Three-year follow-up of secondary anterior iris fixation of an aphakic intraocular lens to correct aphakia

• DOI: 10.1016/j.jcrs.2012.04.037
• Publication Date: 2012-08-19T08:53:15Z
• Authors: Yueqin Chen; Qinghuai Liu; Chunyan Xue; Zhenping Huang; Yin Chen
• Keywords: Aphakia; IRIS (biosensor)

To evaluate the efficacy, predictability, stability, safety, and complications of secondary anterior iris fixation Artisan iris-fixated intraocular lens (IOL) to correct aphakia in eyes without sufficient capsule support.Department Ophthalmology, Jinling Hospital, School Medicine, Nanjing University, Nanjing, China.Cohort study.Eyes having implantation aphakic IOLs for correction were followed 3 years.The study evaluated 72 (72 patients). After years, uncorrected distance visual acuity improved all (P<.05); 53 (73.6%) reached 20/40 or better. Two had a postoperative corrected (CDVA) worse than preoperative CDVA due ischemic optic neuropathy retinal detachment, respectively. The mean spherical equivalent (SE) decreased from 11.65 diopters (D) ± 1.21 (SD) -0.58 0.56 D SE at last follow-up was within ±1.00 target refraction 63 (87.5%). endothelial cell loss years postoperatively 9.78%. There no significant pressure increase throughout follow-up. Twelve patients (16.7%) reported glare halos during night driving. Iris pigment precipitates on occurred 4 (5.6%) postoperatively. No other serious occurred.Three-year results indicate that is effective, predictable, safe support. However, longer with larger cohort necessary confirm these conclusions.