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Artisan can be fixed to posterior iris surface

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FLORENCE, Italy — The Ophtec Artisan lens can be fixated on the posterior surface of the iris, offering the surgeon several advantages over other fixation points, according to one surgeon speaking here. The anterior chamber, iris-fixated phakic IOL is also marketed by Advanced Medical Optics as the Verisyse.

“The natural pressure of the aqueous from the inside of the eye ‘squeezes’ the IOL against the posterior surface of the iris, enhancing stability, preventing tilting of the lens and glare phenomena,” said Cesare Forlini, MD, here at the Florence Symposium.

Hidden behind the iris, the lens also offers a better cosmetic appearance for the patient, reducing the characteristic reflex of the lens optic that is visible at short distances.

Enclavation behind the iris is “fairly easy,” Dr. Forlini said. The lens is introduced through a 4.5-mm incision, guided to the correct position with a Barraquer spatula and enclavated with forceps.

“You can feel the holes in the haptics through the iris,” he said.

Posterior implantation of the lens can also be used in aphakic, traumatized eyes as an alternative to scleral fixation, provided that enough residual iris tissue is present, Dr. Forlini added.

The Florence Symposium is the Joint Meeting of Ocular Surgery News, the Italian Association of Cataract and Refractive Surgery and the Italian Society of Ophthalmology.