Artisan Aphakic Intraocular Lens Implantation in Cases of Subluxated Crystalline Lenses Due to Marfan Syndrome

Abstract

PURPOSE:To assess implantation of an Artisan aphakic intraocular lens (IOL) in cases with subluxated lenses due to Marfan syndrome. METHODS:Retrospective study of a small case series comprised of seven eyes (two children and three adults) with subluxated lenses due to Marfan syndrome that underwent lens extraction and Artisan aphakic IOL implantation. Best spectacle-corrected visual acuity and endothelial cell status were the key elements of follow-up examinations. RESULTS:No complications occurred during surgery. Visual acuity was improved by у4 Snellen lines in all seven eyes. These results were maintained at the last follow-up. Endothelial cell status remained constant in all cases at 6-month follow-up. CONCLUSIONS:In seven eyes with a subluxated crystalline lens due to Marfan syndrome, implantation of an Artisan aphakic IOL improved visual acuity while preserving anterior chamber status. [J Refract Surg. 2006;22:99-101.]

Long-term follow-up of the corneal endothelium after aphakic iris-fixated IOL implantation for bilateral cataract in children

“…In these cases, an iris-fixated aphakic IOL is preferred over implantation of an angle-supported or scleral-sutured IOL in some European countries. Several studies [3][4][5][6][7] report safe implantation of these IOLs in children.…”

Long-term follow-up after bilateral Artisan aphakia intraocular lens implantation in two children with Marfan syndrome

“…5 Endothelial cell loss is also found to be limited in the long term after Artisan aphakia IOL implantation in congenital and juvenile cataract cases. 6,7 More than 12 years after surgery, endothelial cell densities in our cases were within the expected range for eyes without crystalline lens surgery; however, compared to the control eyes and to normal subjects in the literature, we found a higher coefficient of variation of cell size and a lower percentage of hexagonal cells.…”

Primary anterior chamber intraocular lens for the treatment of severe crystalline lens subluxation

“…Although modern open-haptic Kelmanstyle AC IOLs have been used safely in children following cataract extraction of subluxated lenses, 22 a better option might be iris-supported AC IOLs, which would eliminate the sizing difficulties that could result from the larger anterior chamber diameters sometimes present in Marfan patients. [23][24][25] Future availability of the Artiflex IOL (Ophtec BV) in the United States will have the added benefit of an iris--supported foldable AC IOL that can be inserted through a 3.2 mm temporal incision, eliminating Until these investigational AC IOLs become accessible, we believe currently available, properly sized AC IOLs are a safe option. The IOL diameter in our 2 cases was determined by adding 1.0 mm to the horizontal white-to-white corneal diameter.…”