The pupil reaction after implantation of a phakic posterior chamber ICL was slower. The postoperative pupil diameter was smaller, and the amplitude of constriction was reduced. The changes have not proved to be clinically significant to date.

Patients should be informed prior to ICL implantation, there is a possibility of secondary subcapsular cataract formation and vision reduction. Although the posterior chamber inlay as well as the cataract can be removed and better acuity can be restored, a possible complication due to the ICL implantation cannot be avoided and the accommodation in young patients lost.

Further evaluation is needed to evaluate the role of AlphaCor as a keratoprosthesis.

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