Evaluation of Artisan aphakic intraocular lens in cases of pediatric aphakia with insufficient capsular support

Gawdat, Ghada; Taher, S.; Salama, Mohsen; Ali, Adel A.

doi:10.1016/j.jaapos.2015.03.014

Cited by 22 publications

(22 citation statements)

References 22 publications

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“…Moreover, it has a vaulted design that provides optimal space between the iris and the Artisan IOL, thereby avoiding interference with aqueous flow. 1,12 Few reports describe the use of Artisan aphakic IOL in the paediatric age group. Worst described its use for congenital, traumatic, and developmental cataracts.…”

Section: Discussionmentioning

confidence: 99%

“…Worst described its use for congenital, traumatic, and developmental cataracts. 13 Lifshitz et al 1 and Gawdat et al 12 have described Artisan aphakic implantation in paediatric aphakia with insufficient capsular support. Sminia describes the use of Artisan iris reconstruction using an IOL for aphakia and partial aniridia secondary to perforating ocular trauma.…”

Section: Discussionmentioning

confidence: 99%

“…This is similar to other published findings which demonstrate that ECL is higher in the first year post aphakic Artisan IOL implantation, with a further drop noted over the subsequent years to a lesser extent-this seems to stabilise 3 years post operatively. 12,19,20 In a multicentre study of Artisan phakic IOL, ECL was found to stabilise 3 years post operatively. 19 It seems that there are two stages for ECL; the intra-operative stage, where most ECL occurs, and 2-3 years post operatively.…”

Section: Eyementioning

confidence: 96%

See 2 more Smart Citations

Is an iris claw IOL a good option for correcting surgically induced aphakia in children? A review of the literature and illustrative case study

Barbara

Rufai

Tan

et al. 2016

Eye

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Refractive correction of aphakia in childhood can be a complex management issue following lensectomy for congenital cataract or ectopia lentis. Some children have inadequate capsular support to allow an 'in the bag' or sulcus fixated intra-ocular lens (IOL). In such cases, options for refractive correction include spectacles, contact lenses, or surgically fixed IOLs. Many methods of IOL fixation have been described, but none are widely adopted in children. In recent years, the iris-fixated Artisan Aphakic IOL has gained popularity, but there is still significant concern about the rate of corneal endothelial cell loss and IOL de-enclavation. Here, we review the current literature on the use of iris-fixated IOLs in children, the published data on endothelial cell loss and de-enclavation rates. We present a case illustrating the significant improvements in quality of life, which can be seen in selected children, and also the rate of endothelial cell loss, which can be encountered after initial surgery, and a re-enclavation event. We make the case that until more data are available on normal endothelial cell decline in early childhood, in addition to age-specific rates of endothelial cell loss and de-enclavation rates following surgery, the use of iris-fixated IOLs in children will continue to be a moot point and is unlikely to be widely adopted.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Eyementioning

confidence: 96%

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Is an iris claw IOL a good option for correcting surgically induced aphakia in children? A review of the literature and illustrative case study

Barbara

Rufai

Tan

et al. 2016

Eye

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“…They observed that mean ECL was 41% in the traumatic cataract group after 10.5 years of follow-up and was strongly correlated with the original corneal scar length from trauma. Similarly, in a long-term study by Gawdat et al, a higher rate of ECC loss was noted in paediatric eyes that had undergone Artisan IOL implantation for the correction of aphakia after traumatic cataract surgery at 12-month follow-up [ 33 ]. It was assumed that original trauma and its surgical repair were liable for the greater ECL rate.…”

Section: Anterior-fixated Iris-claw Iolsmentioning

confidence: 99%

“…Over the years, many studies have investigated ECL after lensectomy in children. In a prospective study by Kora et al, ECL was evaluated to be 6% three years after cataract surgery, using PCIOL and Hessberg-type anterior chamber IOLs [ 33 ]. They assumed that factors, such as age, indications for surgery, or technique, could change that result.…”

Section: Anterior-fixated Iris-claw Iolsmentioning

confidence: 99%

Surgical Management of Paediatric Aphakia in the Absence of Sufficient Capsular Support

Karasavvidou

Wilde

Zaman

et al. 2021

Journal of Ophthalmology

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There are several available options for the demanding surgical correction of paediatric aphakia without sufficient capsular support. The literature suggests the implantation of a transscleral fixated posterior chamber-intraocular lens (PCIOL), an intrascleral fixated PCIOL, an iris-sutured intraocular lens (IOL), or an anterior chamber iris-claw IOL. We searched for reports on the management of paediatric aphakia in case of inadequate capsular support that delineated the diverse surgical approaches and their postoperative results. Analysis demonstrated that different complications can be encountered depending on IOL placement technique, such as suture rupture, IOL dislocation, secondary glaucoma, endophthalmitis, vitreous hemorrhage, and endothelial cell loss. However, it was shown that various IOL designs have similar visual outcomes. Taking into consideration the advantages and disadvantages of each surgical technique, ophthalmic surgeons can determine the safest and most efficient approach for paediatric aphakic patients.

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Secondary IOL Implantation at Pediatric Age

Sen

Varma

Natarajan

et al. 2023

Pediatric Vitreoretinal Surgery

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Evaluation of Artisan aphakic intraocular lens in cases of pediatric aphakia with insufficient capsular support

Cited by 22 publications

References 22 publications

Is an iris claw IOL a good option for correcting surgically induced aphakia in children? A review of the literature and illustrative case study

Is an iris claw IOL a good option for correcting surgically induced aphakia in children? A review of the literature and illustrative case study

Surgical Management of Paediatric Aphakia in the Absence of Sufficient Capsular Support

Secondary IOL Implantation at Pediatric Age

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