title: Visual Outcomes after Primary Iris Claw Artisan Intraocular Lens Implantation during Complicated Cataract Surgery.
abstract: OBJECTIVE
  To evaluate the efficacy and safety of aphakic Artisan-Verysise intraocular lens (IOL) primarily implanted for complicated cataract surgery.
  
  
  METHODS
  A retrospective analysis of 49 eyes that underwent primary aphakic Artisan IOL implantation for complicated cataract surgery. Pre- and postoperative uncorrected visual acuity (UCVA), best-corrected visual acuity (BCVA), and spherical equivalents (SE) were compared.
  
  
  RESULTS
  The mean age of the participants was 68 ± 12.7 years, and the mean follow-up time was 30.7 ± 14.8 months. The mean BCVA improved significantly from 0.58 ± 0.4 at baseline to 0.44 ± 0.41 after the operation (P = 0.008). The spherical equivalent changed insignificantly from -0.13 ± 1.55 preoperatively to -0.6 ± 1.88 (P = 0.724) at the last visit. Postoperative complications were transient pigmented precipitates in five cases and raised intraocular pressure in one case.
  
  
  CONCLUSIONS
  Aphakic Artisan IOLs are attractive alternatives in complicated cataract surgery without sufficient capsular bag support.
authors.affiliation: a Torfeh Medical Center, Shahid Beheshti University of Medical Science , Tehran , Iran.
authors.forename: Hossein
authors.initials: H
authors.lastname: Mohammad-Rabie
authors.affiliation: b Ophthalmic Research Center , Labbafinejad Medical Center, Shahid Beheshti University of Medical Sciences , Tehran , Iran.
authors.forename: Parviz
authors.initials: P
authors.lastname: Malekifar
authors.affiliation: b Ophthalmic Research Center , Labbafinejad Medical Center, Shahid Beheshti University of Medical Sciences , Tehran , Iran.
authors.forename: Hamed
authors.initials: H
authors.lastname: Esfandiari
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001036:Aphakia, Postcataract / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D002386:Cataract / Q000150:complications*; D002387:Cataract Extraction / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007431:Intraoperative Complications; D007498:Iris / Q000601:surgery*; D019654:Lens Implantation, Intraocular / Q000379:methods*; D007910:Lenses, Intraocular; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design; D012029:Refraction, Ocular; D012189:Retrospective Studies; D014792:Visual Acuity; D055815:Young Adult
keywords: Artisan implantation complications; cataract surgery; intraoperative complication; iris fixated IOLs; visual acuity changes