopic eyes, probably because Indian eyes generally have smaller pupils than white eyes. Moshirfar et al 23 report an incidence of 6.0% of glare and halos 1 month after Artisan/Verisyse implantation, which decreased to 2.7% at 2 years follow-up.…”

Section: Iris-fixated Anterior Chamber Piol Complicationsmentioning

confidence: 97%

“…Pop and Payette 32 report no significant change in corneal endothelial cells 2 years after Artisan implantation. Senthil et al 21 did not find significant corneal endothelial cell loss 24 months after Artisan surgery. Moshirfar et al 23 report a 6.2% decrease in corneal endothelial cells 2 years after Artisan/Versisyse implantation.…”

Section: Iris-fixated Anterior Chamber Piol Complicationsmentioning

confidence: 97%

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Phakic intraocular lenses

Kohnen¹,

Kook²,

Morral³

et al. 2010

Journal of Cataract and Refractive Surgery

177

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The second part of a review of phakic intraocular lenses (pIOLs) addresses results and complications with current pIOL models. Phakic IOLs demonstrate reversibility, high optical quality, potential gain in visual acuity in myopic patients due to retinal magnification; correction is not limited by corneal thickness or topography. With proper anatomical conditions, pIOLs also show good results in hyperopic patients. Toric pIOL designs enable spherocylindrical correction. Complications are rare and primarily related to pIOL position and type. The main complications of angle-supported anterior chamber pIOLs are glare and halos, pupil ovalization, and corneal endothelial cell loss; of iris-fixated anterior chamber pIOLs, chronic subclinical inflammation, corneal endothelial cell loss, and dislocation or pupillary block glaucoma; and of posterior chamber pIOLs, anterior subcapsular cataract formation, pigment dispersion, and luxation or pupillary block glaucoma. No causative relationship between pIOL implantation (of any pIOL type) and retinal detachment has been established.

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Section: Intraocular Pressure Elevationmentioning

confidence: 97%

Section: Iris-fixated Anterior Chamber Piol Complicationsmentioning

confidence: 97%

Section: Iris-fixated Anterior Chamber Piol Complicationsmentioning

confidence: 97%

Section: Iris-fixated Anterior Chamber Piol Complicationsmentioning

confidence: 97%

See 2 more Smart Citations

Phakic intraocular lenses

Kohnen¹,

Kook²,

Morral³

et al. 2010

Journal of Cataract and Refractive Surgery

177

View full text Add to dashboard Cite

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“…Several clinical trials with variable results partially reported that the position of ICIOLs and the morphometry of the anterior chamber (eg, deep or shallow anterior chambers,4 white-to-white distance, or sulcus diameter) may have consequences, eg, endothelial cell loss4,5 or chronic inflammations of the iris 6,7. To measure in more realistic conditions, investigations using Scheimpflug photography or ultrasound biomicroscopy have also been performed 8,9.…”

Section: Introductionmentioning

confidence: 99%

Using a slit lamp-mounted digital high-speed camera for dynamic observation of phakic lenses during eye movements: a pilot study

Leitritz¹,

Ziemssen²,

Bartz‐Schmidt³

et al. 2014

OPTH

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PurposeTo evaluate a digital high-speed camera combined with digital morphometry software for dynamic measurements of phakic intraocular lens movements to observe kinetic influences, particularly in fast direction changes and at lateral end points.Materials and methodsA high-speed camera taking 300 frames per second observed movements of eight iris-claw intraocular lenses and two angle-supported intraocular lenses. Standardized saccades were performed by the patients to trigger mass inertia with lens position changes. Freeze images with maximum deviation were used for digital software-based morphometry analysis with ImageJ.ResultsTwo eyes from each of five patients (median age 32 years, range 28–45 years) without findings other than refractive errors were included. The high-speed images showed sufficient usability for further morphometric processing. In the primary eye position, the median decentrations downward and in a lateral direction were −0.32 mm (range −0.69 to 0.024) and 0.175 mm (range −0.37 to 0.45), respectively. Despite the small sample size of asymptomatic patients, we found a considerable amount of lens dislocation. The median distance amplitude during eye movements was 0.158 mm (range 0.02–0.84). There was a slight positive correlation (r=0.39, P<0.001) between the grade of deviation in the primary position and the distance increase triggered by movements.ConclusionWith the use of a slit lamp-mounted high-speed camera system and morphometry software, observation and objective measurements of iris-claw intraocular lenses and angle-supported intraocular lenses movements seem to be possible. Slight decentration in the primary position might be an indicator of increased lens mobility during kinetic stress during eye movements. Long-term assessment by high-speed analysis with higher case numbers has to clarify the relationship between progressing motility and endothelial cell damage.

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