Long-term Results of Phakic Refractive Lens Implantation in Eyes With High Myopia

Portaliou, Dimitra M.; Kymionis, George D.; Panagopoulou, Sophia I; Kalyvianaki, Maria I.; Grentzelos, Michael A.; Pallikaris, Ioannis G.

doi:10.3928/1081597x-20110628-01

Cited by 13 publications

(5 citation statements)

References 23 publications

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“…However, the incidence of cataracts may vary depending on the design of the posterior chamber lens and the characteristics of the material. For example, the incidence of cataracts after implantation of a phakic refractive lens that was removed from the market for other issues may be lower than that of an ICL (19,20). However, a direct comparison between posterior chamber phakic IOLs of different designs do not yet exist in the literature.…”

Section: Discussionmentioning

confidence: 99%

Refractive Results and Endothelial Cell Density After Eyecryl Phakic Intraocular Lens Implantation

Ürdem¹

2019

Beyoglu Eye J

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This study was an examination of the refractive results and complications encountered with implantation of the Eyecryl phakic intraocular lens (IOL) (Biotech Vision Care, Luzern, Switzerland). Methods: IOL recipients with a follow-up period of at least 2 years were included the study. Uncorrected and corrected distance visual acuity (UDVA and CDVA, respectively), central endothelial cell density (ECD), and procedure-related complication data were recorded. Results: The study included 52 eyes from 26 patients. The efficacy index (postoperative UDVA/preoperative CDVA) was 1.32±1.09 in the first year and 1.39±1.03 in the second year. The safety index (postoperative CDVA/preoperative CDVA) was 1.69±1.16 at the last follow-up. None of the patients lost 2 or more lines of CDVA. The mean ECD loss was-4.51±9.69% at 1 year (p=0.005). There was no statistically significant ECD loss between the 1-and 2-year follow-up visits (p=0.794). Conclusion: The results of Eyecryl phakic IOL implantation were favorable in terms of efficacy and safety.

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Section: Discussionmentioning

confidence: 99%

Refractive Results and Endothelial Cell Density After Eyecryl Phakic Intraocular Lens Implantation

Ürdem¹

2019

Beyoglu Eye J

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“…In pIOL, the intraocular lens is either fixated at an angle, enclavated on the iris surface or implanted in the posterior chamber in between the iris and the lens. Commonly reported complications of pIOL implantation are the development of cataract, angle‐closure glaucoma and decentration of the lens . The posterior chamber phakic intraocular lens is becoming an acceptable option due to the reduced risk of anterior segment complications, compared with the other options of pIOL.…”

Section: Discussionmentioning

confidence: 99%

“…Posterior chamber pIOL is also known as implantable contact lens (ICL) and is gaining in popularity due to the continuous improvement in IOL design. Long‐term visual outcomes are generally stable and predictable . Improvement of the pIOL design noticeably reduces anterior segment complications, such as cataract, endothelial cell loss, chronic glaucoma and uveitis.…”

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confidence: 99%

Retinal detachment associated with posterior chamber phakic intraocular lens implantation

Mushawiahti

Shaw

Chiu

2014

Clinical and Experimental Optometry

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Refractive surgery has become a very popular method of visual correction among young myopic patients. Options range from laser in situ keratomielusis (LASIK) to the more invasive clear lens extraction (CLE) and phakic intraocular lens implantation (pIOL). Corneal surface reshaping or LASIK surgery remains the most common refractive surgery performed worldwide. 1Clear lens extraction surgery was once an option for unsuitable LASIK candidates; however, losing accommodation after the surgery is not an easy adaptation for young people. Phakic intraocular lens implantation involves insertion of a supplementary intraocular lens, while preserving the crystalline lens in its original position. Therefore, pIOL is a reasonable option for the same indication. The intraocular lens is either fixed at an angle, enclavated on the iris surface or implanted in the posterior chamber in between the iris and the lens. Posterior chamber pIOL is also known as implantable contact lens (ICL) and is gaining in popularity due to the continuous improvement in IOL design. Long-term visual outcomes are generally stable and predictable.3,4 Improvement of the pIOL design noticeably reduces anterior segment complications, 5 such as cataract, endothelial cell loss, chronic glaucoma and uveitis. Posterior segment complications are rarely reported. In theory, preserving the crystalline lens in its original position renders fewer complications as compared to CLE in a young myopic patient. Although improvement of the posterior chamber pIOL design helps in reducing anterior segment complications, the risk of posterior segment complications remains in this high-risk group of patients. This report represents a case of posterior segment complications after posterior chamber pIOL surgery.Here, we describe a case of retinal detachment in a 26-year-old man, who underwent posterior chamber pIOL surgery. The surgery was uneventful and his post-operative vision was good; however, two weeks after surgery, he presented with sudden loss of vision in the operated eye. Although an improved pIOL surgical design helps to reduce anterior segment complications, the risk of posterior segment complications remains in this high-risk group of patients. CASE REPORTA 26-year-old man had myopia (R -15.00 D and L -21.00 D) and was very keen to undergo refractive surgery after becoming intolerant to contact lenses. He was found to be unsuitable for LASIK surgery by his corneal surgeon, probably due to the very high refractive error. Details of the exclusion were not available as he was referred to us from another centre. He was scheduled for a bilateral posterior chamber pIOL implantation. Pre-operatively, multiple peripheral iridotomies were made in each eye to reduce the possible effects of pupil block. Surgery was performed on his left eye without intraoperative or early complication. The second eye was scheduled for surgery in a month.Two weeks after the procedure, he presented with sudden loss of vision in the surgically treated eye. Visual acuity was recorded as hand ...

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“…Another sulcus pIOL, not available in the USA, is the Phakic Refractive Lens (PRL; Carl Zeiss Meditec Inc., Jena, Germany), which is a thin sulcus pIOL made of silicone. A recent study with follow up as long as 6 years shows PRL implantation is an effective and safe for treating high myopia [17].…”

Section: Sulcus Phakic Iolsmentioning

confidence: 99%

Phakic IOLs: Sulcus Versus Iris-Claw Versus Angle-Supported: Complications and Outcomes

Raciti

Majmudar

2013

Curr Ophthalmol Rep

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Patient interest in refractive eye surgery is increasing, especially for correction of high levels of myopia and hyperopia. Outcomes of techniques that work well for correcting lower levels of error, such as excimer laser correction, fall short of patient expectations. These expectations have driven the development of new technology for correcting high refractive errors. A new technique, phakic intraocular lens (pIOL) insertion has proven to be safe and effective for treating high myopia and high hyperopia. In this article, the different types of pIOLs are discussed along with recently published results and complications of each design. Larger studies with long term follow up are needed.

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Long-term Results of Phakic Refractive Lens Implantation in Eyes With High Myopia

Abstract: Long-term results show that PRL implantation is an effective and safe method for treating high myopia.

Cited by 13 publications

References 23 publications

Refractive Results and Endothelial Cell Density After Eyecryl Phakic Intraocular Lens Implantation

Refractive Results and Endothelial Cell Density After Eyecryl Phakic Intraocular Lens Implantation

Retinal detachment associated with posterior chamber phakic intraocular lens implantation

Phakic IOLs: Sulcus Versus Iris-Claw Versus Angle-Supported: Complications and Outcomes

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