Original Article

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

Mohamadreza Sedaghat, MD; Mohammad-Reza Ansari-Astaneh, MD; Mehran Zarei-Ghanavati, MD; Scott W. Davis, BS; Shameema Sikder, MD

  • Journal of Refractive Surgery
  • July 2011 - Volume 27 · Issue 7: 489-493
  • DOI: 10.3928/1081597X-20110203-01
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Abstract

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.

AUTHORS

From Khatam-Al-Anbia Eye Hospital (Sedaghat, Ansari-Astaneh, Zarei-Ghanavati) and Mashad University of Medical Science (Sedaghat, Ansari-Astaneh), Mashad, Iran; Drexel University College of Medicine, Philadelphia, Pennsylvania (Davis); and Wilmer Eye Institute, Johns Hopkins University, Baltimore, Maryland (Sikder).

The authors have no financial or proprietary interest in the materials presented herein.

Correspondence: Shameema Sikder, MD, Wilmer Eye Institute, Johns Hopkins University, 600 N Wolfe St, Wilmer B-20, Baltimore, MD 21287. Tel: 410.955.8265; Fax: 410.614.8496; E-mail: shameemasikder@gmail.com

doi: 10.3928/1081597X-20110203-01

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