First Author: J.Keum SOUTH KOREA
Co Author(s): J. Choi Y. You C. Choe T. Choi
Purpose:
To evaluate the efficacy, predictability and safety of implanting iris-claw phakic Artisan lens for treatment of myopia and hyperopia. Comparison of the outcomes between myopic and hyperopic groups implanted with Artisan lens.
Setting:
Nune Eye Hospital, Seoul, Korea
Methods:
Thirty-five highly ametropic eyes were included in a comparative retrospective study, i.e. 29 eyes of 16 patients with spherical equivalent of refractive error from -19.75 to -9.0 diopter (D) and 6 eyes of 3 patients with hyperopia ranged from +4.25 to +6.0 D. The dioptric power of the intraocular lens was calculated by considering refraction, keratometry, and anterior chamber depth. We studied pre- and postoperative refractive efficacy, endothelial cell density, complications in two groups, and the mean follow-up period was 24.2 months.
Results:
Twenty-four months after surgery, the mean refractive error (SE) was -0.27 D (96.6% of eyes were within +/- 1.00 D of the target refraction) in the myopia group, and +1.12 D (83.3% of eyes were within +/- 1.00 D of the target refraction) in the hyperopia group. The mean uncorrected visual acuity was 0.93, and 0.78, respectively, in both groups at 2 year postoperatively. Mean endothelial cell loss was 6.12% and 9.4% in both groups, respectively, but no statistically significative postoperative endothelial cell loss was found. There were no significant differences regarding the assessed outcome parameters between the two study groups.
Conclusions:
Refractive efficacy, predictability and safety after implantation of Artisan lens in both groups were high, however, but the hyperopic group caused slightly more endothelial loss up to 2 years of follow up periods. FINANCIAL DISCLOSURE?: No
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