Correction of High Myopia with Foldable Artiflex Phakic Intraocular Lenses: 1 Year Follow-up Results

  • Hassan Hashemi Mail Noor Ophthalmology Research Center, Noor Eye Hospital, Tehran, Iran.
  • Mansour Taherzadeh Noor Ophthalmology Research Center, Noor Eye Hospital, Tehran, Iran.
  • Mehdi Khabazkhoob Dezful University of Medical Sciences, Dezful, Iran.
Artiflex, Myopia, Phakic intraocular lenses


To assess the one year results of Artiflex Phakic intraocular lens (IOL) implantation in the treatment of high myopia. In this non-random interventional study, myopic patients with spherical equivalent worse than -5.0 diopters (D) who were not eligible for laser surgery were assessed. All patients had refraction, uncorrected and best corrected visual acuity tests (UCVA and BCVA), endothelial cell count (ECC), and measurement of the anterior chamber depth and intraocular pressure before surgery and at 1, 3, 6, and 12 months after surgery. Main outcome measures of this study were refractive stability, refractive predictability, safety, and efficacy after implanting Artiflex IOLs. We studied 53 eyes of 20 female and 8 male patients. The mean preoperative spherical equivalent was -10.22±3.02 D which reached -0.69±1.08 D one year after surgery (P<0.001). On the last follow-up visit, 75% of the eyes were within +0.5 D of emmetropia, 2 eyes had lost one line of BCVA, 18.75% had gained one line and 31.25% had gained 2 or more lines of BCVA. Others showed no change in BCVA. At one year after surgery, 72.2% of the eyes had 20/25 vision or better. The safety and efficacy indices were 1.16 and 1.05, respectively. ECC showed 3.04% decrease (P=0.176). In cases where laser surgery is not an option for myopic patients, use of Artiflex IOLs can have good results with acceptable safety and efficacy.


Qasem Q, Kirwan C, O'Keefe M. 5-year prospective follow-up of Artisan phakic intraocular lenses for the correction of myopia, hyperopia and astigmatism. Ophthalmologica 2010;224(5):283-90.

Benedetti S, Casamenti V, Marcaccio L, Brogioni C, Assetto V. Correction of myopia of 7 to 24 diopters with the Artisan phakic intraocular lens: two-year follow-up. J Refract Surg 2005;21(2):116-26.

Bartels MC, Saxena R, van den Berg TJ, van Rij G, Mulder PG, Luyten GP. The influence of incisioninduced astigmatism and axial lens position on the correction of myopic astigmatism with the Artisan toric phakic intraocular lens. Ophthalmology 2006;113(7):1110-7.

Tehrani M, Dick HB, Schwenn O, Blom E, Schmidt AH, Koch HR. Postoperative astigmatism and rotational stability after artisan toric phakic intraocular lens implantation. J Cataract Refract Surg 2003;29(9):1761-6.

Dick HB, Budo C, Malecaze F, Guell JL, Marinho AA, Nuijts RM, Luyten GP, Menezo JL, Kohnen T. FoldableArtiflex phakic intraocular lens for the correction of myopia: two-year follow-up results of a prospective European multicenter study. Ophthalmology 2009;116(4):671-7.

Ozerturk Y, Kubaloglu A, Sari ES, Koytak A, Capkin M, Akcay L, Evcili PS. Foldable iris-fixated phakicintraocular lens implantation for the correction of myopia: two years of follow-up. Indian J Ophthalmol 2012;60(1):23-8.

Coullet J, Gontran E, Fournie P, Arne JL, Malecaze F. [Refractive efficacy and tolerance of the foldable phakic iris-supported Artiflex lens in the surgical correction of moderately high myopia: a 2-year follow-up]. J Fr Ophtalmol 2007;30(4):335-43.

Tahzib NG, MacRae SM, Yoon G, Berendschot TT, Eggink FA, Hendrikse F, Nuijts RM. Higher-order aberrations after implantation of iris-fixated rigid or foldable phakic intraocular lenses. J Cataract Refract Surg 2008;34(11):1913-20.

