Efficacy comparison between rigid and foldable anterior iris-fixated phakic intraocular lens implantation for treating high myopia in Asian eyes
AIM:To compare refractive and safety outcome of Artisan and Artiflex phakic intraocular lens(PIOL)for the correction of high myopia in Asian population.METHODS:Historical cohort study. A total of 81 high myopic eyes that underwent PIOL implantation from 2016 to 2020 at Yap Eye Hospital in Yogyakarta...
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| Format: | Article |
| Language: | English |
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Press of International Journal of Ophthalmology (IJO PRESS)
2023-06-01
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| Series: | Guoji Yanke Zazhi |
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| Online Access: | http://ies.ijo.cn/cn_publish/2023/6/202306001.pdf |
| _version_ | 1797816806944014336 |
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| author | Nia Milastuti Indra Tri Mahayana Suhardjo Agus Supartoto |
| author_facet | Nia Milastuti Indra Tri Mahayana Suhardjo Agus Supartoto |
| author_sort | Nia Milastuti |
| collection | DOAJ |
| description | AIM:To compare refractive and safety outcome of Artisan and Artiflex phakic intraocular lens(PIOL)for the correction of high myopia in Asian population.METHODS:Historical cohort study. A total of 81 high myopic eyes that underwent PIOL implantation from 2016 to 2020 at Yap Eye Hospital in Yogyakarta, Indonesia were reviewed. The patients were divided into two groups based on PIOL implanted, with 43 eyes using Artisan PIOL in Artisan group and 38 eyes using Artiflex PIOL in Artiflex group. Visual acuity, corneal biomicroscopy parameters, and intraocular pressure(IOP)were respectively recorded prior to the implantation and at 1d, 1 and 3mo after surgery. In addition, anterior chamber depth was documented before PIOL implantation.RESULTS:Mean follow-up period were 9.64±6.93mo and 8.96±4.28mo in Artisan an Artiflex group, respectively(P=0.736). The efficacy index was 1.03±0.47 in Artisan group, and 1.02±0.17 in the Artiflex group(P=0.119).The safety index was 1.10±0.45 and 1.05±0.21 in Artisan and Artiflex group, respectively(P<0.001). The mean spherical equivalent(SE)in Artisan group was -0.64±0.996D, and it was -0.22±0.58D in Artiflex group(P=0.076). In both groups, there was a significant loss of endothelial cell density(ECD)postoperatively compare to baseline(P<0.05), and the cumulative ECD loss was 7.44% and 5.79% in the Artisan and Artiflex groups, respectively(P=0.418).CONCLUSION:Artisan and Artiflex are comparable in terms of refractive outcome to correct high myopia in Asian eyes. Artisan had a slightly better safety index compare to Artiflex. However, the efficacy index and cumulative ECD loss was similar in both the Artisan and Artiflex groups. |
| first_indexed | 2024-03-13T08:43:11Z |
| format | Article |
| id | doaj.art-80c7590a26ad44cc88270228ae70d562 |
| institution | Directory Open Access Journal |
| issn | 1672-5123 |
| language | English |
| last_indexed | 2024-03-13T08:43:11Z |
| publishDate | 2023-06-01 |
| publisher | Press of International Journal of Ophthalmology (IJO PRESS) |
| record_format | Article |
| series | Guoji Yanke Zazhi |
