Year: 2024
Type: article
Abstract: Aim: To compare the anatomical and functional results and patient satisfaction following retropupillary implantation of Artisan Aphakia irisfixated intraocular lens (rAAIF) and sutured scleral fixated intraocular lens (SFIOL). Subjects and methods:We presented a prospective double-arm nonblinded study.Forty-one eyes with acquired aphakia, no age-related macular degeneration, no previous keratoplasty, no combined procedures, no AC reaction (cells, fibrin), normal intraocular pressure, no history of endothelial corneal dystrophy in relatives or fellow eye were included.Indications, complications, corrected distance visual acuity (CDVA), endothelial cell density (ECD), and patient satisfaction score were assessed.Results: Retropupillary AAIF was implanted in 21 (51.22%)eyes and SFIOL in 20 (48.78%) eyes.The most common indication was complicated cataract surgery in 18 cases (43.90%), followed by trauma in 16 (39.02%),and spontaneous dislocation in 7 (17.07%).No difference between rAAIF and SFIOL in terms of sex, laterality (χ=0.13,p=0.72), indications (χ=0.78,p=0.68), previous ocular history, and comorbidities was observed.The complications and the visual outcomes at 6 months postoperatively were similar between the two groups (p=0.95 and p=0.321, respectively).The ECD loss in the two groups was also similar (p=0.89).The patient satisfaction score was 58.67 ± 8.80 in the rAAIF and 56.69 ± 11.50 in the SFIOL group, which was statistically similar (p = 0.764).Conclusion: Retropupillary AAIF and SFIOL showed similar results concerning visual acuity, endothelial cell loss, and patient satisfaction.Careful preoperative individual assessment is required to have optimal results with either technique.
DOI: 10.22336/rjo.2024.04
Language: English
Subfield: Ophthalmology
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W4394752174