Artisan iris-fixated toric phakic intraocular lens for the correction of high astigmatism after deep anterior lamellar keratoplasty

Main Article Content

Madonna G. Al-Dreihi, MD, MSc, FICO
Bachar I. Louka, MD, DIS
Anas A. Anbari, MD, PhD

Abstract

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/mm2. Iris-fixated phakic IOLs are not recommended for every postkeratoplasty patient with high refractive error; however, this procedure can offer good outcomes in carefully selected cases of previous DALK.

Downloads

Download data is not yet available.

Article Details

How to Cite
1.
Al-Dreihi MG, Louka BI, Anbari AA. Artisan iris-fixated toric phakic intraocular lens for the correction of high astigmatism after deep anterior lamellar keratoplasty. Digit J Ophthalmol. 2013;19(2):39-41. doi:10.5693/djo.02.2013.04.001
Section
Case Reports

References

Kollias AN, Schaumberger MM, Kreutzer TC, et al. Two-step LASIK after penetrating keratoplasty. Clin Ophthalmol 2009;3:581-6.

Güell JL, Vazquez M, Malecaze F, et al. Artisan toric phakic intraocular lens for the correction of high astigmatism. Am J Ophthalmol 2003;136:442-7.

Tehrani M, Dick HB, Schwenn O, et al. Postoperative astigmatism and rotational stability after Artisan toric phakic intraocular lens implantation. J Cataract Refract Surg 2003;29:1761-6.

Tahzib NG, Nuijts RM, Wu WY, Budo CJ. Long-term study of Artisan phakic intraocular lens implantation for the correction of moderate to high myopia: ten-year follow-up results. Ophthalmology 2007;114:1133-42.

Moshirfar M, Barsam CA, Parker JW. Implantation of an Artisan phakic intraocular lens for the correction of high myopia after penetrating keratoplasty. J Cataract Refract Surg 2004;30:1578-81.

Tahzib NG, Cheng YY, Nuijts RM. Three-year follow-up analysis of Artisan toric lens implantation for correction of postkeratoplasty ametropia in phakic and pseudophakic eyes. Ophthalmology 2006;113:976-84.

Borderie VM, Sandali O, Bullet J, et al. Long-term results of deep anterior lamellar versus penetrating keratoplasty. Ophthalmology 2012;119:249-55.

Saxena R, Boekhoorn SS, Mulder PG, et al. Long-term follow up of endothelial cell change after Artisan phakic intraocular lens implantation. Ophthalmology 2008;115:608-13.

Benedetti S, Casamenti V, Benedetti M. Long-term endothelial changes in phakic eyes after Artisan intraocular lens implantation to correct myopia: five-year study. J Cataract Refract Surg 2007;33:784-90.

Silva RA, Jain A, Manche EE. Prospective long-term evaluation of the efficacy, safety, and stability of the phakic intraocular lens for high myopia. Arch Ophthalmol 2008;126:775-81.

Doors M, Cals DW, Berendschot TT, et al. Influence of anterior chamber morphometrics on endothelial cell changes after phakic intraocular lens implantation. J Cataract Refract Surg 2008;34:2110-8.

Tehrani M, Dick HB. Implantation of an Artisan toric phakic intraocular lens to correct high astigmatism after penetrating keratoplasty. Klin Monatsbl Augenheilkd 2002;219:159-63.

Georgoudis P, Tappin MJ. Artisan phakic IOL for the correction of ametropia after deep anterior lamellar keratoplasty. J Refract Surg 2010;26:87.