Implantation of the Artisan® iris reconstruction intraocular lens in 5 children with aphakia and partial aniridia caused by perforating ocular trauma

Sminia, Marije L.; Odenthal, Monica T. P.; Gortzak-Moorstein, Nitza; Wenniger-Prick, L. J. J. M.; Völker-Dieben, H. J. M.

doi:10.1016/j.jaapos.2007.11.014

Cited by 25 publications

(22 citation statements)

References 20 publications

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“…Sminia describes the use of Artisan iris reconstruction using an IOL for aphakia and partial aniridia secondary to perforating ocular trauma. 14 Children have long mean life expectancy, therefore long-term monitoring of ECL is important following Artisan IOL implantation. It is reported that the ECC at birth is 6000 cells/mm 2 which decreases at a rate of 13% between 5-7 years and a further 12% by the age of 10 years.…”

Section: Discussionmentioning

confidence: 99%

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%

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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“…28,31 Since then, numerous reports have touted IOL implantation in children suffering from cataracts after both blunt and penetrating eye injuries. 8,10,20,[26][27][28][29][32][33][34][35][36][37][38][39][40] Table 3 summarizes studies presenting results in patients with primary lensectomy and primary IOL implantation, primary lensectomy and secondary IOL implantation, and secondary lensectomy and secondary IOL implantation.…”

Section: Iol Implantation In Childrenmentioning

confidence: 99%

Intraocular Lens Implantation in Penetrating Ocular Trauma

Shah¹,

Turalba²

2010

International Ophthalmology Clinics

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Approximately 55 million eye injuries limit productivity across the world yearly. 1 Open-globe injuries, defined as full-thickness wounds of the cornea and/or sclera, 2 occur with an annual incidence of 200,000 cases per year worldwide 1 and require prompt surgical intervention to minimize morbidity. 3 In cases with lens capsular violation and cataract formation, primary lensectomy has become the standard of care over the past 30 years. 4-7 However, the timing of intraocular lens (IOL) implantation after lensectomy is debated. Here, we review the literature regarding the timing of IOL implantation after penetrating ocular injury and traumatic cataract, and we provide an algorithm to help guide management in these cases. Traumatic Cataracts and the Timing of IOL ImplantationIn the 1950s and earlier, ophthalmologists treated open-globe injuries with a wide range of interventions from observation to placement of conjunctival flaps over the lacerated tissue. With the advent of intraocular air, surgeons moved towards the repositioning of intraocular structures and the reapposition of lacerated tissues. RoperHall showed convincing data that surgical repair of open-globe injuries afforded decreased morbidity. 3 As open-globe repair became standard of care, ophthalmic trauma surgeons encountered the question of what to do with traumatic cataracts during the primary repair. Roper-Hall www.internat-ophthalmology.com | 43

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“…Aside from esthetic aspects, partial or total loss of iris tissue may also be related to various degrees of glare, photophobia, and visual impairment. In patients with major iris defects, an artificial iris prosthesis provides satisfactory anterior segment reconstruction with a remarkable functional outcome (3)(4)(5)(6)(7)(8)(9)(10) . Various implants have been developed for the treatment of aphakia with aniridia.…”

Section: Discussionmentioning

confidence: 99%

“…In cases with partial iris defects, intraocular implantation of the Artisan iris reconstruction implant (Ophtec, Groningen, The Netherlands) may be chosen for cosmetic and functional improvement. Such a device can be attached to the remaining iris tissue at its periphery; however, an optical lens system enabling various dioptric powers is placed in its center (10) . A custom-tailored artificial iris prosthesis provides a much …”

Section: Discussionmentioning

confidence: 99%

Combined transscleral fixation of an artificial iris prosthesis with an intraocular lens

Günenç¹,

Öztürk²,

Arıkan³

et al. 2016

Arquivos Brasileiros De Oftalmologia

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Post-traumatic aniridia combined with aphakia may be seen after globe injury. Aside from esthetic aspects, partial or total loss of the iris tissue may also be related to various degrees of glare and photophobia. Such patients suffer from severe visual impairment secondary to aphakia. Herein we describe a novel surgical technique for the management of an aphakic eye with traumatic aniridia for a patient who underwent transscleral fixation of a custom-tailored artificial iris prosthesis combined with a rigid intraocular lens (IOL). Tight suturing of the IOL haptic eyelets on the silicone iris prosthesis and fixation of such a complex to the scleral wall may provide excellent cosmetic and functional outcomes in aphakic eyes with aniridia.

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Implantation of the Artisan® iris reconstruction intraocular lens in 5 children with aphakia and partial aniridia caused by perforating ocular trauma

Cited by 25 publications

References 20 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

Intraocular Lens Implantation in Penetrating Ocular Trauma

Combined transscleral fixation of an artificial iris prosthesis with an intraocular lens

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