[
    {
        "id": "osp-12191",
        "type": "article-journal",
        "title": "Pars plana lensectomy and iris-claw Artisan intraocular lens implantation in patients with Marfan syndrome",
        "author": [
            {
                "family": "Karjou",
                "given": "Zahra"
            },
            {
                "family": "Karimi",
                "given": "Saeed"
            },
            {
                "family": "Yaghoobi",
                "given": "Mohadeseh"
            },
            {
                "family": "Nikkhah",
                "given": "Homayoun"
            },
            {
                "family": "Safi",
                "given": "Sare"
            }
        ],
        "URL": "https://omanscience.com/ar/articles/pars-plana-lensectomy-and-iris-claw-artisan-intraocular-lens-implantation-in-patients-with-marfan-syndrome",
        "language": "en",
        "issued": {
            "date-parts": [
                [
                    2023
                ]
            ]
        },
        "container-title": "Oman Journal of Ophthalmology",
        "volume": "16",
        "issue": "1",
        "page": "64-68",
        "DOI": "10.4103/ojo.ojo_25_22",
        "publisher": "Medknow Publications",
        "ISSN": "0974-620X",
        "abstract": "Rational: The rationale of this study was to evaluate the visual and anatomical outcomes of pars plana lensectomy and iris-claw Artisan intraocular lens (IOL) implantation in patients with subluxated crystalline lenses secondary to Marfan syndrome.\n\nMaterials and methods: In this retrospective case series, we evaluate the records of 21 eyes of 15 patients with Marfan syndrome and moderate-to-severe crystalline lens subluxation who underwent pars plana lensectomy/anterior vitrectomy and implantation of iris-claw Artisan IOL at referral hospital from September 2015 to October 2019.\n\nResults: Twenty-one eyes of 15 patients (10 males and five females) with a mean age of 24.47 ± 19.14 years were included. Mean best-corrected visual acuity was improved from 1.17 ± 0.55 logMAR to 0.64 ± 0.71 logMAR at the final follow-up visit (P < 0.001). The mean intraocular pressure did not change significantly (P = 0.971). The final refraction showed a mean sphere of 0.54 ± 2.46 D and a mean cylinder of 0.81 ± 1.03 at the mean axis of 57.92 ± 58.33 degrees. One eye developed rhegmatogenous retinal detachment 2 months after surgery.\n\nConclusions: Pars plana lensectomy and iris-claw Artisan IOL implantation seem to be a useful, impressive, and safe procedure with a low rate of complications in Marfan patients with moderate-to-severe crystalline lens subluxation. Visual acuity was significantly improved with acceptable anatomical and refractive outcomes."
    }
]