[Assessment of astigmatism associated with the iris-fixated ARTISAN aphakia implant: Anterior fixation versus posterior fixation, study of postoperative follow-up at one year]. / Évaluation de l'astigmatisme associé à l'implant ARTISAN Aphakia fixé à l'iris en face antérieure versus face postérieure : étude du suivi postopératoire sur un an.
J Fr Ophtalmol
; 41(8): 696-707, 2018 Oct.
Article
em Fr
| MEDLINE
| ID: mdl-30217610
ABSTRACT
PURPOSE:
The goal of our retrospective, single-center study of a case series was to compare the total, corneal, and internal astigmatism, and the visual acuity at one year after combined or stand-alone surgery consisting of iris fixation of an iris-claw intraocular lens (ARTISAN aphakia) in aphakic patients, according to whether the lens was fixated to the anterior (n=21) or posterior (n=51) surface of the iris.RESULTS:
We did not find a significant difference between these two types of fixation for any of the studied variables. The surgically induced astigmatism was 1.67 D at 176° in group A versus 1.19 D at 11° in group P.CONCLUSION:
Although this surgery creates additional corneal astigmatism, it has not been proven that it differs depending on the type of fixation of the iris-claw. If we adhere to the notion that the posterior fixated iris-claw decreases the risk of endothelial decompensation in case the implant becomes disenclavated, then reverse iris fixation of the iris-claw makes sense.Palavras-chave
Anterior iris-fixated iris-claw; Aphakia; Aphaquie; Astigmatisme chirurgical induit; Astigmatisme cornéen; Astigmatisme interne; Astigmatisme total; Corneal astigmatism; Internal astigmatism; Iris-claw fixé à la face antérieure de l'iris; Iris-claw fixé à la face postérieure de l'iris; Posterior iris-fixated iris-claw; Surgically induced astigmatism; Total astigmatism
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Astigmatismo
/
Iris
/
Implante de Lente Intraocular
/
Lentes Intraoculares
Idioma:
Fr
Ano de publicação:
2018
Tipo de documento:
Article