Table 3.
Retropupillary versus Anterior Iris-Claw IOL in Marfan’s Syndrome
| Variables | Posterior “Retropupillary” Artisan (%) | Anterior Artisan (%) | P-value |
|---|---|---|---|
| Age (years) | 24.8 ± 5.2 | 16.9 ± 3.6 | NS |
| Side of procedure (laterality) | |||
| Right (OD) | 2 (40.0) | 7 (53.8) | NS |
| Left (OS) | 3 (60.0) | 6 (46.2) | |
| Associated ocular diseases | 0 (0.0) | 0 (0.0) | NS |
| Associated ocular procedure (during artisan implantation: | |||
| Peripheral iridotomy | 2 (40.0) | 11 (91.8) | 0.02 |
| Pars plana vitrectomy | 14 (23.0) | 19 (17.3) | NS |
| Anterior vitrectomy | 27 (44.3) | 55 (50.0) | NS |
| Postoperative complications | |||
| Irregular iris shape | 0 (0) | 5 (38.5) | NS |
| Iris atrophy | 1 (20.0) | 4 (30.8) | NS |
| Disenclavation of the haptics (either traumatic or spontaneous) | 0 (0) | 6 (46.2) | NS |
| Signs of corneal endothelium loss | 0 (0.0) | 0 (0.0) | NS |
| Pigment dispersion | 0 (0.0) | 1 (7.7) | NS |
| Postoperative high IOP and/or use of new antiglaucoma and/or glaucoma surgery | 1 (20.0) | 1 (7.7) | NS |
| Retinal detachment | 0 (0.0) | 0 (0.0) | NS |
| Epiretinal membrane proliferation | 0 (0.0) | 0 (0.0) | NS |
| Macular edema | 0 (0.0) | 0 (0.0) | NS |
| Endophthalmitis/keratitis | 0 (0.0) | 0 (0.0) | NS |
| Overall visual outcome | |||
| Change in BCVA at 1 week postoperative (LogMAR) | −0.425 ± 0.1 | −0.114 ± 0.08 | NS |
| Change in BCVA at 1 month postoperative (LogMAR) | −0.667 ± 0.1 | −0.317 ± 0.09 | NS |
| Change in BCVA at 1 year postoperative (LogMAR) | −0.600± 0.2 | −0.357 ± 0.2 | NS |
| Change in BCVA at last follow up (LogMAR) | −0.640 ± 0.1 | −0.346 ± 0.1 | NS |
Abbreviations: SEM, standard error of the mean; OD, right eye; OS, left eye; IOL, intraocular lens; BCVA, best corrected visual acuity; IOP, intraocular pressure; NS, not significant.