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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
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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.