Both cases occurred between 1 year and 16 months postoperatively. None of the patients at 5 years developed an anterior subcapsular cataract. We haven't even developed our instruments yet. Decentration has been a problem, stemming from incorrect sizing of the implant. Decentration happened when the overall length was 10.8 mm, and it dropped when the length was increased to 11.3 mm.
Treatment involves implant ex change.
Also, surgeons are working on better measurements of the eye to determine the correct size beforehand. We just don't have enough information of the anatomy. So once we have the anatomy, we'll simply evolve the design to fit the eye. Also, while the Russian design had only two sizes, the American-made lens will expand that range. Study to start The Artisan Myopia Lens after implantation.