Artisan iris-claw lenses for the correction of aphakia in children following lensectomy for ectopia lentis.

Abstract

PURPOSE:

To describe the results of Artisan iris-claw lens implants in children with aphakia following lensectomy for ectopia lentis.

METHOD:

We measured visual acuity, refractive error and endothelial cell counts and recorded complications in a group of children after insertion of Artisan iris-claw implants.

RESULTS:

Artisan implants were implanted in eight eyes of five children. Mean follow-up was 28 months (range: 4-58 months). The mean preoperative LogMAR best-corrected visual acuity was 0.21 ± 0.2, and postoperatively, mean LogMAR uncorrected visual acuity was 0.04 ± 0.09 (p=0.04). Mean endothelial cell count was 3312 ± 277 cells preoperatively and 2913 ± 268 cells postoperatively, representing a mean cell loss of 14.2% (p<0.001). Mean defocus equivalent was 11.38 ± 1.04 preoperatively and 2.34 ± 0.66 postoperatively. We encountered no postoperative complications in any of the eyes.

CONCLUSION:

Artisan iris-claw implants are safe and effective in the correction of aphakia in children following lensectomy for ectopia lentis, enabling good spectacle-free distance vision in 75% of eyes with no postoperative complications.

• Authors: Catherine Cleary, Bernadette Lanigan, Michael O'Keeffe
• Journal: The British journal of ophthalmology (Br J Ophthalmol) Vol. 96 Issue 3 Pg. 419-21 (Mar 2012) ISSN: 1468-2079 [Electronic] England
• PMID: 21791507 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)

Topics

• Adolescent
• Aphakia, Postcataract (physiopathology, surgery)
• Cell Count
• Child
• Child, Preschool
• Ectopia Lentis (physiopathology, surgery)
• Endothelium, Corneal (pathology)
• Female
• Follow-Up Studies
• Humans
• Iris (surgery)
• Lens Implantation, Intraocular
• Lenses, Intraocular
• Male
• Treatment Outcome
• Visual Acuity (physiology)