Artisan Iris-supported Phakic IOL Implantation in Patients With Keratoconus: A Review of 16 Eyes

作者：Sedaghat Mohamadreza; Ansari Astaneh Mohammad Reza; Zarei Ghanavati Mehran; Davis Scott W; Sikder Shameema^*

来源：Journal of Refractive Surgery, 2011, 27(7): 489-493.

DOI：10.3928/1081597X-20110203-01

PURPOSE: To evaluate the clinical outcomes of Artisan phakic intraocular lens (PIOL; Ophtec BV) implantation in patients with stable keratoconus.
METHODS: In a prospective, nonrandomized case series, 14 Artisan PIOLs and 2 toric Artisan PIOLs were implanted in 13 patients (16 eyes) with stable keratoconus who had contact lens intolerance. Pre- and postoperative data were collected.
RESULTS: Mean follow-up was 14.2 +/- 7.8 months. Preoperative uncorrected distance visual acuity (UDVA) was counting fingers in all patients. Mean final logMAR (Snellen equivalent) UDVA and corrected distance visual acuity (CDVA) were 0.15(20/28)+/- 0.13 and 0.11(20/26)+/- 0.10, respectively. The improvements in UDVA and CDVA were statistically significant (P <.0001 and P <.002, respectively). All patients achieved a final UDVA of 20/40 or better, and 84.6% had a final CDVA of 20/32 or better. No postoperative complications occurred except for two cases of sterile uveitis.
CONCLUSIONS: Implantation of the Artisan PIOL is effective in improving visual acuity in patients with stable keratoconus. Long-term safety remains to be established as no postoperative endothelial cell counts were performed. [J Refract Surg. 2011;27(7):489-493.] doi:10.3928/1081597X-20110203-01

• 出版日期2011-7