http://www.evrs.eu/medias/2008/congress/Secondary-IOL-Implantation-in-the-Transconjunctival-Era.flv

Cesare Forlini, Paolo Rossini, Antonio Aversano (Department of Ophthalmology, “S. Maria delle Croci” Hospital, Ravenna, Italy), Matteo Forlini (Eye Clinic, University of Modena, Italy)

Advantages:

Show the use of iris-claw posterior IOL (Artisan Ophtec) implants, combined with transconjunctival surgery systems.

Methods:

Since 2002, follow up of 196 implants for correction of aphakia, IOL subluxation or luxation and for management of complicated cataract surgery and anterior and/or posterior segment traumas. A 25 gauge anterior chamber infusion and anterior triamcinolone-assisted vitrectomy are performed when an anterior approach is chosen.

Effectiveness / Safety:

Only 2 cases of subluxation resolved with reoperation and refixation of the unhooked haptic of the IOL. None case of complete luxation. None case of iridocyclitis or post-operative pigmentary glaucoma. Together with the use of transconjunctival vitrectomy systems, the Artisan is a valid alternative to the classic scleral-fixed IOL implantation strategy.