Endothelial cell loss after Artisan pIOL implantation

Poster Details

First Author: G.Van Rijn THE NETHERLANDS

Co Author(s):    G. Luyten              

Abstract Details

Purpose:

To present 4 cases with endothelial cell loss long time after Artisan pIOL implantation for the correction of myopia.

Setting:

Department of Ophthalmology, Leiden University Medical Center, The Netherlands

Methods:

Case report

Results:

We present 4 cases with severe endothelial cell loss after implantation of an Artisan phakic intraocular lens for the correction of myopia. The mean age of the cases is 60 years with a preoperative spherical equivalent of S-14.97±5.18 (mean±standard deviation) diopters and an anterior chamber depth 3.38±0.35 mm from the corneal epithelium. After a follow up of 10.38±3.86 years, we observed an endothelial cell loss per year of 10.76±15.35% in these 4 cases. With Pentacam we measured a nasal, temporal and central critical distance of respectively 1.24±0.41, 1.28±0.28 and 1.7±0.33 mm. Risk factors as rubbing eyes and contact sports were evaluated. One patient answered positive for chronic eye rubbing.

Conclusions:

The minimal critical distance should be carefully re-evaluated to establish a sufficient safe zone of minimum clearance between intraocular lens and corneal endothelium. Patients should be thoroughly instructed to follow a regimen where risk factors for endothelial cell loss can be minimized. FINANCIAL DISCLOSURE?: ... research is funded, fully or partially, by a company producing, developing or supplying the product or procedure presented