Endophthalmitis After Artisan Phakic Intraocular Lens Implantation for Correction of High Myopia

Diab, Fahad Al; Al-Rashaed, Saba; Al-Motowa, Saeed

doi:10.3928/1081-597x-20060401-06

Cited by 7 publications

(4 citation statements)

References 4 publications

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“…Perez-Santoja et al [23] only detected a loss of lens transmittance of 1.03% after 18 months by fluorophotometry that had no influence on visual acuity. Diab et al [24] reported streptococcus endophthalmitis after Artisan IOL implantation, but this was not a finding of our study.…”

Section: Discussioncontrasting

confidence: 84%

“…Group B, included 22 eyes of 15 patients (8 females and 7 males) with age range of (20-38) years, were subjected to anterior chamber phakic IOL (Artisan). Lastly, group C included 23 eyes of 16 patients (9 females and 7 males) with age range of (21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35)(36)(37) years, were subjected to posterior chamber phakic IOL (ICL); ICM V4. All included cases were 18-40 years; they were highly myopic (≥ -8 D) and unfitted for the corneal refractive surgeries.…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Clear Lens Extraction Versus Phakic Iol Implantation: A Prospective Study of Two Procedures in Patients With High Myopia

Alsmman

Abdellah

Abdelatif

et al. 2018

Egyptian Journal of Clinical Ophthalmology

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Section: Discussioncontrasting

confidence: 84%

Section: Methodsmentioning

confidence: 99%

Clear Lens Extraction Versus Phakic Iol Implantation: A Prospective Study of Two Procedures in Patients With High Myopia

Alsmman

Abdellah

Abdelatif

et al. 2018

Egyptian Journal of Clinical Ophthalmology

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“…One case was of an Aspergillus endophthalmitis, which was managed with pIOL removal, lensectomty, and anterior vitrectomy with antifungal administration [4]. A second case was caused by Streptococcus pneumonia resulting in phthisis bulbi and was managed through therapeutic keratoplasty, removal of the pIOL, lensectomy, and repeated intravitreal injection of antibiotics [5]. For PC pIOL, the rate of endophthalmitis has been reported as approximately 1 case of endophthalmitis per 6000 implantable collamer lens implantation [2].…”

Section: Resultsmentioning

confidence: 99%

Streptococcus mitis/oralis endophthalmitis management without phakic intraocular lens removal in patient with iris-fixated phakic intraocular lens implantation

Chung

Lee

2014

BMC Ophthalmol

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BackgroundTo report a case of Streptococcus mitis/oralis endophthalmitis management which had developed after complicated iris-fixated phakic intraocular (pIOL) lens implantation.Case presentationA 23-year-old-woman received pIOL implantation followed secondary intraocular intervention to lower intraocular pressure. The patient presented with severe pain and decreased visual acuity and was managed with intravitreal and intracameral antibiotic injection with topical applications of fortified antibiotics. Culture of aqueous humor was positive for S. mitis/oralis, which was sensitive to the empiric antibiotic regimen. Clinical features started to improve 5 days after treatment and the pIOL was left in place. The uncorrected distant visual acuity and endothelial cell count were 20/32 and 3143cells/mm2 four weeks after treatment, respectively.ConclusionS. mitis/oralis endophthalmitis after pIOL implantation could be managed with appropriate antibiotic administration without pIOL removal if accompanied by rapid clinical improvement after the initial intensive management in the absence of vitreous involvement.

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“…Cataract development,[29] PIOL dislocation,[20] corneal decopmensation,[30] change in configuration of pupil,[31] vitreous hemorrhage,[32] choroidal neovascularization,[33] endophthalmitis[34] were not seen in our group of patients.…”

Section: Discussionmentioning

confidence: 96%

A retrospective analysis of the first Yemeni experience on Artisan phakic intraocular lens for the treatment of moderate and high myopia

Bamashmus

Mohamed²,

Al-Akhlee³

2012

Oman J Ophthalmol

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Objectives:To evaluate the outcome and safety of the iris-fixated Artisan phakic intraocular lens (PIOL) for the correction of moderate and high myopia.Materials and Methods:A retrospective non-controlled clinical study of the data of patients who underwent Artisan PIOLs between March 2006 and July 2008 was evaluated. Pre-operative examination included age, gender, refraction, uncorrected (UCVA) and best spectacle corrected (BSCVA) visual acuity, predictability and safety were analyzed. Post-operative time course ranged from 12 to 36 months.Results:An Artisan myopia lens was implanted in 62 eyes of 39 patients. The mean pre-operative spherical equivalent (SE) was –13.17 ± 5.62 D. The pre-operative myopia ranged from –4.5 to –24 D. Mean patient age was 25.44 ± 5.22 years. At last follow-up visit, residual SE was within ±1.00 D in 36 eyes (58.1%) and ±2.00 D in 56 eyes (90.3%). In the last visit UCVA was equal to or better than pre-operative BSCVA in 57 (91.9%) of the eyes. One eye (1.6%) lost one Snellen line, three eyes (4.8%) lost two or more Snellen lines and one eye lost vision (1.6%). Post-operative complications included anterior chamber reaction in one eye, rise in intraocular pressure in two eyes and retinal detachment in one eye.Conclusion:When laser keratorefractive surgery is not an option, implantation of Artisan PIOL to correct moderate to high myopia results in a stable and good refractive result with few complications that must be kept in mind.

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Endophthalmitis After Artisan Phakic Intraocular Lens Implantation for Correction of High Myopia

Cited by 7 publications

References 4 publications

Clear Lens Extraction Versus Phakic Iol Implantation: A Prospective Study of Two Procedures in Patients With High Myopia

Clear Lens Extraction Versus Phakic Iol Implantation: A Prospective Study of Two Procedures in Patients With High Myopia

Streptococcus mitis/oralis endophthalmitis management without phakic intraocular lens removal in patient with iris-fixated phakic intraocular lens implantation

A retrospective analysis of the first Yemeni experience on Artisan phakic intraocular lens for the treatment of moderate and high myopia

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