# The Outcome of Artisan Intraocular Lens Implantation in Children: A Narrative Review

## TL;DR

This review discusses the use of Artisan intraocular lenses in children with aphakia, highlighting their effectiveness and challenges in visual rehabilitation.

## Contribution

The study evaluates Artisan IOLs as a viable option for managing aphakia in children, considering their growing eyes and visual development.

## Key findings

- Artisan IOLs can be placed, replaced, and exchanged with minor surgical trauma in pediatric patients.
- The lenses offer a therapeutic method for correcting refractive changes in growing aphakic eyes.
- Long-term side effects like endothelial cell loss remain a concern despite the procedure's benefits.

## Abstract

Aphakia is a condition in which the eye's crystalline lens is not in its proper position because of a perforating injury, surgical removal, dislocation of the lens, or congenital anomaly. The management of aphakia can be either conservative or surgical. Various surgical techniques could be used, including retro pupillary-fixated iris-claw intraocular lenses (IOLs) and anterior-fixated iris-claw IOLs. One of the challenges faced by ophthalmologists is the optical rehabilitation of pediatric aphakic patients because a child's eye is still growing, resulting in fundamental variations in their refractive elements, and the immature visual system faces the risks of amblyopia development in the case of defocus or inequality of visual input between both eyes. There is also the risk of the incidence of side effects that can be accepted in adults but not in children. Finally, accurate postoperative supervision and optical rehabilitation in pediatrics will be more complex than that in adults. This review showed that it is possible to place, replace, and exchange the Artisan IOL with minor surgical trauma. Hence, this procedure can be an acceptable therapeutic method for correcting the developmental refractive changes of the growing aphakic eye. However, some worries are still caused by probable long-term side effects, including endothelial cell loss. Finally, a significant attempt at visual rehabilitation is to treat pediatric aphakia with Artisan IOL.