Article Text

other Versions

PDF
Artisan iris-claw lenses for the correction of aphakia in children following lensectomy for ectopia lentis
  1. Catherine Cleary1,
  2. Bernadette Lanigan2,
  3. Michael O'Keeffe2
  1. 1Mater University Hospital, Eccles Street, Dublin 7, Ireland
  2. 2Department of Ophthalmology, Children's University Hospital, Temple Street, Dublin 7, Ireland
  1. Correspondence to Professor Michael O' Keeffe, Department of Ophthalmology, Children's University Hospital, Temple Street, Dublin 7, Ireland; mokeefe{at}materprivate.ie

Abstract

Purpose To describe the results of Artisan iris-claw lens implants in children with aphakia following lensectomy for ectopia lentis.

Method We measured visual acuity, refractive error and endothelial cell counts and recorded complications in a group of children after insertion of Artisan iris-claw implants.

Results Artisan implants were implanted in eight eyes of five children. Mean follow-up was 28 months (range: 4–58 months). The mean preoperative LogMAR best-corrected visual acuity was 0.21±0.2, and postoperatively, mean LogMAR uncorrected visual acuity was 0.04±0.09 (p=0.04). Mean endothelial cell count was 3312±277 cells preoperatively and 2913±268 cells postoperatively, representing a mean cell loss of 14.2% (p<0.001). Mean defocus equivalent was 11.38±1.04 preoperatively and 2.34±0.66 postoperatively. We encountered no postoperative complications in any of the eyes.

Conclusion Artisan iris-claw implants are safe and effective in the correction of aphakia in children following lensectomy for ectopia lentis, enabling good spectacle-free distance vision in 75% of eyes with no postoperative complications.

  • Artisan aphakia lens
  • iris-claw lens
  • aphakia
  • ectopia lentis
  • anterior chamber
  • lens and zonules
  • child health (paediatrics)
  • neoplasia
  • choroid
  • ciliary body
  • cornea
  • eye lids
  • stem cells
  • eye (globe)
  • genetics
  • embryology and development
  • dystrophy
  • anterior chamber
  • child health (paediatrics)
  • lens and zonules

Statistics from Altmetric.com

Footnotes

  • Funding Dr Catherine Cleary is supported by a grant from the Irish College of Ophthalmologists.

  • Competing interests None.

  • Patient consent Obtained.

  • Ethics approval Ethics Committee of Children's University Hospital Temple Street.

  • Provenance and peer review Not commissioned; externally peer reviewed.

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.