Effects of Artisan aphakic intraocular lens on central corneal thickness and intra ocular pressure in pediatric eyes with crystalline subluxated lenses

ABSTRACT

To study effects of Artisan iris fixated intraocular lens [IOL] on central corneal thickness [CCT] and intraocular pressure [IOP] in pediatric eyes with crystalline subluxated lenses. The study included 17 eyes undergoing Artisan aphakic IOL implantation after lensectomy for subluxated crystalline lenses. CCT and IOP measurements were recorded pre-operatively and post-operatively taking the mean of 4 post-operative visits. Patients were divided into Group A [n = 8] including patients with lensectomy and iris fixation of Artisan IOL as a primary procedure and Group B [n = 9] including patients in which lensectomy was carried out as a primary surgery and Artisan IOL fixation as a secondary procedure. Children ranged in age from 08 years to 16 years, mean 11.59 +/- 2.96 years. Follow-up period ranged from 7 months to 16 months, mean 11.24 months +/- 4.27. Mean pre-operative and post-operative IOP in Group A was 14.88 +/- 2.80 and 14.16 +/- 0.59 respectively [P = 0.528]. In Group B it was 12.44 +/- 2.79 and 14.44 +/- 1.15 respectively [P = 0.080]. Mean pre-operative and post-operative CCT in Group A was 529.13 +/- 24.23 and 529.87 +/- 17.46 respectively [P = 0.674]. In Group B it was 567.33 +/- 29.13 and 568.83 +/- 25.69 respectively [P = 0.859]. Primary and secondary Artisan aphakic IOL implantation did not cause any significant changes in corneal thickness or IOP during the follow-up period