Influence of anterior chamber morphometrics on endothelial cell changes after phakic intraocular lens implantation

Abstract

A shorter distance between the edge of the pIOL and the endothelium was significantly associated with higher ECD loss. For safety reasons, the postoperative examination should include long-term evaluation of the anterior chamber morphometrics in addition to ECD counts.

Accuracy of toric intraocular lens implantation in cataract and refractive surgery

“…The Artiflex toric IOL was implanted through a 3.4 mm and the Artisan toric IOL through a 5.4 mm superior corneoscleral incision, respectively, as described earlier. 13,14 All power calculations were performed by Ophtec.…”

Phakic intraocular lenses

“…Therefore, a sufficient ACD for the calculated pIOL is necessary so the distance between the pIOL and the corneal endothelium is not less than 1.5 mm. 107,108 Pigment Dispersion/Lens Deposits The optic of the irisclaw pIOL has an anterior vault to prevent iris chafing. Pop et al 109,110 performed postoperative ultrasonic biomicroscopy of the haptics of myopic and hyperopic pIOLs and found no evidence of irritation of the iris pigment epithelium by the pIOL haptics during a follow-up of 24 to 371 days.…”

Artisan iris-fixated toric phakic intraocular lens for the correction of high astigmatism after deep anterior lamellar keratoplasty

“…[8][9][10] In our case, the preoperative deep anterior chamber (3.96 mm) and the resultant postoperative critical distances (the distances between the optic edges of the phakic IOL and the corneal endothelium) of 1.71 mm and 2.11 mm (Figure 1) provided a safeguard against endothelial cell loss. 11 The preoperative and 1 year postoperative endothelial cell counts were 2043 cells/mm 2 and 1827 cells/mm 2 , respectively (10.6% cell loss). The patient was very satisfied with the result.…”