Changes in Anterior Chamber Angle and Pupillary Diameter after Implantation of a New Posterior Chamber Phakic Intraocular Lens

Purpose: To evaluate the effect of the Eyecryl posterior chamber phakic intraocular lens (pIOL) on iridocorneal angle (ICA) parameters, anterior chamber depth (ACD), and pupillary size.Methods: The medical files of myopic patients who had implantation of the Eyecryl posterior chamber pIOL were reviewed retrospectively. Trabecular-iris space area at 500 and 750μm (TISA500, TISA750), angle opening distances at 500 and 750μm (AOD500, AOD750), anterior chamber depth (ACD), iridocorneal angle (ICA), and pupil diameter under different illumination conditions were analyzed preoperatively, and at 1 and 3 months postoperatively.Results: Ninety-three eyes of 48 patients were included in the study. The mean age of patients was 31.63 ±4.95 years (range, 21-54). The mean ICA decreased from 49.97° ± 6.33 before surgery to 30.75° ± 5.86 and 30.79° ± 5.74 at 1 and 3 months after surgery, respectively. The mean ACD was reduced from 3.23 ± 0.22 mm before surgery to 2.55 ± 0.34 mm and 2.46 ± 0.28 mm at 1 and 3 months after surgery, respectively. TISA500, TISA750, AOD500, and AOD750 were also reduced significantly after surgery. The mean pupil size under photopic, mesopic and scotopic illuminations decreased insignificantly by 1 month and continued to decrease significantly by 3 months after surgery.Conclusion: The implantation of the Eyecryl posterior chamber pIOL in myopic patients caused significant changes in anterior chamber parameters including ICA, ACD, TISA 500, TISA 750, AOD 500, AOD 750, and the pupil diameter under different illumination conditions.