We report the refractive correction of high astigmatism in one eye of a 23-year-old woman following deep anterior lamellar keratoplasty (DALK) using an Artisan iris-fixated, toric, phakic intraocular lens (IOL). One year after implantation, uncorrected and corrected distance visual acuities were both 20/25, refraction was -1.00 D cylinder, and the endothelial cell count was 1827 cells/mm(2). Ir...

Iris-fixated IOLs, positioned either anterior or posterior to the iris plane, are an alternative to scleral-fixated posterior chamber IOLs or angle-fixated anterior chamber IOLs, with several advantages. Specifically, although scleral fixation of a posterior chamber IOL preserves the ocular anatomy, the surgical procedure is complex, with potentially severe complications, extended surgical time...

PURPOSE To evaluate the indications, visual outcomes, and complication rate after implantation of a posterior chamber iris-claw aphakic intraocular lens (IOL). SETTING Department of Ophthalmology, University Medicine Charité Berlin, Berlin, Germany. DESIGN Retrospective case series. METHODS Eyes without adequate capsule support had posterior chamber iris-claw aphakic IOL implantation (Ver...

A 45-year-old man with bilateral high myopia and myopic astigmatism had uneventful implantation of a -10.5 diopters (D) Artisan iris-fixated anterior chamber phakic intraocular lens (PIOL) (Ophtec) in both eyes. In the first days after surgery, uncorrected visual acuity (UCVA) was 20/16 in the right eye and 20/16 in the left; the position of the PIOL was stable. Ten days after surgery, the left...

PURPOSE To evaluate efficacy, predictability, stability and safety of adjustable refractive surgery (ARS) by combining a phakic intraocular lens (IOL) (Artisan lens 6-mm optical zone [OZ]) and laser in situ keratomileusis (LASIK) (6.5 mm OZ) for the correction of myopia greater than -15.00 diopters (D). DESIGN Noncomparative interventional case series. PARTICIPANTS Twenty-six eyes of 18 pat...

PURPOSE To evaluate long-term endothelial cell changes in eyes that had implantation of an iris-fixated phakic Artisan intraocular lens (IOL) for moderate to high myopia. SETTING Casa di Cura Villa Igea, Ancona, Italy. METHODS Forty-nine eyes of 30 patients having implantation of Artisan IOL for moderate to high myopia were prospectively examined. Preoperative specular microscopy and serial...

Introduction: Iris-claw Intraocular Lens (IOL) is one of the alternatives to correct aphakia without sufficient capsular support. This technique preferred because it has a simple procedure. IOL was originally designed be fixated on anterior chamber. The use retropupillary fixation increasing location more physiologic and shows less risk corneal endothelial damage. Purpose: To describe safety ef...

Introduction: Intraocular lens (IOL) selection, especially in cases with insufficient capsular and/or zonular support has increasingly become a challenge to surgeons. Retropupillary iris-claw IOLs (RP-ICIOL) have gained popularity recent years.Purpose: This study aimed review the outcomes of RP-ICIOL implantation two tertiary eye centres.Study design: Retrospective review.Methods: is retrospect...

PURPOSE To evaluate the safety and efficacy of the iris claw phakic intraocular lens (Artisan; Ophtec BV, Groningen, The Netherlands) in patients with high myopia. METHODS Between May 1999 and July 2001, 93 Artisan phakic intraocular lenses (IOLs) were implanted in 60 patients affected by high myopia. All patients underwent 24-month follow-up. The power of the lenses ranged from -7.5 to -22.0...

PURPOSE To document severe visual symptoms due to the dislocation of an iris-fixated aphakic anterior chamber lens using wavefront aberrometry. METHODS A patient complaining of severe visual blur and distortion due to a decentered Artisan iris-fixated anterior chamber lens was evaluated pre- and postoperatively after recentration. The patient underwent complete ophthalmic evaluation including...