Long-term results of implantation of phakic posterior chamber intraocular lenses

Lackner, Birgit; Pieh, Stefan; Schmidinger, Gerald; Simader, Christian; Franz, Claudia; Dejaco-Ruhswurm, Irene; Skorpik, Christian

doi:10.1016/j.jcrs.2004.07.018

Cited by 137 publications

(105 citation statements)

References 26 publications

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“…Increased flare has also been found after the implantation of a posterior chamber pIOL. 13,14 We did not report any case of retinal detachment or endophthalmitis after implantation of either Artisan or ICL. One report showed that the risk of retinal detachment in pIOL cases was lower than in clear lens extraction cases.…”

Section: Discussionmentioning

confidence: 83%

Phakic intraocular lenses outcomes and complications: Artisan vs Visian ICL

Hassaballa

Macky

2011

Eye

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Purpose To evaluate the safety and visual outcomes of two phakic intraocular lenses (IOLs) for correction of high myopia: Artisan and Visian ICL (ICL). Patients and methods In this retrospective study, a phakic IOL was implanted in 68 highly myopic eyes of 34 patients; 42 eyes received an Artisan IOL, and 26 eyes received ICL IOL.Results All patients completed a 1-year follow-up. The mean preoperative spherical equivalent (SEQ) was À12.89 ± 3.78, and À12.44±4.15 diopters (D) for Artisan and ICL (P ¼ 0.078), respectively. The mean postoperative (1-year) uncorrected distance visual acuity was 0.39±0.13 and 0.41±0.15 logMAR for Artisan and ICL, respectively (P ¼ 0.268). The mean postoperative (1-year) corrected distance visual acuity was 0.36 ± 0.12 and 0.31 ± 0.12 logMAR for Artisan and ICL, respectively (P ¼ 0.128). The mean postoperative SEQ was À0.86±0.5 and À0.63±0.38 D for Artisan and ICL, respectively (P ¼ 0.67). Intraocular pressure change at 1 year was 0.64 ± 2.7 and 1.88 ± 0.6 mm Hg for Artisan and ICL, respectively (P ¼ 0.77). Conclusion Artisan and ICL showed equal and comparable safety, predictability, and efficacy.

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Section: Discussionmentioning

confidence: 83%

Phakic intraocular lenses outcomes and complications: Artisan vs Visian ICL

Hassaballa

Macky

2011

Eye

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“…With regard to patient age, Gonvers et al 12 reported that ICL-induced cataracts develop more frequently in older patients than in younger patients; the incidences in those of 40 years of age or less and of 41 or over were 14 and 37%, respectively. Lackner et al 13 and Sarikkola et al 14 proposed ages of 50 years or older and 45 years or older, respectively, as risk factors for cataract development after ICL implantation. Fujisawa et al 15 stated that a decrease in accommodation with ageing may affect the continuous flow of the aqueous humour, resulting in a higher incidence of cataract development after ICL implantation.…”

Section: Discussionmentioning

confidence: 99%

Clinical outcomes and patient satisfaction after Visian Implantable Collamer Lens removal and phacoemulsification with intraocular lens implantation in eyes with induced cataract

Kamiya

Shimizu

Igarashi

et al. 2009

Eye

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Purpose To assess the clinical outcomes and patient satisfaction after simultaneous Implantable Collamer Lens (ICL) removal and phacoemulsification with intraocular lens (IOL) implantation in ICL-implanted eyes with developing cataracts. Methods We retrospectively reviewed the clinical charts of 10 eyes of eight patients who developed significant cataract after ICL implantation. Patient age was 47.2 ± 5.9 (mean ± SD) years (range, 37-57 years). We determined visual acuity (log MAR), manifest refraction, endothelial cell density, and subjective satisfaction with visual outcomes measured using a visual analogue scale, that ranged from 0 (very dissatisfied) to 10 (very satisfied), before and 3 months after cataract surgery. Results Log MAR best spectacle-corrected visual acuity was significantly improved from 0.19±0.30 preoperatively to À0.06±0.07 postoperatively (P ¼ 0.007, Wilcoxon signedrank test). Eight (80%) and nine (90%) of the 10 eyes were within 0.5 D (diopter) and 1.0 D of the targeted correction, respectively. The endothelial cell density was 2584.9 ± 266.2 cells/mm 2 preoperatively, and 2340.1±269.7 cells/mm 2 postoperatively. The overall satisfaction with visual outcomes was scored 1.8±1.1 (range: 0-3) preoperatively, and 7.9±1.4 (range: 6-10) postoperatively. No vision-threatening complications were seen throughout the follow-up period. Conclusions Simultaneous ICL removal and phacoemulsification with IOL implantation was safe and effective with predictable refractive results, and thus yielded a high level of patient satisfaction with ICL-induced cataract treatment.

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“…In our preliminary data, pupil dilation tends to slightly increase the amount of vaulting, but this increase between pre-and postmydriasis remains constant (unpublished data). In addition, it has been reported that the vaulting showed a tendency to decrease slightly over time, 16,41 suggesting that ICL collamer material may not have a permanent memory. Further studies with longer follow-ups are required for longitudinal assessment of the behaviour of the ICL.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of pupil diameter after posterior chamber phakic intraocular lens implantation

Kamiya

Shimizu

Igarashi

et al. 2009

Eye

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Purpose To observe the changes of pupil size over time after Visian Implantable Collamer Lens (ICL) implantation. Patients and methods We retrospectively examined 30 eyes of 23 consecutive patients undergoing ICL implantation. We measured the entrance and real pupil diameters using a Hartmann-Shack aberrometer (KR-9000, Topcon, Tokyo, Japan) before and 1 day, 1 week, and 1, 3, 6, and 12 months after surgery. We also investigated its relationship with the amount of vaulting using slit-lamp microscopy 1 year postoperatively. Results The entrance pupil diameters were 6.24 ± 0.66 (mean ± standard deviation) mm preoperatively, and 5.53 ± 0.69, 6.18 ± 0.61, 6.21±0.80, 6.29±0.74, 6.23±0.76, and 6.40±0.70 mm, 1 day, 1 week, and 1, 3, 6, and 12 months postoperatively, respectively; and the respective real pupil diameters were 5.44 ± 0.55 mm preoperatively, and 4.95 ± 0.60, 5.53 ± 0.52, 5.55 ± 0.69, 5.63 ± 0.64, 5.57 ± 0.64, and 5.72 ± 0.60 mm, 1 day, 1 week, and 1, 3, 6, and 12 months postoperatively. Pupil diameters and the amount of vaulting were not significantly associated (Pearson correlation coefficient r ¼ 0.14, P ¼ 0.45 for entrance pupil, r ¼ 0.13, P ¼ 0.49 for real pupil). Conclusions Both pupil diameters decreased transiently 1 day after ICL implantation, but soon recovered to the preoperative level, indicating that intraoperative mechanical irritation of the uveal tissue and the early postoperative inflammatory response may induce transient decreases in pupil diameter, and that this surgical technique alone with appropriate ICL size selection probably induces no significant pupil diameter change.

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Long-term results of implantation of phakic posterior chamber intraocular lenses

Cited by 137 publications

References 26 publications

Phakic intraocular lenses outcomes and complications: Artisan vs Visian ICL

Phakic intraocular lenses outcomes and complications: Artisan vs Visian ICL

Clinical outcomes and patient satisfaction after Visian Implantable Collamer Lens removal and phacoemulsification with intraocular lens implantation in eyes with induced cataract

Evaluation of pupil diameter after posterior chamber phakic intraocular lens implantation

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