Introduction: The correction of aphakia when there is no adequate capsular support remains a therapeutic challenge. The use of retroiridial fixation lenses has been extended given their lower complication rate compared to other available options.
Material and methods: Retrospective study including all cases operated with an Artisan® retropupillary aphakia implant.
Results: 33 eyes were included out of a total of 28 patients. The follow-up period has been 38.55 months (1-96). 32.3% had a lens dislocation and 67.7% had an intraocular lens dislocation. The previous mean best corrected visual acuity (BCVA) was 1.18 ± 0.79 logMAR and post-intervention 0.36 ± 0.62 (p < 0.01). 93.8% of the patients presented a final BCVA equal to or better and 62.5% an improvement of 3 or more lines. The most frequent complication was corectopia (31.3%) and hypotony in the immediate postoperative period (21.9%). An epiretinal membrane (ERM) developed in 18.8% and cystic macular oedema (CME) in 9.4%. The presence of complications in the postoperative period did not statistically influence the final BCVA.
Conclusions: The retropupillary Artisan® lens allows the correction of aphakia with satisfactory visual results and a low rate of complications.
Keywords: Afaquia; Aphakia; Artisan® lens; Cystic macular oedema; Dislocation; Edema macular quístico; Epiretinal membrane; Lente Artisan®; Luxación; Membrana epirretiniana.
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