Long-term follow-up after bilateral Artisan aphakia intraocular lens implantation in two children with Marfan syndrome

Sminia, Marije L.; Odenthal, Monica T. P.; Prick, Liesbeth; Cobben, Jan Maarten; Mourits, Maarten P.; Völker-Dieben, H. J. M.

doi:10.1016/j.jaapos.2011.10.014

Cited by 20 publications

(24 citation statements)

References 9 publications

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“…The lens has the advantage that one size fits all eyes if implanted in the anterior chamber. Anterior-fixation of the lens has been shown to be safe in children resulting in good visual outcome and low endothelial cell loss[ 8 , 10 , 20 ]. However, studies with long follow-up periods are missing and endothelial cell loss always remains a concern in eyes with anterior chamber IOLs.…”

Section: Discussionmentioning

confidence: 99%

Retropupillary Fixation of Iris-Claw Intraocular Lens for Aphakic Eyes in Children

et al. 2015

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PurposeTo report outcome, complications and safety of retropupillary fixated iris-claw intraocular lenses in a pediatric population.DesignRetrospective study.Patients and MethodsTen consecutive pediatric patients (15 eyes) underwent placement of retropupillary fixated iris-claw intraocular lenses between October 2007 and July 2013 at the Department of Ophthalmology, Medical University Graz and General Hospital Klagenfurt, Austria. Postoperative visual acuity and complications were analyzed.ResultsMedian final best-corrected visual acuity improved by 0.12 logMAR from preoperative baseline. Mean postoperative spherical equivalent was -0.05 ± 1.76 D. No serious complications were observed intra- or postoperatively during the entire follow-up period of up to 40 months. One patient experienced a haptic disenclavation with IOL subluxation immediately after a car accident.ConclusionOur study demonstrates that iris-claw intraocular lens implantation behind the iris is safe in children with lack of capsular support and yields excellent visual outcome with low complication rate.

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Section: Discussionmentioning

confidence: 99%

Retropupillary Fixation of Iris-Claw Intraocular Lens for Aphakic Eyes in Children

et al. 2015

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“…Iris claw lens enclavated within the iris stroma may be more appropriate in such cases, with good visual outcome and no significant effect on the endothelium. 18 None of our ACIOL patients presented with corneal decompensation. Likewise, PCIOL with M-CTR in the bag was stable and SFIOL patients did not present with IOL tilt or haptic extrusion till the last follow-up.…”

Section: Eyementioning

confidence: 81%

“…Recently iris-supported ACIOLs have been used in pediatric aphakics with good visual outcome and no significant effect on the endothelium. 18 Iris-supported ACIOLs seem to be a better option for hereditary lens subluxation cases because of larger WTW in Marfan's cases posing difficulty in choosing angle-supported IOL size. Iris-enclavated lenses may be placed anterior 9 or posterior to the iris.…”

Section: Eyementioning

confidence: 99%

Clinical spectrum and surgical outcomes in spherophakia: a prospective interventional study

Khokhar

Pillay

Sen

et al. 2017

Eye

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PurposeTo study the varied clinical presentations of patients with spherophakia, their management using surgical methods, and the clinical outcomes.Patients and methodsA prospective interventional study of 13 patients of spherophakia who presented to us from January 2014 and were followed up over the course of their treatment, and the data were documented for analysis.ResultsIn all, 26 eyes of 13 patients were reviewed and the median age of presentation was 12±12.05 years. All patients had a bilateral presentation with 22 eyes having lenticular myopia with a mean refractive error of -11.5±12.945 DS. Ten eyes presented with glaucoma of which six had raised intraocular pressure (IOP) >21 mm Hg. A total of 23 eyes underwent lens extraction for dislocation/subluxation. Lens extraction helped lower overall IOP. Refractive rehabilitation was done with ACIOL, posterior chamber intraocular lens (PCIOL) with capsular tension ring, and scleral-fixated intraocular lens (SFIOL) in respective cases with ACIOLs being the most commonly used option.ConclusionsSpherophakia is a rare condition, which exhibits a varying degree of lenticular myopia, glaucoma, and subluxation of the crystalline lens. Lensectomy with proper rehabilitation using ACIOL, PCIOL, or SFIOL is a method of managing subluxation and unacceptable myopia. Lensectomy may also be a viable option of controlling glaucoma alongside medications and glaucoma surgery for the management of glaucoma in such cases.

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“…ere are also cases of Artisan aphakic IOL implantation in children with good clinical outcomes. Artisan aphakic IOL is both feasible and effective in managing ectopia lentis in children [12][13][14]. Sminia et al also reported Artisan aphakic IOL implantation in children with traumatic pediatric cataract with a follow-up period of 11.0 years [15] and in children with partial aniridia caused by perforating ocular trauma for a follow-up period of 8.9 years [16].…”

Section: Discussionmentioning

confidence: 98%

The Influence of Decentration on Higher-Order Aberrations in Artisan Aphakic Intraocular Lens Implantation Eyes

Miao

Zhang

Chen

et al. 2020

Journal of Ophthalmology

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Purpose. To characterize the influence of decentration on higher-order aberrations of Artisan aphakic intraocular lens implantation eyes. Setting. Department of Ophthalmology and Vision Science, Eye and ENT Hospital of Fudan University, Shanghai, China. Design. Retrospective case series. Methods. Twenty-three eyes of 18 patients were retrospectively examined. Location of the IOL was imaged using a slit-lamp, and decentration (the distance from the center of a pupil to the geometric center of the IOL) was measured using the AutoCAD 2007 software. Ocular and internal higher-order aberrations were measured using the wavefront analyzer KR-1W (Topcon) and their correlation with decentration were analyzed. Coma, spherical, 3rd-, 4th-order, trefoil, tetrafoil aberrations, ocular, and internal higher-order aberrations were calculated for a 4.0 mm pupil diameter. Results. The mean age of patients was 33.6 ± 21.4 years (ranging from 7 to 72 years). The mean follow-up period was 28.2 ± 10.5 months (ranging from 12 to 52 months). The mean postoperative best-corrected visual acuity (BCVA) was 0.19 ± 0.19 logMAR (range −0.18–0.52). The mean decentration was 0.57 ± 0.28 mm (range 0.15–1.21 mm). There was no correlation between Artisan IOL decentration and ocular higher-order aberrations, internal higher-order aberrations, coma, spherical, 3rd-, 4th-order, trefoil, and tetrafoil aberrations, respectively. There was a positive correlation between Artisan IOL decentration and 2nd-astig aberrations when 2nd-astig aberrations were less than 0.1. Conclusions. The position of Artisan IOLs showed slight decentration and the amounts of decentration were not large enough to influence higher-order aberrations.

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Long-term follow-up after bilateral Artisan aphakia intraocular lens implantation in two children with Marfan syndrome

Cited by 20 publications

References 9 publications

Retropupillary Fixation of Iris-Claw Intraocular Lens for Aphakic Eyes in Children

Retropupillary Fixation of Iris-Claw Intraocular Lens for Aphakic Eyes in Children

Clinical spectrum and surgical outcomes in spherophakia: a prospective interventional study

The Influence of Decentration on Higher-Order Aberrations in Artisan Aphakic Intraocular Lens Implantation Eyes

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