Guell JL, Morral M, Gris O, Gaytan J, Sisquella M, Manero F. Five-year follow-up of 399 phakic Artisan-Verisyse implantation for myopia, hyperopia, and/or astigmatism. Ophthalmology 2008;115(6):1002-12.

Hardten DR. Phakic iris claw artisan intraocular lens for correction of high myopia and hyperopia. Int Ophthalmol Clin 2000;40(3):209-21.

Tehrani M, Dick HB. Short-term follow-up after implantation of a foldable iris-fixated intraocular lens in phakic eyes. Ophthalmology 2005;112(12):2189-95.

Kohnen T, Cichocki M, Koss MJ. Position of rigid and foldable iris-fixated myopic phakic intraocular lenses evaluated by Scheimpflug photography. J Cataract Refract Surg 2008;34(1):114-20.

Coullet J, Guell JL, Fournie P, Grandjean H, Gaytan J, Arne JL, Malecaze F. Iris-supported phakic lenses (rigid vs foldable version) for treating moderately high myopia: randomized paired eye comparison. Am J Ophthalmol 2006;142(6):909-16.

Tahzib NG, Nuijts RM, Wu WY, Budo CJ. Long-term= study of Artisan phakic intraocular lens implantation for the correction of moderate to high myopia: ten-year follow-up results. Ophthalmology 2007;114(6):1133-42.

Hassaballa MA, Macky TA. Phakic intraocular lenses outcomes and complications: Artisan vs Visian ICL. Eye (Lond) 2011;25(10):1365-70.

Alio JL, Mulet ME, Shalaby AM. Artisan phakic iris claw intraocular lens for high primary and secondary hyperopia. J Refract Surg 2002;18(6):697-707.

Cleary C, Lanigan B, O'Keeffe M. Artisan iris-claw lenses for the correction of aphakia in children following lensectomy for ectopia lentis. Br J Ophthalmol 2012;96(3):419-21.

Budo C, Hessloehl JC, Izak M, Luyten GP, Menezo JL, Sener BA, Tassignon MJ, Termote H, Worst JG.Multicenter study of the Artisan phakic intraocular lens. J Cataract Refract Surg 2000;26(8):1163-71.

Pop M, Payette Y. Initial results of endothelial cell counts after Artisan lens for phakic eyes: an evaluation of the United States Food and Drug Administration Ophtec Study. Ophthalmology 2004;111(2):309-17.

Tahzib NG, Eggink FA, Frederik PM, Nuijts RM. Recurrent intraocular inflammation after implantation of the Artiflex phakic intraocular lens for the correction of high myopia. J Cataract Refract Surg 2006;32(8):1388-91.

Stulting RD, John ME, Maloney RK, Assil KK, Arrowsmith PN, Thompson VM: U.S. Verisyse Study Group. Three-year results of Artisan/Verisyse phakic intraocular lens implantation. Results of the United States Food And Drug Administration clinical trial. Ophthalmology 2008;115(3):464-72 e1.

Budo C, Bartels MC, van Rij G. Implantation of Artisan toric phakic intraocular lenses for the correction of astigmatism and spherical errors in patients with keratoconus. J Refract Surg 2005;21(3):218-22.

Joosse MV, Snoek C, van Minderhout HM. Comparison of wavefront-guided photorefractive keratectomy and foldable iris-fixated phakic intraocular ulens implantation for low to moderate myopia. J Cataract Refract Surg 2011;37(2):370-7.

van Philips LA. High and low contrast visual acuity after artiflex phakic intraocular lens implantation for the correction of myopia. J Refract Surg 2010;26(6):423-9.

Zuberbuhler B, Grob M, Haefliger E. [The use of a foldable, iris-fixated, phakic intraocular lens for the correction of myopia]. Klin Monbl Augenheilkd 2008;225(2):146-50.

How to Cite
Hashemi H, Taherzadeh M, Khabazkhoob M. Correction of High Myopia with Foldable Artiflex Phakic Intraocular Lenses: 1 Year Follow-up Results. Acta Med Iran. 51(9):620-625.