Doroodgar Farideh, Jabbarvand Mahmoud, Niazi Feizollah, Niazi Sana, Sanginabadi Azad
Farabi Eye Hospital, Tehran University of Medical Sciences Shahid Beheshti University of Medical Sciences and Health Services, Tehran, Iran.
Medicine (Baltimore). 2017 Nov;96(45):e8405. doi: 10.1097/MD.0000000000008405.
To evaluate probable complications of ArtificialIris implantation with iris fixated intraocular lens.
Development of photophobia, glare, and psychological strain during face-to-face communication in a 23-year-old man with a widespread traumatic iris defect terminate to make a decision for performing implantation of an ArtificialIris (Humanoptics, Erlangen, Germany) under the remnant iris without removing the patient's existing Artisan lens.
Without any intraoperative or postoperative complications, the patient's visual acuity increased by 1 line, the endothelial cell loss was comparable with the cell loss associated with standard cataract surgery, and the anterior-chamber depth and anterior-chamber anatomy did not change. At the final follow-up examination, the mean intraocular pressure did not differ from baseline, and we achieved high level of patient satisfaction and subjective vision improvement. We discuss the particular importance of considering the patient's expectations, the appropriate measurements, ways to perfect color evaluation, and the types of ArtificialIris products.
The implantation of the ArtificialIris in patients with aphakic iris-supported lenses (ie, pre-existing Artisan lenses) is a feasible approach and a useful option for patients with thin irises and iris hypoplasia who are at risk of subluxation or the dislocation of the posterior-chamber intraocular lens (PCIOL), and also those with sclerally fixed PCIOLs.
评估虹膜固定型人工晶状体植入人工虹膜的可能并发症。
一名23岁男性因广泛外伤性虹膜缺损，在面对面交流时出现畏光、眩光和心理压力，决定在不摘除患者现有Artisan晶状体的情况下，在残余虹膜下植入人工虹膜（德国埃尔朗根Humanoptics公司产品）。
术中及术后均无并发症，患者视力提高1行，内皮细胞丢失与标准白内障手术相关的细胞丢失相当，前房深度和前房解剖结构未改变。在最后一次随访检查时，平均眼压与基线无差异，患者满意度高，主观视力得到改善。我们讨论了考虑患者期望、适当测量、完善颜色评估方法以及人工虹膜产品类型的特殊重要性。
对于无晶状体虹膜支撑型晶状体（即已有Artisan晶状体）的患者，植入人工虹膜对于虹膜薄、虹膜发育不全且有后房型人工晶状体（PCIOL）半脱位或脱位风险的患者，以及巩膜固定PCIOL的患者而言，是一种可行的方法和有用的选择。
