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Iris-supported phakic lenses (rigid vs foldable version) for treating moderately high myopia: randomized paired eye
Julien Coullet1, José-Luis Guëll, Pierre Fournié
1Ophthalmology Department, Purpan Hospital, Toulouse, France.
American Journal of Ophthalmology
|October 20, 2006
Summary
The Artiflex lens offers faster visual recovery and better uncorrected visual acuity (UCVA) for moderately high myopia compared to the Artisan lens. Further studies with larger sample sizes and longer follow-up are needed to confirm Artiflex lens safety.
Area of Science:
- Ophthalmology
- Refractive Surgery
- Intraocular Lenses
Background:
- Moderately high myopia requires effective correction methods.
- Phakic intraocular lenses (PIOLs) are an option for myopia correction.
- Artisan and Artiflex PIOLs differ in design, potentially impacting outcomes.
Purpose of the Study:
- To compare the refractive performance of Artisan and Artiflex phakic intraocular lenses (PIOLs).
- To evaluate visual acuity and safety outcomes for myopia correction.
Main Methods:
- A randomized pilot study was conducted with 31 patients.
- One eye received an Artisan PIOL, the other an Artiflex PIOL.
- Primary outcome was uncorrected visual acuity (UCVA) at one year; secondary outcomes included safety index and endothelial cell count.
Main Results:
- Artiflex PIOLs showed a significantly higher percentage of eyes with UCVA >20/40 at one year (77.4%) compared to Artisan PIOLs (51.6%).
- Faster visual recovery was observed with Artiflex at one month post-surgery.
- Safety index, best spectacle-corrected visual acuity (BSCVA) changes, and endothelial cell loss were similar between the two PIOLs.
Conclusions:
- The Artiflex lens demonstrates superior UCVA and faster visual recovery for moderately high myopia correction compared to the Artisan lens.
- Larger sample sizes and extended follow-up are recommended to fully establish the safety profile of the Artiflex lens.
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