Évaluation de l’astigmatisme associé à l’implant ARTISAN Aphakia fixé à l’iris en face antérieure versus face postérieure : étude du suivi postopératoire sur un an

Lajoie, Jean; Glimois, V; Petit, Thomas; Amelie, R.; Varenne, Fanny; Fournié, Pierre; Mathis, V.; Malecaze, François; Wargny, Matthieu; Gallini, Adeline; Soler, V.

doi:10.1016/j.jfo.2018.01.014

Cited by 5 publications

(3 citation statements)

References 25 publications

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“…Lajoie et al [ 3 ] compared surgically induced astigmatism between AAIF implanted in the posterior or anterior chamber and found it to be similar with values of 1.67 D at 176° in the group with anterior versus 1.19 D at 11° in the group with posterior implantation. This corresponded to our results for postoperative astigmatism in the rAAIF (1.93 ± 1.38).…”

Section: Discussionmentioning

confidence: 99%

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Retropupillary Iris-fixated versus Sutured Scleral-fixated Intraocular Lenses

2024

RJO

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Aim: To compare the anatomical and functional results and patient satisfaction following retropupillary implantation of Artisan Aphakia iris-fixated intraocular lens (rAAIF) and sutured scleral fixated intraocular lens (SFIOL). Subjects and methods: We presented a prospective double-arm non-blinded study. Forty-one eyes with acquired aphakia, no age-related macular degeneration, no previous keratoplasty, no combined procedures, no AC reaction (cells, fibrin), normal intraocular pressure, no history of endothelial corneal dystrophy in relatives or fellow eye were included. Indications, complications, corrected distance visual acuity (CDVA), endothelial cell density (ECD), and patient satisfaction score were assessed. Results: Retropupillary AAIF was implanted in 21 (51.22%) eyes and SFIOL in 20 (48.78%) eyes. The most common indication was complicated cataract surgery in 18 cases (43.90%), followed by trauma in 16 (39.02%), and spontaneous dislocation in 7 (17.07%). No difference between rAAIF and SFIOL in terms of sex, laterality (χ=0.13, p =0.72), indications (χ=0.78, p =0.68), previous ocular history, and comorbidities was observed. The complications and the visual outcomes at 6 months postoperatively were similar between the two groups ( p =0.95 and p =0.321, respectively). The ECD loss in the two groups was also similar ( p =0.89). The patient satisfaction score was 58.67±8.80 in the rAAIF and 56.69±11.50 in the SFIOL group, which was statistically similar ( p =0.764). Conclusion: Retropupillary AAIF and SFIOL showed similar results concerning visual acuity, endothelial cell loss, and patient satisfaction. Careful preoperative individual assessment is required to have optimal results with either technique. Abbreviations: AAIF = Artisan Aphakia iris-fixated intraocular lens, rAAIF = retropupillary Artisan Aphakia iris-fixated intraocular lens, CDVA = corrected distance visual acuity, ECD = endothelial cell density, IOL = intraocular lens, SD = standard deviation, SFIOL = scleral fixated intraocular lens

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Section: Discussionmentioning

confidence: 99%

“…The surgical technique for AAIF IOL implantation is more time effective compared to other approaches for correcting aphakia as well. Nevertheless, both anterior and retropupillary implantation of AAIF require big incisions with surgically induced astigmatism, anterior vitrectomy, and usually a peripheral iridotomy [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Retropupillary Iris-fixated versus Sutured Scleral-fixated Intraocular Lenses

2024

RJO

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“…Another advantage of this small incision technique is low induced astigmatism with less than 1 diopter depending on the incision placement on the steep or flat meridian. In a clear corneal approach for angular support IOL or for iris clipped IOL, the induced astigmatism might reach up to 3 diopters [ 20 ]. In the example of a Carlevale IOL (Soleko SPA, Pontecorvo, Italy), implanted through a clear corneal incision of 2.75–3.00 mm [ 21 ], vision too might be significantly decreased, depending on the preoperative amount of astigmatism and the localization of the steep axis [ 22 ].…”

Section: Discussionmentioning

confidence: 99%

The SWISS IOL Technique (Small-Width Incision Scleral Suture): A Mini-Invasive Technique

Kecik

Pajic

Quoy

et al. 2021

Journal of Ophthalmology

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Purpose. To evaluate the outcomes and safety of a minimally invasive technique for sutured IOL scleral fixation in case of compromised capsular and iris support. Materials and Methods. In this retrospective study, we explain our mini-invasive technique and assess the outcomes in terms of visual acuity, pre- or postoperative complications, and IOL position (Sensar AR40e, AMO) in a case series of three patients. Results. The expected best corrected visual acuity could be achieved after one month. Surgeries were uneventful with a stable eye. No postoperative complications occurred except for one patient who had a conjunctival disinsertion. Neither postoperative hypotony nor raised IOP was found. Additionally, no patient experienced corneal edema at one week control, IOL dislocation, vitreous hemorrhage, or new pupil’s irregularity. Conclusions. In conclusion, each scleral technique has its own advantages and its inherent postoperative complications. To date, there is no evidence of superiority of any single technique. By improving our scleral sutured lens techniques, we could improve peroperative ocular stability, potentially decrease postoperative complication rate, and offer a rapid recovery with a stable visual acuity within a month.

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Out-of-the-Bag Implantation IOL Power

Aramberri

2024

Intraocular Lens Calculations

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In the absence of a safe capsular support, the IOL will be implanted out-of-the-bag. There are different anatomical locations where a posterior chamber IOL can be implanted: sutured to iris, ciliary sulcus supported, or fixated to the sclera with or without sutures. All of them entail a change in the IOL effective power that has to be calculated by the surgeon to avoid a final refractive error. In this chapter, several sources of error are extensively analyzed and the most precise methods to correct them are clearly exposed. Moreover, there are various IOL models designed specifically for out-of-the bag implantation: anterior chamber, iris claw, and scleral fixated. Each of them, with their own clinical and optical features must be mastered in order to achieve an accurate power calculation.

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Évaluation de l’astigmatisme associé à l’implant ARTISAN Aphakia fixé à l’iris en face antérieure versus face postérieure : étude du suivi postopératoire sur un an

Cited by 5 publications

References 25 publications

Retropupillary Iris-fixated versus Sutured Scleral-fixated Intraocular Lenses

Retropupillary Iris-fixated versus Sutured Scleral-fixated Intraocular Lenses

The SWISS IOL Technique (Small-Width Incision Scleral Suture): A Mini-Invasive Technique

Out-of-the-Bag Implantation IOL Power

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