Artisan lens implantation to correct aphakia after vitrectomy for retained nuclear lens fragments

Abstract

After the removal of dislocated lens fragments with a PPV, Artisan IOL implantation in aphakic patients without capsule support led to few complications and good visual acuity. Placement of an Artisan IOL requires fewer manipulations than transscleral suture fixation of a posterior chamber IOL.

Secondary Artisan–Verysise intraocular lens implantation for aphakic correction in post-traumatic vitrectomized eye

“…Severe hyperopia developed in only one eye. However, postoperative refractive error was more than previous reports of either Artisan IOL 1,7,12 or iris fixated PCIOL. 13 One reason might be inaccurate keratometry in most of our cases due to irregular astigmatism caused by previous repaired corneoscleral laceration.…”

“…Except The Artisan IOL have been used safely for secondary implantation in adults and children with aphakia. 1,7,[9][10][11][12] They have also been used after traumatic injuries to the globe. [9][10][11][12] Gü ell et al 7 reported satisfactory results of Artisan IOL implantations in 16 aphakic patients.…”

“…Several surgical options are available to correct aphakia in those who have had pars plana vitrectomy (PPV) and lensectomy due to trauma. In the absence of adequate capsule support, an angle or iris supported anterior chamber intraocular lens (ACIOL) 1 and a trans-sclerally sutured posterior chamber intraocular lens (PCIOL) 2 can be implanted.…”

“…They are easy to place and are associated with a good visual outcome and a low incidence of intraoperative and postoperative complications. 6 Many reported cases of Artisan IOL implantation have had good clinical outcomes 1,[7][8][9][10][11] ; however, despite more than 10 years of favourable clinical experience with this IOL, experience in the literature with implantation of this lens in aphakic and vitrectomized eyes secondary to trauma is scarce. Insertion of Artisan IOL in an eye without vitreous poses challenges, especially when a large incision is required.…”

Cystoid macular edema after pars plana vitrectomy for retained lens fragments

“…[1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16] Since retinal detachment is a common and sight-threatening complication in these eyes, Moore et al 16 report in detail the incidence and clinical course of eyes with retinal detachment following PPV for retained lens fragments in a large consecutive series. In view of the fact that CME is also a common sight-threatening complication in these eyes, we studied the incidence and clinical course of eyes with CME following PPV for retained lens fragments in a large consecutive series.…”