AIM: To evaluate the efficacy and safety of Artisan intraocular lens implantation in aphakic eyes without capsule support.

METHODS: Twenty-four consecutive aphakic eyes without capsule support of 24 patients were submitted to the surgery of an Artisan intraocular lens implantation. Uncorrected visual acuity, intraocular pressure, manifest refraction, endothelial cell count, Artisan intraocular lens fixation, influence on pupil, iris, vitreous, retina and clinical complications were evaluated.

RESULTS: Mean follow-up time was 17(12-24)months. Uncorrected visual acuity increased in all cases. Mean spherical equivalent was -0.35 diopter 12 months postoperatively. Preoperative and postoperative intraocular pressure were 14.85±3.91mmHg and 14.37±3.92mmHg respectively. Mean endothelial cell loss was 9.23% 12 months postoperatively. The cell loss occurred predominantly during the first 3 months(8.96%). No serious complications were observed.

CONCLUSION: Artisan intraocular lens implantation is a safe and effective procedure for aphakic eyes without capsule support. Long term evaluation is still necessary.