Traumatic dislocation and successful re-enclavation of an Artisan phakic IOL with analysis of the endothelium

To present a case of traumatic dislocation of an Ophtec Artisan phakic intraocular lens (PIOL) and an analysis of the endothelial cell count.

The patient presented with blurred vision in his left eye after sustaining a brow laceration. History included uncomplicated bilateral implantation of an Artisan PIOL to correct myopia.

The brow laceration was sutured and topical dexamethasone 0.1% qid was prescribed. One week after presentation, the PIOL was relocated. Postoperatively, endothelial cell count analysis was performed in both eyes.

A decrease in the hexagonality of the endothelial cells was noted in both eyes, which was substantially lower in the injured eye.