Indian Journal of Ophthalmology (Jan 2014)
Implantation of iris-claw Artisan intraocular lens for aphakia in Fuchs′ heterochromic iridocyclitis
- Ahmad Kheirkhah,
- Mojgan Nikdel,
- Hadi Ghadimi
Affiliations
- Ahmad Kheirkhah
- Mojgan Nikdel
- Hadi Ghadimi
- DOI
- https://doi.org/10.4103/0301-4738.109513
- Journal volume & issue
-
Vol. 62,
no. 3
pp. 373 – 374
Abstract
Implantation of iris-claw Artisan intraocular lens (IOL) is a surgical option for correction of aphakia; however, these IOLs have not been used in eyes with uveitis including Fuchs′ heterochromic iridocyclitis (FHI) due to possible risk of severe postoperative intraocular inflammation. In the case reported here, we secondarily implanted an Artisan IOL in a 28-year-old man with FHI who had aphakia with no capsular support due to a previous complicated cataract surgery. Enclavation was easily performed and no intraoperative complication was noted. Postoperative course was uneventful with no significant anterior chamber inflammation during 12 months of follow-up. Although there were few deposits on the IOL surface, the patient achieved a best-corrected visual acuity of 20/20 without developing glaucoma or other complications. Therefore, Artisan IOL may be considered for correction of aphakia in patients with FHI. However, studies on large number of patients are required to evaluate safety of the procedure.
Keywords
- Clinical profile
- Indian population
- optic neuritis treatment trial
- optic neuritis
- Decompression of the orbit
- diplopia
- orbit
- thyroid exophthalmos
- thyroid ophthalmopathy
- Limbus incision
- subconjunctival incision
- sutureless manual small-incision cataract surgery
- wound construction
- Central retinal vein occlusion
- intravitrealbevacizumab
- intravitrealtriamcinolone acetonide
- macular edema
- Contrast sensitivity
- fixation
- microperimeter
- normative data
- retinal sensitivity
- Optical coherence tomography
- optic disc pit
- retinal detachment
- retinoschisis
- Homocysteine
- retinal vein occlusion
- visual impairment
- Diabetic macular edema
- monocyte chemoattractant protein-1
- soluble intracellular adhesion molecule-1
- vascular endothelial growth factor
- Compressive optic neuropathy
- humphrey visual field
- ischemic optic neuropathy
- multifocal visual evoked potential
- optic neuritis
- Age
- body mass index
- gender
- high density lipoprotein
- intraocular pressure
- lipid profiles
- total cholesterol
- triglyceride
- Capsular tension ring
- cataract
- intraocular lens
- myopia
- phacoemulsification
- posterior capsular opacification
- Ethnicity
- Indian
- macular thickness
- normative
- retinal nerve fiber layer
- Ocular torticollis
- superior oblique palsy
- surgery
- Barriers to follow-up
- pediatric cataract
- visual outcome
- Cataract
- intracameral mydriatic solution
- no preoperative mydriatic
- phacoemulsification
- Disc edema
- neem oil
- putamen
- toxin-induced encephalopathy
- Toxic Optic Neuropathy Secondary to Consumption of Neem Oil
- Absent thumb
- craniofacial defects
- limbal dermoid
- Nager syndrome
- Keratitis
- Rhodotorula sp
- Polymerase chain reaction
- Atypical
- cholesterol granuloma
- orbit
- Capsular block syndrome
- optic neuropathy
- phacoemulsification
- Haptic fracture
- posterior chamber intraocular lens fracture
- spontaneous fracture
- Bacterial conjunctivitis
- conjunctivitis
- gram negative diplococcus
- Neisseria sicca
- netilmicin
- Aspergillosis
- endophthalmitis
- vitrectomy
- voriconazole
- Eyelid retraction
- orbital infection
- orbital neonatal abscess
- neonatal abscess
- Dirofilaria
- intraocular dirofilaria
- worm
- Axenfeld-Rieger Syndrome
- anterior segment dysgenesis
- blepharophimosis ptosis epicanthus inversus syndrome
- glaucoma
- Actinic granuloma
- conjunctiva
- granuloma annulare
- necrobiosis lipoidica
- Internal limiting membrane
- macular hole
- optical coherence tomography
- re-surgery
- vitrectomy
- Ichthyosis follicularis
- alopecia and photophobia syndrome
- meibomian gland dysfunction
- ocular invovement
- Collagen cross-linking
- pellucid marginal degeneration
- Pentacam HR
- Aniridia
- blunt trauma
- detached iris
- iridodialysis
- Aphakia
- Fuchs′ heterochromic iridocyclitis
- iris-claw Artisan intraocular lens