Artisan iris-claw intraocular lens implantation in vitrectomised eyes

Abstract

Objectives To present the visual acuity (VA) results and complication rates following Artisan intraocular lens (IOL) insertion in vitrectomised eyes. Methods Outcome data were collected for all vitrectomised patients who had undergone Artisan IOL insertion between January 2014 and May 2019 at Moorfields Eye Hospital. All those with follow-up greater than 2 months were included in the analysis.Results Sixty-nine eyes from 61 patients were included. Average follow up was 2 years. Fifty-five (80%) eyes had at least one ocular comorbidity prior to Artisan IOL insertion. At final follow up 46 (67%) eyes had best-corrected VA better than 6/12. Sixty-three eyes (91%) either gained or maintained VA. Mean post-operative spherical equivalent was −0.2D. Two (3%) lenses became de-enclavated requiring further surgery. Two (3%) eyes developed acute post-operative cystoid macular oedema. Two (3%) required additional topical IOP-lowering therapy to their pre-operative glaucoma regimen. One eye had mild corneal oedema, which persisted for 1 year following surgery and subsequently resolved. Conclusions Artisan IOL insertion is a safe and effective option for the surgical correction of aphakia in vitrectomised eyes lacking capsular support. Refractive results comparable to posterior chamber IOL placement can be achieved with these lenses.

[Retracted] Meta‐Analysis of the Comprehensive Efficacy of Intraocular Lens Implantation in Glaucoma Patients

“…However, the depth of the anterior chamber increased, indicating that the IOL replaced the eye's hypertrophic lens, and the iris regained its flat shape without contacting the IOL [ 11 ]. According to some studies, the IOP control rate was low in patients with glaucoma who were followed for nine months after IOL [ 12 ]. In addition, corneal edema, anterior chamber inflammation, posterior capsule rupture, retinal detachment, and other complications are possible following IOL surgery [ 13 ], and its safety requires further investigation.…”

Cataract in the Adult Eye Preferred Practice Pattern®

“…698,699 The implantation of iris-claw IOLs is an alternative in countries where they are commercially available. [700][701][702]…”

Intraocular lens implantation in the absence of capsular support

“…Currently under debate, the Artisan can be placed either anterior or posterior to the iris. The Artisan, while demonstrating safety and efficacy in Europe, is not currently available in the United States or FDA approved, although undergoing active investigation.,[ 6 20 21 ]…”