Department of Retina, Rothschild Foundation Hospital, Paris, France.
Faculté de Médecine, Sorbonne Université, Paris, France.
Eur J Ophthalmol. 2024 Nov;34(6):1890-1898. doi: 10.1177/11206721241237551. Epub 2024 Mar 4.
To compare the refractive outcomes and the complications of implantation surgery by the Carlevale IOL to the Artisan iris-claw IOL.
Retrospective comparative study of consecutive surgical cases between 2019 and 2021 in our tertiary centre in Paris, France.
We included 142 eyes in the Artisan group and 63 in the Carlevale group. Post-operative astigmatism at one month was 2.3 ± 1.6 D in the Carlevale group, 3.3 ± 2.5 D in the Artisan group with corneal incisions, and 1.8 ± 1.4 D in the Artisan group with scleral incisions ( = 0.015). Surgery duration was higher ( = 0.007) with the Carlevale IOL (70.8 ± 31.3 min) than with the Artisan IOL (58.3 ± 23.2 min). The complication rates were similar at one month between the two groups (25.4% in Artisan, 27% in Carlevale). The mean follow-up was longer in the Artisan group (234.5 days vs. 77 days, < 0.001).
Artisan iris-claw IOL seems to induce higher astigmatism than Carlevale sutureless scleral-fixated IOL at one month when injected through a corneal incision, but not when injected through a scleral incision. Therefore cataract surgeons should avoid wide corneal incisions in implantation surgery whenever possible.
比较 Carlevale 人工晶状体与 Artisan 虹膜夹人工晶状体植入术后的屈光效果和并发症。
回顾性比较 2019 年至 2021 年在法国巴黎我们的三级中心进行的连续手术病例。
我们纳入了 Artisan 组的 142 只眼和 Carlevale 组的 63 只眼。术后 1 个月时，Carlevale 组的术后散光为 2.3±1.6 D，Artisan 组的角膜切口为 3.3±2.5 D，Artisan 组的巩膜切口为 1.8±1.4 D（ = 0.015）。Carlevale 人工晶状体手术时间较长（ = 0.007）（70.8±31.3 分钟），而 Artisan 人工晶状体为 58.3±23.2 分钟。术后 1 个月时，两组的并发症发生率相似（Artisan 组为 25.4%，Carlevale 组为 27%）。Artisan 组的平均随访时间较长（234.5 天 vs. 77 天， < 0.001）。
当通过角膜切口注射时，Artisan 虹膜夹人工晶状体引起的术后 1 个月散光似乎高于 Carlevale 无缝线巩膜固定人工晶状体，但当通过巩膜切口注射时则不然。因此，白内障手术医生应尽可能避免植入手术中广泛的角膜切口。
