Cataract Incidence and Consequent Cataract Surgery after Myopia Correction

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


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. )


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.


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


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)


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 PIOL EXPLANTATIONWITH CONSEQ. CAT. SURG.ARTISAN PIOL EXPLANTATIONWITH CONSEQ. CAT. SURG.

- without PC IOL implantation - without PC IOL implantation


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


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


- regenerative cataract- regenerative cataract

Complications postoperative :Complications postoperative :


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 - -



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% ).

Cataract Incidence and Consequent Cataract Surgery after Myopia Correction

Documents

Transcript of Cataract Incidence and Consequent Cataract Surgery after Myopia Correction