Phakic intraocular lens implantation versus clear lens extraction in highly myopic eyes of 30- to 50-year-old patients

Arné, J L

doi:10.1016/j.jcrs.2004.02.082

Cited by 61 publications

(36 citation statements)

References 9 publications

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“…One report showed that the risk of retinal detachment in pIOL cases was lower than in clear lens extraction cases. 15 Although there were no cases of retinal detachment or endophthalmitis, however, the number of subjects studied was too low to adequately detect a retinal detachment or endophthalmitis.…”

Section: Discussionmentioning

confidence: 95%

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: 95%

Phakic intraocular lenses outcomes and complications: Artisan vs Visian ICL

Hassaballa

Macky

2011

Eye

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“…More recently angle-supported phakic IOLs have been banned from clinical use in France. Clear lens extraction and implantation of an IOL for the correction of high myopia was performed in the 1950s by Strampelli and Barraquer and is another treatment option [27]. Colin et al [28] performed a 7-year prospective follow-up study of 52 eyes with myopia >12 D that underwent clear lens extraction.…”

Section: Discussionmentioning

confidence: 99%

5-Year Prospective Follow-Up of Artisan Phakic Intraocular Lenses for the Correction of Myopia, Hyperopia and Astigmatism

2010

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Aim: To determine the efficacy and safety of Artisan phakic intraocular lenses (IOLs) for refractive error correction. Methods: A prospective study was conducted on patients undergoing Artisan phakic IOL implantation for myopia, hyperopia or astigmatism from 2002 to 2008. Visual acuity, manifest refractive spherical equivalent (MRSE), endothelial cell counts and higher order aberrations were recorded pre- and postoperatively. Results: One hundred and fifty-one (84 patients) myopic (mean MRSE –11.2 ± 4.1 D) and 14 (7 patients) hyperopic eyes (mean MRSE 7.1 ± 1.3 D) were treated. Twenty eyes (11 patients) had toric IOLs to correct astigmatism (mean MRSE –9.05 ± 6.13 D, mean astigmatism 4.06 ± 1.26 D). Three months postoperatively, mean MRSE in 37.6% of eyes was within ±0.5 D, 61.8% within ±1.0 D and 91.4% within ±2.0 D. 18.5% underwent keratorefractive surgery to correct residual refractive error. A 1.56-fold increase occurred in 4th order spherical aberration. Endothelial cell loss was 1.45% at 1 year and negligible at 5 years. Fifty-four eyes (29.2%) gained one or more lines of best corrected visual acuity and no eye lost a line. Conclusion: Artisan phakic IOLs are safe and effective for refractive error correction.

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“…It can be hypothesized that implantation of phakic IOLs in patients in their 40s or 50s may increase the trend to develop cataracts earlier than in nonmyopic eyes. 53 The increasing incidence of phakic intraocular procedures warrants education regarding management and prevention of potential complications. It may be advisable to perform …”

Section: Discussionmentioning

confidence: 99%

Comparison of clear lens extraction and collamer lens implantation in high myopia

Emarah

El-Helw²,

Yassin³

2010

OPTH

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Aim:To compare the outcomes of clear lens extraction and collamer lens implantation in high myopia. Patients and methods: Myopic patients younger than 40 years old with more than 12 diopters of myopia or who were not fit for laser-assisted in situ keratomileusis were included. Group 1 comprised patients undergoing clear lens extraction and Group 2 patients received the Visian implantable collamer lens. Outcome and complications were evaluated. Results: Postoperative best corrected visual acuity was -0.61 ± 0.18 in Group 1 and 0.79 ± 0.16 in Group 2. In Group 1, 71.4% achieved a postoperative uncorrected visual acuity better than the preoperative best corrected visual acuity, while only 51.8% patients achieved this in Group 2. Intraocular pressure decreased by 12.55% in Group 1, and increased by 15.11% in Group 2. Corneal endothelial cell density decreased by 4.47% in Group 1 and decreased by 5.67% in Group 2. Posterior capsule opacification occurred in Group 1. In Group 2, lens opacification occurred in 11.11%, significant pigment dispersion in 3.7%, and pupillary block glaucoma in 3.7%. Conclusion: Clear lens extraction presents less of a financial load up front, and less likelihood of the need for a secondary intervention in the future. Clear lens extraction is a more viable solution in developing countries with limited financial resources.

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Phakic intraocular lens implantation versus clear lens extraction in highly myopic eyes of 30- to 50-year-old patients

Abstract: Implantation of a phakic IOL in a highly myopic eye of a patient between 30 and 50 years of age can be considered an adequate technique with a lower risk for loss of BCVA than CLE.

Cited by 61 publications

References 9 publications

Phakic intraocular lenses outcomes and complications: Artisan vs Visian ICL

Phakic intraocular lenses outcomes and complications: Artisan vs Visian ICL

5-Year Prospective Follow-Up of Artisan Phakic Intraocular Lenses for the Correction of Myopia, Hyperopia and Astigmatism

Comparison of clear lens extraction and collamer lens implantation in high myopia

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