Phakic intraocular lenses outcomes and complications: Artisan vs Visian ICL

Purpose To evaluate the safety and visual outcomes of two phakic intraocular lenses (IOLs) for correction of high myopia: Artisan and Visian ICL (ICL). Patients and methods In this retrospective study, a phakic IOL was implanted in 68 highly myopic eyes of 34 patients; 42 eyes received an Artisan IOL, and 26 eyes received ICL IOL. Results All patients completed a 1-year follow-up. The mean preoperative spherical equivalent (SEQ) was -12.89 +/- 3.78, and -12.44 +/- 4.15 diopters (D) for Artisan and ICL (P = 0.078), respectively. The mean postoperative (1-year) uncorrected distance visual acuity was 0.39 +/- 0.13 and 0.41 +/- 0.15 logMAR for Artisan and ICL, respectively (P = 0.268). The mean postoperative (1-year) corrected distance visual acuity was 0.36 +/- 0.12 and 0.31 +/- 0.12 logMAR for Artisan and ICL, respectively (P = 0.128). The mean postoperative SEQ was -0.86 +/- 0.5 and -0.63 +/- 0.38 D for Artisan and ICL, respectively (P = 0.67). Intraocular pressure change at 1 year was 0.64 +/- 2.7 and 1.88 +/- 0.6 mm Hg for Artisan and ICL, respectively (P = 0.77). Conclusion Artisan and ICL showed equal and comparable safety, predictability, and efficacy. Eye (2011) 25, 1365-1370; doi:10.1038/eye.2011.187; published online 5 August 2011