izak, m.g.j., cizmarova-izakova, a., nikel, j., gablasova, k., bielikova, a. izak, m.g.j.,...
TRANSCRIPT
Izak, M.G.J., Cizmarova-Izakova, A., Nikel, J.,Gablasova, K., Bielikova, A.
Izak, M.G.J., Cizmarova-Izakova, A., Nikel, J.,Gablasova, K., Bielikova, A.
ASCRS 2009 San FranciscoASCRS 2009 San Francisco
Eye Clinic F. D. Roosevelt Hospital Banska Bystrica, SlovakiaSlovak Healthcare University
Head: Prof. Milan G. J. I Z A K, M.D., PhD., FEBO
Eye Clinic F. D. Roosevelt Hospital Banska Bystrica, SlovakiaSlovak Healthcare University
Head: Prof. Milan G. J. I Z A K, M.D., PhD., FEBO
Disclosure:
The authors do not have any financial interest in material or methods mentioned.
234 Eyes 149 Patients234 Eyes 149 Patients
1993-2007 ARTISAN Myopia PIOL implantation1993-2007 ARTISAN Myopia PIOL implantation
Follow-up time: 1 - 14 y. ( = 8.4 y. )Follow-up time: 1 - 14 y. ( = 8.4 y. )
Eye Clinic F. D. Roosevelt Hospital, Banská Bystrica, SLOVAKIAEye Clinic F. D. Roosevelt Hospital, Banská Bystrica, SLOVAKIA
♀ 93 ( 62.4% )♀ 93 ( 62.4% )
♂ 56 ( 37.6% )♂ 56 ( 37.6% )
Age: 18 - 50 y. ( = 29.7 y. )Age: 18 - 50 y. ( = 29.7 y. )
ARTISAN MyopiaPIOL implantation (1993-2007)ARTISAN MyopiaPIOL implantation (1993-2007)
Cataract incidenceCataract incidence
Eye Clinic F. D. Roosevelt Hospital, Banská Bystrica, SLOVAKIAEye Clinic F. D. Roosevelt Hospital, Banská Bystrica, SLOVAKIA
Cataract ARTISAN non relatedCataract ARTISAN non related
No. Patients No. Eyes
Cataract ARTISAN relatedCataract ARTISAN related
149 (100%)149 (100%)234 (100%)234 (100%)
1 (0.42%) 1 (0.42%)
14 (6.0%) 14 (6.0%)
15 (6.41%) 15 (6.41%)
Cataract incidence after ARTISAN Myopia PIOL impl.Cataract incidence after ARTISAN Myopia PIOL impl.
Final BCVA:Final BCVA: 0.1 ( Refr.: PLAN = -2.0 cyl. Spher. equiv.: -1.0 Dptr. )0.1 ( Refr.: PLAN = -2.0 cyl. Spher. equiv.: -1.0 Dptr. )
Eye Clinic F. D. Roosevelt Hospital, Banská Bystrica, SLOVAKIAEye Clinic F. D. Roosevelt Hospital, Banská Bystrica, SLOVAKIA
ARTISAN RELATEDCATARACTARTISAN RELATEDCATARACT
1 Pat.(0.67%)1 Pat.(0.67%)
1 Eye(0.42%)1 Eye(0.42%)
1 year later: retinal detachment, RD surgery1 year later: retinal detachment, RD surgery
2 years later- cataract due to rubbing of the lens capsule caused by horizontal tilting of ARTISAN
ARTISAN PIOL EXPL. WITH CONSEQ. CATARACT SURG.
2 years later- cataract due to rubbing of the lens capsule caused by horizontal tilting of ARTISAN
ARTISAN PIOL EXPL. WITH CONSEQ. CATARACT SURG.
Pat. H.F.: ♂, 20 years of age at the time of ARTISAN impl.Pat. H.F.: ♂, 20 years of age at the time of ARTISAN impl.
Eye Clinic F. D. Roosevelt Hospital, Banská Bystrica, SLOVAKIAEye Clinic F. D. Roosevelt Hospital, Banská Bystrica, SLOVAKIA
ARTISAN NON RELATEDCATARACTARTISAN NON RELATEDCATARACT
12 Pat.(8.1%)12 Pat.(8.1%)
14 Eyes(6.0%)
14 Eyes(6.0%)
ARTISAN PIOL EXPLANTATION AND CONSEQUENT CATARACT SURGERYARTISAN PIOL EXPLANTATION AND CONSEQUENT CATARACT SURGERY
Eye Clinic F. D. Roosevelt Hospital, Banská Bystrica, SLOVAKIAEye Clinic F. D. Roosevelt Hospital, Banská Bystrica, SLOVAKIA
Time from ARTISAN MyopiaPIOL implantation to expl.and conseq. cataract surg.