| spelling | doaj.art-80c7590a26ad44cc88270228ae70d5622023-05-30T07:55:52ZengPress of International Journal of Ophthalmology (IJO PRESS)Guoji Yanke Zazhi1672-51232023-06-0123688789310.3980/j.issn.1672-5123.2023.6.01202306001Efficacy comparison between rigid and foldable anterior iris-fixated phakic intraocular lens implantation for treating high myopia in Asian eyesNia Milastuti0Indra Tri Mahayana1Suhardjo2Agus Supartoto3Department of Ophthalmology, Faculty of Medicine, Public Health and Nursing-Dr.Sardjito General Hospital, Yogyakarta 55162, IndonesiaDepartment of Ophthalmology, Faculty of Medicine, Public Health and Nursing-Dr.Sardjito General Hospital, Yogyakarta 55162, IndonesiaDepartment of Ophthalmology, Faculty of Medicine, Public Health and Nursing-Dr.Sardjito General Hospital, Yogyakarta 55162, IndonesiaDepartment of Ophthalmology, Faculty of Medicine, Public Health and Nursing-Dr.Sardjito General Hospital, Yogyakarta 55162, IndonesiaAIM:To compare refractive and safety outcome of Artisan and Artiflex phakic intraocular lens(PIOL)for the correction of high myopia in Asian population.METHODS:Historical cohort study. A total of 81 high myopic eyes that underwent PIOL implantation from 2016 to 2020 at Yap Eye Hospital in Yogyakarta, Indonesia were reviewed. The patients were divided into two groups based on PIOL implanted, with 43 eyes using Artisan PIOL in Artisan group and 38 eyes using Artiflex PIOL in Artiflex group. Visual acuity, corneal biomicroscopy parameters, and intraocular pressure(IOP)were respectively recorded prior to the implantation and at 1d, 1 and 3mo after surgery. In addition, anterior chamber depth was documented before PIOL implantation.RESULTS:Mean follow-up period were 9.64±6.93mo and 8.96±4.28mo in Artisan an Artiflex group, respectively(P=0.736). The efficacy index was 1.03±0.47 in Artisan group, and 1.02±0.17 in the Artiflex group(P=0.119).The safety index was 1.10±0.45 and 1.05±0.21 in Artisan and Artiflex group, respectively(P<0.001). The mean spherical equivalent(SE)in Artisan group was -0.64±0.996D, and it was -0.22±0.58D in Artiflex group(P=0.076). In both groups, there was a significant loss of endothelial cell density(ECD)postoperatively compare to baseline(P<0.05), and the cumulative ECD loss was 7.44% and 5.79% in the Artisan and Artiflex groups, respectively(P=0.418).CONCLUSION:Artisan and Artiflex are comparable in terms of refractive outcome to correct high myopia in Asian eyes. Artisan had a slightly better safety index compare to Artiflex. However, the efficacy index and cumulative ECD loss was similar in both the Artisan and Artiflex groups.http://ies.ijo.cn/cn_publish/2023/6/202306001.pdfphakic intraocular lensanterior iris-fixatedartisan lensartiflex lensendothelial cells densityhigh myopia |
| spellingShingle | Nia Milastuti Indra Tri Mahayana Suhardjo Agus Supartoto Efficacy comparison between rigid and foldable anterior iris-fixated phakic intraocular lens implantation for treating high myopia in Asian eyes Guoji Yanke Zazhi phakic intraocular lens anterior iris-fixated artisan lens artiflex lens endothelial cells density high myopia |
| title | Efficacy comparison between rigid and foldable anterior iris-fixated phakic intraocular lens implantation for treating high myopia in Asian eyes |
| title_full | Efficacy comparison between rigid and foldable anterior iris-fixated phakic intraocular lens implantation for treating high myopia in Asian eyes |
| title_fullStr | Efficacy comparison between rigid and foldable anterior iris-fixated phakic intraocular lens implantation for treating high myopia in Asian eyes |
| title_full_unstemmed | Efficacy comparison between rigid and foldable anterior iris-fixated phakic intraocular lens implantation for treating high myopia in Asian eyes |
| title_short | Efficacy comparison between rigid and foldable anterior iris-fixated phakic intraocular lens implantation for treating high myopia in Asian eyes |
| title_sort | efficacy comparison between rigid and foldable anterior iris fixated phakic intraocular lens implantation for treating high myopia in asian eyes |
| topic | phakic intraocular lens anterior iris-fixated artisan lens artiflex lens endothelial cells density high myopia |
| url | http://ies.ijo.cn/cn_publish/2023/6/202306001.pdf |
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