Functional Outcome and Patient Satisfaction After Artisan Phakic Intraocular Lens Implantation for the Correction of Myopia

Purpose

To determine patient satisfaction after Artisan phakic intraocular lens (PIOL) implantation to correct myopia.

Design

Non-comparative prospective case series.

Methods

One hundred twenty eyes of 60 patients who had undergone Artisan PIOL implantation to correct myopia were analyzed. A validated questionnaire that consisted of 66 satisfaction items were self-administered by patients 12 months after surgery. Clinical parameters (PIOL decentration, the difference between pupil size and PIOL optical zone, and optical aberrations) were measured. Main outcome measures of satisfaction scale scores (global satisfaction, quality of uncorrected and corrected vision, night vision, glare, day and night driving) were analyzed. Correlations with clinical parameters were obtained.

Results

After surgery, 98.3% of patients were satisfied, and 73.3% of patients considered their night vision to be the same or better; 44.1% of patients reported more bothersome glare. The night vision score correlated with spheric aberration (r = −0.303; P = .020). The glare score correlated with the difference between scotopic pupil size and PIOL optical zone (r = −0.280; P = .030) and vertical coma (r = −0.337; P = .009). The night driving score correlated with postoperative spheric equivalent (r = 0.375; P = .009), total root mean square aberrations (r = −0.337; P = .017), higher order root mean square aberrations (r = −0.313; P = .027), and vertical coma (r = −0.297; P = .036).

Conclusion

Overall satisfaction after Artisan PIOL implantation for myopia is excellent. The quality of night vision and night driving were related to scotopic pupil size, individual higher order aberrations, and residual refractive error.