title: Higher-order aberrations after implantation of iris-fixated rigid or foldable phakic intraocular lenses.
abstract: OBJECTIVE
  To evaluate higher-order aberrations (HOAs) after implantation of Artiflex phakic intraocular lenses (pIOLs).
  
  
  METHODS
  Department of Ophthalmology, Academic Hospital Maastricht, Maastricht, The Netherlands.
  
  
  METHODS
  This retrospective comparative case series comprised 27 eyes (14 patients) that had Artiflex pIOL implantation and 22 eyes (13 patients) that had Artisan pIOL implantation. Refractive data, pupil size, IOL decentration, and HOA values were recorded and compared. Laboratory analysis was performed. Follow-up was 1 year.
  
  
  RESULTS
  In the Artiflex group, the mean spherical equivalent (SE) changed from -9.95 diopters (D) +/- 1.43 (SD) (range -6.75 to -12.13 D) to -0.30 +/- 0.53 D (range -1.94 to 0.56 D). Postoperatively, trefoil-y increased (increase factor 1.73) and spherical aberration decreased (increase factor 0.55). The mean pIOL decentration was 0.24 +/- 0.12 mm; 96.3% were decentered 0.5 mm or less. There was a significant correlation between pIOL decentration and postoperative spherical aberration and coma-y. In the Artisan group, the mean SE changed from -9.90 +/- 2.74 D (range -4.00 to -14.50 D) to -0.20 +/- 0.42 D (range -0.75 to 0.50 D). Postoperatively, trefoil-y and spherical aberration increased (increase factors 3.32 and 6.84, respectively). Laboratory analysis confirmed the negative and positive spherical aberration profile of the Artiflex pIOL and Artisan pIOL, respectively.
  
  
  CONCLUSIONS
  Artiflex pIOL implantation decreased spherical aberration, while Artisan pIOL implantation increased spherical aberration. Trefoil-y increased in both groups. These changes might be explained by incision size differences in relation to trefoil and differences in optic design in relation to spherical aberration.
authors.affiliation: Department of Ophthalmology, Academic Hospital Maastricht, Maastricht, The Netherlands. nta@soog.azm.nl
authors.forename: Nayyirih G
authors.initials: NG
authors.lastname: Tahzib
authors.forename: Scott M
authors.initials: SM
authors.lastname: MacRae
authors.forename: Geunyoung
authors.initials: G
authors.lastname: Yoon
authors.forename: Tos T J M
authors.initials: TT
authors.lastname: Berendschot
authors.forename: Fred A G J
authors.initials: FA
authors.lastname: Eggink
authors.forename: Fred
authors.initials: F
authors.lastname: Hendrikse
authors.forename: Rudy M M A
authors.initials: RM
authors.lastname: Nuijts
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D007498:Iris / Q000601:surgery*; D019654:Lens Implantation, Intraocular / Q000009:adverse effects* / Q000379:methods; D008297:Male; D008875:Middle Aged; D054120:Phakic Intraocular Lenses / Q000009:adverse effects*; D011474:Prosthesis Design; D011680:Pupil / Q000502:physiology; D012029:Refraction, Ocular / Q000502:physiology; D012030:Refractive Errors / Q000209:etiology*; D012189:Retrospective Studies; D014792:Visual Acuity / Q000502:physiology; D055815:Young Adult