HagaHospital, The Hague, The Netherlands.
Leiden University Medical Center, Leiden, The Netherlands.
Acta Ophthalmol. 2024 Jun;102(4):491-496. doi: 10.1111/aos.15795. Epub 2023 Oct 25.
To compare intra- and postoperative results of sutureless scleral fixated Carlevale intraocular lens (IOL) with iris fixated Artisan IOL.
Monocentre, retrospective analysis of refractive outcomes and intra- and postoperative complications of patients who received a Carlevale or Artisan IOL between January 2019 and March 2022.
178 eyes of 169 patients were included (101 Carlevale and 77 Artisan IOLs). The standard follow-up time was 1 month. Two statistically significant differences were found: in the deviation of the postoperative spherical equivalent of the refraction from the preoperative chosen IOL target (p = 0.019; mean deviation was -0.46 in the Carlevale and 0.08 in the Artisan group), and the number of eyes with complications between the Carlevale and Artisan groups (p = 0.003; 33 in the Carlevale and 42 in the Artisan group).
The current study is the largest so far comparing both refractive outcomes and complications after implantation of Carlevale and Artisan IOL. The Carlevale IOL does not carry a greater complication risk on the short-term follow-up. This provides additional evidence that the Carlevale IOL has to be added to the armamentarium of the ophthalmic surgeon.
比较无缝线巩膜固定型 Carlevale 人工晶状体（IOL）与虹膜固定型 Artisan IOL 的术中及术后结果。
单中心回顾性分析 2019 年 1 月至 2022 年 3 月间接受 Carlevale 或 Artisan IOL 治疗的患者的屈光结果和术中及术后并发症。
共纳入 169 例患者的 178 只眼（101 只 Carlevale 和 77 只 Artisan IOL）。标准随访时间为 1 个月。发现了 2 个有统计学意义的差异：术后屈光度的球镜等效偏差与术前选择的 IOL 目标（p=0.019；Carlevale 组的平均偏差为-0.46，Artisan 组为 0.08），以及 Carlevale 和 Artisan 组之间发生并发症的眼数（p=0.003；Carlevale 组为 33 只，Artisan 组为 42 只）。
本研究是迄今为止比较 Carlevale 和 Artisan IOL 植入后屈光结果和并发症的最大研究。在短期随访中，Carlevale IOL 并不存在更高的并发症风险。这为 Carlevale IOL 应添加到眼科医生的手术工具中提供了额外的证据。
