- Journal of Refractive Surgery
- July 2011 - Volume 27 · Issue 7: 489-493
To evaluate the clinical outcomes of Artisan phakic intraocular lens (PIOL; Ophtec BV) implantation in patients with stable keratoconus.
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.
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.
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.
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: email@example.com