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Cataract Incidence and Consequent Cataract Surgery after Myopia Correction

Cataract Incidence and Consequent Cataract Surgery after Myopia Correction by ARTISAN Myopia PIOL Implantation. Izak, M.G.J., Cizmarova-Izakova, A., Nikel, J., Gablasova, K., Bielikova, A. Eye Clinic F. D. Roosevelt Hospital Banska Bystrica, Slovakia Slovak Healthcare University

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Cataract Incidence and Consequent Cataract Surgery after Myopia Correction

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  1. Cataract Incidence and Consequent Cataract Surgery after Myopia Correction by ARTISAN Myopia PIOL Implantation Izak, M.G.J., Cizmarova-Izakova, A., Nikel, J., Gablasova, K., Bielikova, A. Eye Clinic F. D. Roosevelt Hospital Banska Bystrica, Slovakia Slovak Healthcare University Head: Prof. Milan G. J. I Z A K, M.D., PhD., FEBO ASCRS 2009 San Francisco

  2. Disclosure: The authors do not have any financial interest in material or methods mentioned.

  3. ARTISAN MYOPIA PIOL IMPLANTATION Eye Clinic F. D. Roosevelt Hospital, Banská Bystrica, SLOVAKIA 1993-2007 ARTISAN Myopia PIOL implantation 234 Eyes 149 Patients ♂ 56( 37.6% ) ♀ 93( 62.4% ) Age:18 - 50 y. (  = 29.7 y. ) Follow-up time:1 - 14 y. (  = 8.4 y. )

  4. Eye Clinic F. D. Roosevelt Hospital, Banská Bystrica, SLOVAKIA Cataract incidence after ARTISAN Myopia PIOL impl. No. Eyes No. Patients ARTISAN Myopia PIOL implantation (1993-2007) 234 (100%) 149 (100%) Cataract incidence 15 (6.41%) Cataract ARTISAN related 1 (0.42%) Cataract ARTISAN non related 14 (6.0%)

  5. ARTISAN MYOPIA PIOL IMPLANTATION Eye Clinic F. D. Roosevelt Hospital, Banská Bystrica, SLOVAKIA ARTISAN RELATED CATARACT 1 Eye (0.42%) 1 Pat. (0.67%) Pat. H.F.: ♂, 20 years of age at the time of ARTISAN impl. 2 years later- cataract due to rubbing of the lens capsule caused by horizontal tilting of ARTISAN ARTISAN PIOL EXPL. WITH CONSEQ. CATARACT SURG. 1 year later: retinal detachment, RD surgery Final BCVA: 0.1 ( Refr.: PLAN = -2.0 cyl. Spher. equiv.: -1.0 Dptr. )

  6. ARTISAN MYOPIA PIOL IMPLANTATION Eye Clinic F. D. Roosevelt Hospital, Banská Bystrica, SLOVAKIA 14 Eyes (6.0%) 12 Pat. (8.1%) ARTISAN NON RELATED CATARACT ARTISAN PIOL EXPLANTATION AND CONSEQUENT CATARACT SURGERY

  7. ARTISAN MYOPIA PIOL IMPLANTATION Eye Clinic F. D. Roosevelt Hospital, Banská Bystrica, SLOVAKIA ARTISAN NON RELATED CATARACT (14 eyes) Age at the ARTISAN Myopia PIOL implantation from to Ø = 40.1 y. 20 y. 49 y. Time from ARTISAN Myopia PIOL implantation to expl. and conseq. cataract surg. from to Ø = 8.3 y. 5 y. 13 y.

  8. ARTISAN MYOPIA PIOL IMPLANTATION Eye Clinic F. D. Roosevelt Hospital, Banská Bystrica, SLOVAKIA ARTISAN NON RELATED CATARACT (14 eyes) Myopic refraction before ARTISAN Myopia PIOL implantation (sph.eq.) from to Ø = -14.1 -7.5 -17.5 BCVA before ARTISAN Myopia PIOL implantation from to Ø = 0.57 0.2 0.8

  9. ARTISAN MYOPIA PIOL IMPLANTATION Eye Clinic F. D. Roosevelt Hospital, Banská Bystrica, SLOVAKIA ARTISAN NON RELATED CATARACT No. Eyes ARTISAN PIOL EXPLANTATION WITH CONSEQ. CAT. SURG. 14 8 - without PC IOL implantation 5 - with PC IOL implantation 1 - secondary PC IOL implatation

  10. ARTISAN MYOPIA PIOL IMPLANTATION Eye Clinic F. D. Roosevelt Hospital, Banská Bystrica, SLOVAKIA ARTISAN NON RELATED CATARACT (14 eyes) Refraction after ARTISAN Myopia PIOL explantation and conseq. cat. surg. (sph.eq.) Ø1 = +1.12 from to +2.25 -4.75 Ø2 = -2.83 BCVA after ARTISAN Myopia PIOL explantation and conseq. cataract surg. from to Ø = 0.75 0.2 1.0

  11. ARTISAN MYOPIA PIOL IMPLANTATION Eye Clinic F. D. Roosevelt Hospital, Banská Bystrica, SLOVAKIA ARTISAN NON RELATED CATARACT (14 eyes) No. Eyes Complications peroperative : 0 Complications postoperative : 2 - regenerative cataract - retinal detachment - - others - - CNV ( PDT Th ) 1 ( BCVA 0.2 )

  12. ARTISAN MYOPIA PIOL IMPLANTATION Eye Clinic F. D. Roosevelt Hospital, Banská Bystrica, SLOVAKIA Conclusion Our 8.4 years follow-up proves very rare incidence of ARTISAN RELATED CATARACT ( 0.4% ). 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.

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