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Post Info TOPIC: Artisan Implant performed


Executive

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Date: Thu Jun 30 5:38 PM, 2005
RE: Artisan Implant performed
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Hello Michael,


Fantastic to hear of your continued success... Hope this dosent mean that you will be becoming a stranger to us. I've noticed that this is a strange side effect of successful KC treatments, these lucky people just dont seem to want to talk about it anymore. I understand completely... after living with KC for so long the last thing people would want to do is be reminded of its ugly face


All the best, I'm certain your future can only get better


Hari



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Veteran Member

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Posts: 29
Date: Fri Jul 1 12:49 AM, 2005
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Thanks Quintrix and Hari for the well-wishes! I am so glad things are looking up at last, I knew it was going to be a big improvement but it has exceeded my expectations. You know Quintrix you hit the nail on the head, I am doing the things now I really couldn't do before and it's great. I know this sounds stupid but before the implant surgery I was so sensitive about wearing "coke-bottle" glasses, I felt eveyone was staring at me and thinking how could anyone wear such thick glasses and now it dosesn't bother at all, these lenses are so thin and look like any other pair of glasses. I feel that this improves my quality of life and is a relief.


No Hari I won't become a stranger, this is only a treatment and I know it could end tommorow, so until a cure is found all we can do is treat the symptoms and hope it lasts


You guys take care and I'll be updating as it goes.


Michael 



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Anonymous

Date: Sat Aug 20 12:19 PM, 2005
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Here is some nice to know info.

"JOURNAL OF REFRACTIVE SURGERY Vol. 21 No. 3 May/June 2005

Implantation of Artisan Toric Phakic Intraocular Lenses for the Correction of Astigmatism and Spherical Errors in Patients With Keratoconus

Camille Budo, MD; Marjolijn C. Bartels, MD; Gabriel van Rij, MD, PhD

PURPOSE

To evaluate the correction of astigmatism and spherical ametropia in patients with keratoconus through implantation of an Artisan toric phakic intraocular lens (PIOL) (Ophtec, Groningen, The Netherlands).


METHODS

Artisan toric PIOLs were implanted uneventfully in both eyes of three patients with keratoconus with clear central corneas and contact lens intolerance.


RESULTS

Best spectacle-corrected subjective visual acuity after lens implantation was unchanged in one eye and improved in five eyes. Spherical equivalent refraction was significantly reduced in all eyes (P=.03). The safety index was 1.49.


CONCLUSIONS

The implantation of an Artisan toric PIOL may be an alternative for treating astigmatism and myopia in contact lens intolerant patients with keratoconus with clear central corneas. Especially in patients with associated myopia, this procedure is worth considering before planning a penetrating keratoplasty. [J Refract Surg. 2005;21:218-222.]
AUTHORS

From the Department of Ophthalmology, Sint Truiden, Belgium (Budo); and the Department of Ophthalmology, Erasmus Medical Center, Rotterdam, The Netherlands (Bartels, van Rij).

Dr Budo is medical monitor and consultant to Ophtec BV (Groningen, The Netherlands). Drs Bartels and van Rij do not have a proprietary interest in the materials presented herein.

Correspondence: Marjolijn C. Bartels, MD, Dept of Ophthalmology, Erasmus Medical Center Rotterdam, PO Box 2040, 3000 CA Rotterdam, The Netherlands. Tel: 31 10 4633691; Fax: 31 10 4633692; E-mail: m.bartels@erasmusmc.nl

Received: January 19, 2004

Accepted: August 4, 2004"

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Executive

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Date: Sat Aug 20 2:37 PM, 2005
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Great! Marvelous! I'm thinking about it as an after x-linking option for the worst eye.

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yarsky
Anonymous

Date: Mon Aug 22 8:33 AM, 2005
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Hi Yarsky,

I was interested in lens implants as well... tried to contact the german center doing them... without any luck... if you find anything out please post about it... I think unlike with intacs with the lens implants its may be better to do X linking before the implant, (like you said), as i am not too sure how it would work with the UV and when it comes to the lens which is implanted, if the lens was implanted first before the x linking had been done?

I really do think lens implants are another great option for us...

-- Edited by QuintriX at 08:37, 2005-08-22

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Executive

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Posts: 437
Date: Mon Aug 22 4:55 PM, 2005
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Quintrix,


It could be! But imagine one would need to repeat the cross-linking treatment? So far there are only 5-6 yeras follow-ups and there was no need to repeat it or, in other way, no case of KC recurence after x _linking in 5-6 years. However, in one of the articles in the x_linking library that you uploaded recently, the authors say the durability of x_linking effect is not known so far. As there is collagen turnover (replacement) in the cornea, and keratocytes that produce collagen are new, the effect may be gone some day in the future. May be not: new keratocytes and new collagen  are real good ones and by-by KC evolution for ever! I'd wait with implants. I may be wrong. But you may ask Dr. Kohlhaas about putting inplants. I think he might know the answer. On the other hand what does interest me is the technique of the operation: what part of the eye should be opened to put down the inplant?



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yarsky
Anonymous

Date: Thu Sep 29 6:07 AM, 2005
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Here is info. on the treatment,

"The treatment

A treatment with ARTISAN®/ ARTIFLEX® lenses will only happen if the pre-examination shows that your eyes are suited for this and if you meet the other conditions.

It is a day treatment and the majority of the treatment centers will treat one eye at a time. A nurse will meet you when you arrive. The nurse puts drops in your eyes in order to reduce the pupil size and he/she will explain the procedure with you and help you to prepare for surgery.

To start with you will receive an injection to sedate the eye. This can be compared with a dentist situation; it might hurt somewhat. After more or less 15 minutes the eye is fully sedated after which the surgeon will start the implantation. A little cut is made in the cornea through which the lens is inserted in the anterior chamber. When the lens is right in front of the pupil it is attached to the Iris. A little fold of Iris is pushed into the clips of the lens. In this way the lens will stay in its place. The small incision is sutured and the surgery is over.

After the procedure, which lasts about 30 minutes, the eye is covered with an eye patch and you are ready. After this you will be taken to the recovery room for a cup of tea or coffee. A nurse again looks after your well being and will inform you of what you should and shouldn't do until the next day when you come back for the first check up.

The following day you will have the first check up

The day after the treatment you’re allowed to take off the eye patch yourself. After this you will be asked to put some eye drops in the eye so that the consultant is able to do his check up in a clear eye later that day. You will be able to see with the eye immediately but your vision of course will not be perfect."

-- Edited by QuintriX at 11:02, 2005-09-30

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Veteran Member

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Posts: 29
Date: Fri Sep 30 4:07 AM, 2005
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Quintrix,


This may well be the case for some people but not always the norm for this procedure depending on the advancement of one's KC.In my case both eyes were done and general anesthesia was performed and then an irrodotometry is performed with a laser(essentialy a canal is made to the anterior chamber which will not be a pipe for fluids to drain so the intraocular pressure does not build) While still day surgery, it is trauma to the eyes and not a real walk in the park that this article describes, real vision still takes months to realize for the majority of patients.


Michael 



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