Traumatic dislocation and successful re-enclavation of an Artisan phakic IOL with analysis of the endothelium

J Refract Surg. 2006 Jan-Feb;22(1):102-3. doi: 10.3928/1081-597X-20060101-19.


Purpose: To present a case of traumatic dislocation of an Ophtec Artisan phakic intraocular lens (PIOL) and an analysis of the endothelial cell count.

Methods: The patient presented with blurred vision in his left eye after sustaining a brow laceration. History included uncomplicated bilateral implantation of an Artisan PIOL to correct myopia.

Results: The brow laceration was sutured and topical dexamethasone 0.1% qid was prescribed. One week after presentation, the PIOL was relocated. Postoperatively, endothelial cell count analysis was performed in both eyes.

Conclusions: A decrease in the hexagonality of the endothelial cells was noted in both eyes, which was substantially lower in the injured eye.

Publication types

  • Case Reports

MeSH terms

  • Anterior Chamber
  • Cell Count
  • Endothelium, Corneal / injuries
  • Endothelium, Corneal / pathology*
  • Eye Injuries / complications*
  • Eye Injuries / pathology
  • Eye Injuries / surgery
  • Follow-Up Studies
  • Foreign-Body Migration / etiology
  • Foreign-Body Migration / pathology
  • Foreign-Body Migration / surgery*
  • Humans
  • Iris / surgery
  • Lens Implantation, Intraocular
  • Lenses, Intraocular*
  • Male
  • Middle Aged
  • Myopia / surgery
  • Suture Techniques*
  • Visual Acuity