Posters

A surgical technique for Artisan Aphakia IOL implantation

Poster Details

First Author: I.Elboukhani MOROCCO

Co Author(s): I. Errachiq   Y. Moursli   A. Mchachi   L. Benhmidoune   R. Rachid   M. Elbelhadji     

Abstract Details

Purpose:

After cataract surgery without preservation of the posterior capsulo-zonular plane and without placement of an intra-ocular refractive implant (IOL), visual rehabilitation of patients may not be feasible with glasses or contact lenses. The high number of complications described with the use of first-generation anterior chamber implants has led to the proliferation of implantation techniques in the absence of a posterior capsular-zonular plane. Aim of the study: We describe through our video the technical conditions for setting up an ARTISAN implant attached to the posterior surface of the iris.

Setting:

Adult Ophthalmology Service, Hospital AUGUST 20, 1953, Ibn Rochd University Hospital, Hassan II University, Faculty of Medicine and Pharmacy of Casablanca

Methods:

56 years old patient, operated for cataract by phacoemulsification, complicated by capsular rupture, not implanted; The preoperative examination is essential: The interrogation notes the circumstances of the date and the name of the surgeon who performed the previous procedure, the technique used and its aftermath, it also specifies the patient's motivations, the biometry calculates the power of the future implant , the measurement of the optical correction and the best visual acuity allows an estimate of the visual acuity postoperative in the absence of complication.The slit lamp examination must be completed.

Results:

The anterior chamber (AC) is opened; Anterior vitrectomy is performed whenever there is vitreous prolapse in AC. Performing a paracentesis at 9 and 3 o'clock. A myosis is obtained by injection of acetylcholine, the anterior chamber is filled with viscoelastic product to ensure the protection of the endothelium and introduction of the artisan implant in the anterior chamber, the implant is then maintained behind the irian plane and the iris is pushed back into the forceps of the implant with a spatula, exerting gentle pressure over the iris, washing the viscoelastic product, and suturing the corneal incision with the monofilament.

Conclusions:

Iris-claw implants attached to the posterior surface of the iris are a good option for eyes with inadequate posterior capsular support. In general, it can be said that the personal experience of the surgeon appears to be a decisive factor in the choice of implant type.

Financial Disclosure:

None