Implantation of the Artisan iris reconstruction intraocular lens in 5 children with aphakia and partial aniridia caused by perforating ocular trauma.
OBJECTIVE
To describe the long-term clinical results of the implantation of the Artisan iris reconstruction IOL in 5 eyes of 5 children for aphakia and partial aniridia attributable to penetrating ocular trauma.


METHODS
The charts of 5 children were retrospectively reviewed. The nature and the extent of injury; age at IOL implantation; visual, refractive, and cosmetic outcome; endothelial cell density; and complications and subsequent surgical interventions were evaluated.


RESULTS
Mean follow-up period was 8.9 years (range, 4.9-12.4). Mean age at implantation of the Artisan iris reconstruction IOL was 9.5 years (range, 7.7-12.7). Visual acuity improved in 2 of 5 eyes, remained stable in 2 of 5 eyes, and decreased in 1 of 5 eyes. Complaints of photophobia were reduced, and a satisfactory cosmetic outcome was achieved in 3 of 5 patients. The mean spherical equivalent refraction error at last follow-up was -4.0 D. Mean endothelial cell loss when compared with the healthy fellow eye was 42%. Two cases were complicated by partial luxation of the IOL, one case by persistent anterior uveitis and secondary glaucoma. One eye developed a retinal detachment.


CONCLUSIONS
The Artisan iris reconstruction IOL is a treatment option for the treatment of aniridia and aphakia due to penetrating ocular trauma in children. We emphasize the high-risk characteristics of the eyes treated and the importance of careful patient selection in the outcome of the implantation of the Artisan iris reconstruction IOL.
Sminia
Marije L
ML
Department of Ophthalmology, Academic Medical Centre, Amsterdam, the Netherlands. m.l.sminia@amc.uva.nl
Odenthal
Monica Th P
MT
Gortzak-Moorstein
Nitza
N
Wenniger-Prick
Liesbeth J J M
LJ
Völker-Dieben
Hennie J
HJ
D015783:Aniridia / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D001035:Aphakia / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D002648:Child; D015807:Eye Injuries, Penetrating / Q000150:complications / Q000473:pathology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007498:Iris / Q000293:injuries / Q000601:surgery*; D019654:Lens Implantation, Intraocular / Q000295:instrumentation*; D007910:Lenses, Intraocular; D008297:Male; D011474:Prosthesis Design; D012029:Refraction, Ocular; D012189:Retrospective Studies; D013997:Time Factors; D015599:Trauma Severity Indices; D016896:Treatment Outcome; D014792:Visual Acuity