title: Artisan iris-claw lenses for the correction of aphakia in children following lensectomy for ectopia lentis.
abstract: OBJECTIVE
  To describe the results of Artisan iris-claw lens implants in children with aphakia following lensectomy for ectopia lentis.
  
  
  METHODS
  We measured visual acuity, refractive error and endothelial cell counts and recorded complications in a group of children after insertion of Artisan iris-claw implants.
  
  
  RESULTS
  Artisan implants were implanted in eight eyes of five children. Mean follow-up was 28 months (range: 4-58 months). The mean preoperative LogMAR best-corrected visual acuity was 0.21 ± 0.2, and postoperatively, mean LogMAR uncorrected visual acuity was 0.04 ± 0.09 (p=0.04). Mean endothelial cell count was 3312 ± 277 cells preoperatively and 2913 ± 268 cells postoperatively, representing a mean cell loss of 14.2% (p<0.001). Mean defocus equivalent was 11.38 ± 1.04 preoperatively and 2.34 ± 0.66 postoperatively. We encountered no postoperative complications in any of the eyes.
  
  
  CONCLUSIONS
  Artisan iris-claw implants are safe and effective in the correction of aphakia in children following lensectomy for ectopia lentis, enabling good spectacle-free distance vision in 75% of eyes with no postoperative complications.
authors.affiliation: Mater University Hospital, Eccles Street, Dublin 7, Ireland.
authors.forename: Catherine
authors.initials: C
authors.lastname: Cleary
authors.forename: Bernadette
authors.initials: B
authors.lastname: Lanigan
authors.forename: Michael
authors.initials: M
authors.lastname: O'Keeffe
mesh_terms: D000293:Adolescent; D001036:Aphakia, Postcataract / Q000503:physiopathology / Q000601:surgery*; D002452:Cell Count; D002648:Child; D002675:Child, Preschool; D004479:Ectopia Lentis / Q000503:physiopathology / Q000601:surgery*; D004728:Endothelium, Corneal / Q000473:pathology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007498:Iris / Q000601:surgery*; D019654:Lens Implantation, Intraocular; D007910:Lenses, Intraocular; D008297:Male; D016896:Treatment Outcome; D014792:Visual Acuity / Q000502:physiology