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TitelPigment dispersion after Artiflex phakic lens implantation : myth or fact ?
DoelTo evaluate the stability, safety, efficacy, and predictability of the non-toric foldable Artiflex iris-fixated intraocular lens (IOL) (Ophtec BV, Groningen, The Netherlands) for the correction of myopia in phakic eyes, and to report amount of pigment deposition on top of the Artiflex Phakic IOL and possible clinical importance.
Methodes70 eyes of 37 patients underwent implantation of the foldable iris-fixated Artiflex phakic intraocular lens (PIOL) with an optic zone of 6 mm. Change in spherical equivalent, best spectacle-corrected visual acuity (BSCVA), uncorrected visual acuity (UCVA), complications and patient satisfaction were recorded. In cases of pigment deposition, change in best corrected visual acuity was studied
ResultatenMean preoperative spherical equivalent was -8.82 D. A high refractive stability was achieved: after 1 year, mean spherical equivalent was -0.17 D. 88 % achieved less than 1 D defocus equivalent after 1 month.. 94 % achieved a postoperative refractive outcome with an error less than +/- 0.5 D. Safety was extremely high: after 3 months, no eye lost one or more lines, 33 % gained one line, while 33 % gained two lines 9 out of 70 eyes developed pigment deposition on top of the Artiflex P-IOL. Of these eyes, no eye developed a decrease in BCVA.
ConclusieThe implantation of the foldable iris-fixated Artiflex intraocular lens proved to be a stable, safe, effective and predictable treatment for the correction of myopia in phakic eyes. Pigment deposition occurs but did not prove to cause a decrease in BCVA.
Auteur 1
NaamGOES
InitialenF Jr
InstituutGoes Eye Centre
StadAntwerp
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