Traumatic dislocation of an Ophtec Artisan phakic intraocular lens.
OBJECTIVE
To report a case of a traumatic dislocation of an Ophtec Artisan phakic anterior chamber intraocular lens.


METHODS
Retrospective case review.


RESULTS
A 38-year-old female underwent successful implantation of an Ophtec Artisan lens in her left eye as part of the phase III U.S. clinical trials. Approximately 5 months postoperatively, the patient was struck with a roll of packing tape in her left eye and noted immediate decreased vision. Following the blunt trauma, the patient had an uncorrected visual acuity (UCVA) of 20/60 and a best spectacle-corrected visual acuity (BSCVA) of 20/20. The wound was intact, however, the superior claw was no longer enclaved to the iris and the lens had dislocated nasally with the optic of the lens resting in the angle. The patient was taken back to the operating room, the lens was repositioned, and the superior claw was re-enclaved to the iris. One week after repositioning, UCVA was 20/30 and BSCVA was 20/20.


CONCLUSIONS
Despite adequate positioning, significant trauma may result in the iris claw tearing free from the iris with dislocation of the Artisan lens. The lens may be repositioned with good visual outcome, however, the long-term effects on endothelial cell density in this patient remain to be seen.
Yoon
Hawke
H
University of Utah School of Medicine, Salt Lake City, USA.
Macaluso
Damien C
DC
Moshirfar
Majid
M
Lundergan
Maureen
M
D000328:Adult; D005131:Eye Injuries / Q000150:complications*; D005260:Female; D005548:Foreign-Body Migration / Q000209:etiology* / Q000601:surgery; D006801:Humans; D019654:Lens Implantation, Intraocular; D007910:Lenses, Intraocular; D012086:Reoperation; D012189:Retrospective Studies; D014792:Visual Acuity; D014949:Wounds, Nonpenetrating / Q000150:complications*