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Correction of extreme hyperopia: artisan iris-fixated intraocular lens implantation for pseudophakia after clear lens extraction
Authors:Wen Xu  Pan-Pan Ye  Zhao-Chun Li  Ke Yao  Feng-Ying He  Jun-Ting Shi and Jun Liu
Institution:Eye Center, Second Affiliated Hospital, Zhejiang University, No.88 Jiefang Road, Hangzhou 310009, Zhejiang Province, China,Eye Center, Second Affiliated Hospital, Zhejiang University, No.88 Jiefang Road, Hangzhou 310009, Zhejiang Province, China,Eye Center, Second Affiliated Hospital, Zhejiang University, No.88 Jiefang Road, Hangzhou 310009, Zhejiang Province, China,Eye Center, Second Affiliated Hospital, Zhejiang University, No.88 Jiefang Road, Hangzhou 310009, Zhejiang Province, China,Eye Center, Second Affiliated Hospital, Zhejiang University, No.88 Jiefang Road, Hangzhou 310009, Zhejiang Province, China,Eye Center, Second Affiliated Hospital, Zhejiang University, No.88 Jiefang Road, Hangzhou 310009, Zhejiang Province, China and Eye Center, Second Affiliated Hospital, Zhejiang University, No.88 Jiefang Road, Hangzhou 310009, Zhejiang Province, China
Abstract:A 22-year-old patient suffering from both-side extreme hyperopia with amblyopia was corrected with an Artisan iris-fixated intraocular lens (IOL) implantation followed to clear lens extraction (CLE) with posterior chamber (PC)-IOL implantation. The preoperative refraction values were +17.75DS -1.50DC × 168° for the right eye and +17.25DS -0.75DC × 8° for the left eye. The uncorrected visual acuity (UCVA) was 20/200 bilaterally and the spectacle-corrected visual acuity (BSCVA) was 20/50 bilaterally. One year after Artisan iris-fixated IOL implantation, bilateral BSCVA was 20/50 with a refraction of +1.25DS -0.75DC × 13° for the right eye and +1.50DS -1.00DC × 55° for the left eye. The outcomes of an Artisan iris-fixated IOL implantation followed to CLE with PC-IOL implantation were encouraging for the correction of extreme hyperopia. Long term follow-up examinations were necessary for further determination of the efficacy and safety of this combinational procedure.
Keywords:hyperopia  clear lens extraction  iris-fixated intraocular lens
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