Time from ARTISAN MyopiaPIOL implantation to expl.and conseq. cataract surg.
13 y.13 y. Ø = 8.3 y.Ø = 8.3 y. 5 y. 5 y.
Age at the ARTISAN Myopia
PIOL implantation
Age at the ARTISAN Myopia
PIOL implantation 49 y.49 y. Ø = 40.1 y.Ø = 40.1 y.20 y.20 y.
from to
from to
ARTISAN NON RELATED CATARACT (14 eyes)ARTISAN NON RELATED CATARACT (14 eyes)
Eye Clinic F. D. Roosevelt Hospital, Banská Bystrica, SLOVAKIAEye Clinic F. D. Roosevelt Hospital, Banská Bystrica, SLOVAKIA
BCVA before ARTISANMyopia PIOL implantationBCVA before ARTISANMyopia PIOL implantation 0.80.8 Ø = 0.57Ø = 0.57 0.2 0.2
Myopic refraction beforeARTISAN MyopiaPIOL implantation (sph.eq.)
Myopic refraction beforeARTISAN MyopiaPIOL implantation (sph.eq.)
-17.5-17.5 Ø = -14.1Ø = -14.1-7.5-7.5
from to
from to
ARTISAN NON RELATED CATARACT (14 eyes)ARTISAN NON RELATED CATARACT (14 eyes)
ARTISAN PIOL EXPLANTATIONWITH CONSEQ. CAT. SURG.ARTISAN PIOL EXPLANTATIONWITH CONSEQ. CAT. SURG.
- without PC IOL implantation - without PC IOL implantation
Eye Clinic F. D. Roosevelt Hospital, Banská Bystrica, SLOVAKIAEye Clinic F. D. Roosevelt Hospital, Banská Bystrica, SLOVAKIA
No. Eyes
- secondary PC IOL implatation - secondary PC IOL implatation
1414
1 1
8 8
- with PC IOL implantation - with PC IOL implantation 5 5
ARTISAN NON RELATED CATARACT ARTISAN NON RELATED CATARACT
Eye Clinic F. D. Roosevelt Hospital, Banská Bystrica, SLOVAKIAEye Clinic F. D. Roosevelt Hospital, Banská Bystrica, SLOVAKIA
BCVA after ARTISANMyopia PIOL explantationand conseq. cataract surg.
BCVA after ARTISANMyopia PIOL explantationand conseq. cataract surg.
1.01.0Ø = 0.75Ø = 0.75
0.2 0.2
Refraction after ARTISANMyopia PIOL explantationand conseq. cat. surg. (sph.eq.)
Refraction after ARTISANMyopia PIOL explantationand conseq. cat. surg. (sph.eq.)
-4.75-4.75 Ø2 = -2.83Ø2 = -2.83+2.25+2.25
from to
from to Ø1 = +1.12Ø1 = +1.12
ARTISAN NON RELATED CATARACT (14 eyes)ARTISAN NON RELATED CATARACT (14 eyes)
- regenerative cataract- regenerative cataract
Complications postoperative :Complications postoperative :
Eye Clinic F. D. Roosevelt Hospital, Banská Bystrica, SLOVAKIAEye Clinic F. D. Roosevelt Hospital, Banská Bystrica, SLOVAKIA
No. Eyes
- CNV ( PDT Th )- CNV ( PDT Th )
0 0
1 ( BCVA 0.2 ) 1 ( BCVA 0.2 )
Complications peroperative :Complications peroperative :
- others- others
2 2
- -
- retinal detachment- retinal detachment - -
ARTISAN NON RELATED CATARACT (14 eyes)ARTISAN NON RELATED CATARACT (14 eyes)
Eye Clinic F. D. Roosevelt Hospital, Banská Bystrica, SLOVAKIAEye Clinic F. D. Roosevelt Hospital, Banská Bystrica, SLOVAKIA
ConclusionConclusion
2. The incidence of ARTISAN NON RELATED CATARACT in myopic patient was 6.4%.2. The incidence of ARTISAN NON RELATED CATARACT in myopic patient was 6.4%.
3. Consequent cataract surgery after previous ARTISAN Myopia PIOL implantation can restore very good visual acuity again.
3. Consequent cataract surgery after previous ARTISAN Myopia PIOL implantation can restore very good visual acuity again.
1. Our 8.4 years follow-up proves very rare incidence of ARTISAN RELATED CATARACT ( 0.4% ).1. Our 8.4 years follow-up proves very rare incidence of ARTISAN RELATED CATARACT ( 0.4% ).