scholarly journals Two-year results after combined phacoemulsification and iris-fixated phakic intraocular lens removal

Author(s):  
Zoraida Solaiga Gaurisankar ◽  
Gwyneth A. van Rijn ◽  
Yanny Y. Y. Cheng ◽  
Gregorius P. M. Luyten ◽  
Jan-Willem M. Beenakker

Abstract Purpose To describe and present results after a technique for cataract surgery combined with explantation of an iris-fixated phakic intraocular lens (IF-pIOL). Methods The medical records of all patients, who had undergone cataract surgery combined with IF-pIOL explantation and subsequent implantation of a posterior chamber IOL by the Single Incision Technique (SIT), were reviewed. Data collection included preoperative and postoperative corrected distance visual acuity (CDVA), manifest refraction, and endothelial cell density (ECD) up to a follow-up time of 24 months. Results Fifty myopic eyes (34 patients) and 9 hyperopic eyes (6 patients) had undergone a SIT procedure mainly because of cataract (67%). Postoperative CDVA improved in both the myopic eyes to 0.16 ± 0.37 logMAR, as in the hyperopic eyes to − 0.10 ± 0.55 logMAR with no eyes having loss of Snellen lines. Mean postoperative spherical equivalent was − 0.34 ± 0.72 D and − 0.10 ± 0.55 D, respectively. ECD loss 6 months after surgery was 5% and remained stable thereafter. Conclusion SIT for combined phacoemulsification and IF-pIOL removal yields good visual and refractive results and is a safe procedure in regard to ECD loss. The technique has advantages over the conventional procedure and is easy to perform.

2013 ◽  
Vol 39 (7) ◽  
pp. 1023-1028 ◽  
Author(s):  
Necip Torun ◽  
Eckart Bertelmann ◽  
Matthias K.J. Klamann ◽  
Anna-Karina Maier ◽  
Anja Liekfeld ◽  
...  

2018 ◽  
Vol 2018 ◽  
pp. 1-8 ◽  
Author(s):  
Dilek Yaşa ◽  
Ufuk Ürdem ◽  
Alper Ağca ◽  
Yusuf Yildirim ◽  
Burçin Kepez Yildiz ◽  
...  

Purpose. To report clinical results of a foldable, hydrophilic acrylic, single-piece, injectable, posterior chamber phakic intraocular lens (pIOL).Material and Methods. Medical records of patients who underwent posterior chamber phakic IOL (Eyecryl Phakic IOL, Biotech Vision Care, Ahmedabad, India) implantation for surgical correction of myopia were retrospectively reviewed. Only patients with at least a one-year follow-up were included. Manifest refraction, uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), endothelial cell density (ECD), and pIOL vault were analyzed at 1, 3, 6, and 12 months after surgery. Complications observed during and after surgery were also recorded.Results. The study included 58 eyes of 29 patients. Mean patient age was 32 ± 7 years. Spherical equivalent of manifest refraction was −13.41 ± 3.23 D preoperatively and −0.44 ± 0.55 D postoperatively. Preoperative CDVA was 0.29 ± 0.71 logMAR. Postoperative UDVA and CDVA were 0.21 ± 0.66 and 0.15 ± 0.69 logMAR, respectively, at the 12-month visit. At the 12-month visit, the efficacy index was 1.20 and the safety index was 1.39. Mean ECD was 2713 ± 339 cells/mm2at the preoperative visit and 2608 ± 362 cells/mm2at the 12-month visit (3.9% loss,p<0.001). ECD loss from 3 months to 12 months was not statistically significant. No significant cataract formation, significant endothelial cell loss, glaucoma, uveitis, or any other vision-threatening complication was observed.Conclusion. Based on postoperative experience, we have found that Eyecryl Phakic IOL is safe and effective for treating high myopia.


2007 ◽  
Vol 33 (9) ◽  
pp. 1579-1584 ◽  
Author(s):  
Paolo M. Pesando ◽  
Maria Pia Ghiringhello ◽  
Giuseppe Di Meglio ◽  
Giordano Fanton

2015 ◽  
Vol 41 (6) ◽  
pp. 1153-1159 ◽  
Author(s):  
Carlos Lisa ◽  
Miguel Naveiras ◽  
Belén Alfonso-Bartolozzi ◽  
Lurdes Belda-Salmerón ◽  
Robert Montés-Micó ◽  
...  

Ophthalmology ◽  
2010 ◽  
Vol 117 (12) ◽  
pp. 2287-2294 ◽  
Author(s):  
Kazutaka Kamiya ◽  
Kimiya Shimizu ◽  
Daisuke Aizawa ◽  
Akihito Igarashi ◽  
Mari Komatsu ◽  
...  

2010 ◽  
Vol 36 (9) ◽  
pp. 1602-1604 ◽  
Author(s):  
Ercüment Bozkurt ◽  
Ahmet T. Yazıcı ◽  
Yusuf Yıldırım ◽  
Cengiz Alagöz ◽  
Hasan Göker ◽  
...  

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