Short-term Follow-up after Implantation of a Foldable Iris-Fixated Intraocular Lens in Phakic Eyes

Tehrani, Mana; Dick, H. Burkhard

doi:10.1016/j.ophtha.2005.06.036

Cited by 47 publications

(44 citation statements)

References 16 publications

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“…Only one eye in the Artiflex group had MSRE of À 0.62 D at 1 year after the procedure. Tehrani and Dick 17 showed 91% of the eyes had refraction within ± 0.50 D of emmetropia 6 months after surgery. In this study, similar to ours, astigmatism was o2.5 D, whereas sphere was The difference of the two groups.…”

Section: Discussionmentioning

confidence: 97%

Comparison of the visual outcomes between PRK-MMC and phakic IOL implantation in high myopic patients

Hashemi

Miraftab

Asgari

2014

Eye

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Purpose To compare the visual outcomes between PRK-MMC and phakic IOL in patients with more than 8 diopter (D) of myopia. Methods This comparative study was performed on 23 eyes under treatment with Artiflex (group A) and 23 eyes under treatment with PRK-MMC (group B). Artiflex phakic IOL (Ophtec BV) was used in group A, and the VISX STAR S4 Excimer Laser (Abbott) was used for PRK-MMC in group B. Results The safety index was 1.11 ± 0.23 and 1.05 ± 0.25 (P ¼ 0.100) and the efficacy index was 1.02 ± 0.11 and 0.98 ± 0.10 (P ¼ 0.266) in group A and B, respectively. At 1 year after surgery, the manifest refraction spherical equivalent was À 0.17±1.18 and À 0.25±0.18 D in group A and B, respectively (P ¼ 0.471). Mesopic CS showed no significant difference between the two groups in any spatial frequency. Total coma was 0.24 ± 0.17 and 0.67 ± 0.40 mm (Po0.001), spherical aberration was À 0.11±0.11 and 0.41±0.18 mm (Po0.001), and RMS HOA T was 0.50±0.20 and 0.96±0.45 mm (Po0.001) in group A and B, respectively. Conclusion Phakic IOL implantation was better than PRK-MMC in the correction of high myopia in terms of visual quality, but the two methods had no difference with regard to visual acuity. Therefore, PRK-MMC can be used when the anterior chamber depth is a limiting factor in the implantation of phakic IOLs.

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Section: Discussionmentioning

confidence: 97%

Comparison of the visual outcomes between PRK-MMC and phakic IOL implantation in high myopic patients

Hashemi

Miraftab

Asgari

2014

Eye

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“…The added value of the foldable anterior chamber Artiflex over the Artisan is that it can be inserted through a 3.2 mm small corneal incision with no suturing [18]. In this study we use 3mm incision and noticed that it is easy to introduce through the smaller incision with good sealing wound and rapid recovery.…”

Section: Discussionmentioning

confidence: 84%

“…The implantation of anterior chamber irisfixated PIOLs has been shown to be an effective surgical option for the treatment of refractive errors, with optical quality superior to that of corneal refractive surgeries [14][15][16][17][18]. The efficacy and safety of the Artisan iris-claw lens has been demonstrated in several multicenter studies [20,21].…”

Section: Discussionmentioning

confidence: 99%

“…Also, in the Food and Drug Administration study [20], 55% of the eyes were within ±0.5 D of the wanted correction and 76% of the eyes were within ±1.0 D after 6 months. In 2005, Tehrani and Dick [18], reported the first clinical study describing the performance of a foldable irisfixated anterior chamber lens for the correction of myopia in phakic eyes. Their results denoted that this lens is a predictable, stable, and efficient option for the correction of myopia.…”

Section: Discussionmentioning

confidence: 99%

“…The Artiflex has Conformité Européene marking in the European Union and is undergoing FDA clinical trials as the Veriflex lens (Abbott Medical Optics, Inc.) [18].…”

Section: Introductionmentioning

confidence: 99%

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Anterior Chamber Foldable Phakic Intra Ocular Lens Safety and Efficacy

AlAhmady¹

2016

J Clin Res Ophthalmol

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Purpose: Correction of myopia by implantation of intra ocular lens is a growing surgery. In this study I am trying to assess the visual outcome stability and safety of eyes undergoing Anterior chamber foldable phakic lens implantation (Artiflex) (Ophtec BV, Groningen, The Netherlands) or (veriflex) (AMO,Santa Ana,CA) for myopia unsuitable for LASIK and detection of early and late complications along three years follow up period.Methods: A retrospective analysis of 25 eyes of 16 patients underwent Anterior chamber foldable phakic IOL (Artiflex) or (Veriflex) implantation for correction of myopia all patients were unsuitable for LASIK all patients underwent surgery with one surgeon in same circumstances. Uncorrected visual acuity, corrected visual acuity (BCVA), higher-order aberrations, patient satisfaction, central endothelial cell count, and PIOL position centration and incarcerated iris tissue were determined along follow up period. Results:At the end of the 36 months of follow up period 14 of the 25 eyes (56 %) achieved BCVA better than that measured pre-operatively and 10 of the 25 eyes (40%) matched their pre-operative BCVA. One eye (4 %) attained a final BCVA worse than pre-operatively, due to recurrent uveitis. One patient (4%) need another surgery to fixate the lens due to slippage of incarcerated iris tissue with impending displacement. Conclusions:This study suggests that Anterior chamber foldable phakic IOL (iris claw lens insertion) Artiflex or Veriflex is beneficial in myopia, unsuitable for LASIK, matching or exceeding preoperative BCVA in the overwhelming majority of the cases. With no major complications however long standing follow up is needed to avoid major complications. Citation

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Cataract and Refractive Surgery

Patel¹

2006

Essentials in Ophthalmology

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Short-term Follow-up after Implantation of a Foldable Iris-Fixated Intraocular Lens in Phakic Eyes

Cited by 47 publications

References 16 publications

Comparison of the visual outcomes between PRK-MMC and phakic IOL implantation in high myopic patients

Comparison of the visual outcomes between PRK-MMC and phakic IOL implantation in high myopic patients

Anterior Chamber Foldable Phakic Intra Ocular Lens Safety and Efficacy

Cataract and Refractive Surgery

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