Corrección de la alta miopía con lentes de contacto fijación en irisResultados visuales y refractivos

  1. A Arntz
  2. M Arango
  3. JA Durán
Journal:
Archivos de la Sociedad Española de Oftalmologia

ISSN: 0365-6691

Year of publication: 2003

Volume: 78

Issue: 5

Pages: 243-250

Type: Article

DOI: 10.4321/S0365-66912003000500003 DIALNET GOOGLE SCHOLAR lock_openOpen access editor

More publications in: Archivos de la Sociedad Española de Oftalmologia

Abstract

Purpose: To determine predictability, efficacy, complications and patient’s satisfaction to phakic intraocular lens (Artisan®) in highly myopic patients. Method: Retrospective study of 65 eyes (36 patients), with preoperative spherical equivalent (SE) between -9,75 and -25,0 diopters (D) operated on by a single surgeon (JAD) between January 1999 and August 2001. Uncorrected visual acuity (UCVA), best spectacle-corrected visual acuity (BSCVA), refraction, postoperative complications, and patient’s subjective response were evaluated. Results: UCVA evaluated 3 months postoperatively was 0.47 and BSCVA was 0.62. An average gain of 2.3 lines was observed with respect to the preoperative BSCVA. Refraction between ±0.50 D from emmetropia ocurred in 49.23% of the eyes, and between ± 1.0 D in 78.46% of the eyes. The difference between intended SE (preoperative SE minus IOL diopter) and achieved postoperative SE, showed a 0.55 D mean undercorrection. An intraocular pressure (IOP) over 30 mmHg was seen in 10% of the eyes in the immediate postoperative period. Night halos/glare perception was «mild» in 20% of the eyes, and in 90.77% of the cases the patient showed satisfaction with the results of the procedure. Conclusion: Artisan iris-claw phakic lens implantation in highly myopic eyes is a safe procedure that increases BSCVA. It was observed a tendency towards undercorrection in the postoperative refractive outcome.

Bibliographic References

  • Lee, KH, Lee, JH. (1996). Long-term results of clear lens extraction for severe myopia. J Cataract Refract Surg. 22. 1411-1415
  • Guell, JL, Vazquez, M, Gris, O, De Muller, A, Manero, F. (1999). Combined surgery to correct high myopia: iris claw phakic intraocular lens and laser in situ keratomileusis. J Refract Surg. 15. 529-537
  • Guell, JL, Vázquez, M, Gris, O. (2001). Adjustable refractive surgery: 6-mm Artisan lens plus laser in situ keratomileusis for the correction of high myopia. Ophthalmology. 108. 945-952
  • Kohnen, T, Baumeister, M, Magdowski, G. (2000). Scanning electron microscopic characteristics of phakic intraocular lenses. Ophthalmology. 107. 934-939
  • Budo, C, Hessloehl, JC, Izak, M, Luyten, GP, Menezo, JL, Sener, BA. (2000). Multicenter study of the Artisan phakic intraocular lens. J Cataract Refract Surg. 26. 1163-1171
  • Menezo, JL, Cisneros, AL, Rodríguez-Salvador, V. (1998). Endothelial study of iris-claw phakic lens: four year follow-up. J Cataract Refract Surg. 24. 1039-1049
  • Pérez-Santonja, JJ, Iradier, MT, Sanz-Iglesias, L, Serrano, JM, Zato, MA. (1996). Endothelial changes in phakic eyes with anterior chamber intraocular lenses to correct high myopia. J Cataract Refract Surg. 22. 1017-1022
  • Menezo, JL, Cisneros, A, Hueso, JR, Harto, M. (1995). Long-term results of surgical treatment of high myopia with Worst-Fechner intraocular lenses. J Cataract Refract Surg. 21. 93-98
  • Colin, J, Robinet, A, Cochener, B. (1999). Retinal detachment after clear lens extraction for high myopia: seven-year follow-up. Ophthalmology. 106. 2281-2284
  • El Danasoury, MA, El Maghraby, A, Gamali, TO. (2002). Comparison of iris-fixed Artisan lens implantation with excimer laser in situ keratomileusis in correcting myopia between -9,00 and -19,50 diopters: a randomized study. Ophthalmology. 109. 955-964
  • Landesz, M, Worst, JG, van Rij, G. (2000). Long-term results of correction of high myopia with an iris claw phakic intraocular lens. J Refract Surg. 16. 310-316
  • Menezo, JL, Aviño, JA, Cisneros, A, Rodríguez-Salvador, V, Martínez-Costa, R. (1997). Iris claw phakic intraocular lens for high myopia. J Refract Surg. 13. 545-555
  • Pérez-Santoja, JJ, Bueno, J L, Zato, MA. (1997). Surgical correction of high myopia in phakic eyes with Worst-Fechner myopia intraocular lenses. J Refract Surg. 13. 268-284
  • Dejaco-Ruhswurm, I, Scholtz, U, Pieh, S, Hanselmayer, G, Lackner, B, Italon, C. (2002). Long-term endothelial changes in phakic eyes with posterior chamber intraocular lenses. J Cataract Refract Surg. 28. 1589-1593
  • Malecaze, F, Hulin, H, Bierer, P. (2000). Iris-claw phakic (Artisan) lens to correct high myopia. J Fr Ophtalmol. 23. 879-883
  • de Souza, RF, Forseto, A, Nose, R, Belfort, R Jr, Nose, W. (2001). Anterior chamber intraocular lens for high myopia: five year results. J Cataract Refract Surg. 27. 1248-1253
  • Chipont, EM, Garcia-Hermosa, P, Alio, JL. (2001). Reversal of myopic anisometropic amblyopia with phakic intraocular lens implantation. J Refract Surg. 17. 460-462
  • Baikoff, G, Arne, JL, Bokobza, Y, Colin, J, George, JL, Lagoutte, F. (1998). Angle-fixated anterior chamber phakic intraocular lens for myopia of -7 to -19 diopters. J Refract Surg. 14. 282-293
  • Zaldivar, R, Davidorf, JM, Oscherow, S. (1998). Posterior chamber phakic intraocular lens for myopia of -8 to -19 diopters. J Refract Surg. 14. 294-305
  • Pop, M, Mansour, M, Payette, Y. (1999). Ultrasound biomicroscopy of the iris-claw phakic intraocular lens for high myopia. J Refract Surg. 15. 632-635
  • Pérez-Santonja, JJ, Alió, JL, Jiménez-Alfaro, I, Zato, MA. (2000). Surgical correction of severe myopia with an angle-supported phakic intraocular lens. J Cataract Refract Surg. 26. 1288-1302