Phakic refractive lens implantation in high myopic patients

Pallikaris, Ioannis G.; Kalyvianaki, Maria I.; Kymionis, George D.; Panagopoulou, Sophia I

doi:10.1016/j.jcrs.2003.10.039

Cited by 43 publications

(28 citation statements)

References 21 publications

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“…38 In this study, a HartmannShack wavefront sensor was used to measure the type and magnitude of ocular higher order aberrations for 3 and 5 mm pupils in 15 eyes before and after implantation. An overall increase, although not statistically significant, of third-and fourth-order aberrations was found.…”

Section: Visual and Optical Quality Resultsmentioning

confidence: 99%

“…26,[29][30][31][32]38,42 Hoyos et al 42 . After surgery, mean SE in the myopic group was À 0.31 ± 0.51 D and À 0.60 ± 0.63 D in the hyperopic group.…”

Section: Refractive Outcomesmentioning

confidence: 99%

“…14,15,17,19,20,33,35,38 A possible factor accounting for this might be the protective effect of the rotating design of the pIOL, avoiding the continuous contact between the pIOL and any particular area of the anterior surface of the crystalline lens. Stabilization of the PRL on the cilliary sulcus should be avoided to protect the crystalline lens from the inflammatory aggression induced when interaction with this structure occurs.…”

Section: Complicationsmentioning

confidence: 99%

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The posterior chamber phakic refractive lens (PRL): a review

Pérez-Cambrodí

Piñero

Ferrer-Blasco

et al. 2012

Eye

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Implantation of phakic intraocular lenses (pIOLs) is a reversible refractive procedure, preserving the patient's accommodative function with minimal induction of higher order aberrations compared with corneal photoablative procedures. Despite this, as an intraocular procedure, it has potential risks such as cataracts, chronic uveitis, pupil ovalization, corneal endothelial cell loss, pigmentary dispersion syndrome, pupillary block glaucoma, astigmatism, or endophthalmitis. Currently, only two models of posterior chamber pIOLs are commercially available, the implantable collammer lens (STAAR Surgical Co.) and the phakic refractive lens (PRL; Zeiss Meditec). The number of published reports on the latter is very low, and some concerns still remain about its long-term safety. The present article reviews the published literature on the outcomes after PRL implantation in order to provide a general overview and evaluate its real potential as a surgical refractive option.

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Section: Visual and Optical Quality Resultsmentioning

confidence: 99%

“…26,[29][30][31][32]38,42 Hoyos et al 42 . After surgery, mean SE in the myopic group was À 0.31 ± 0.51 D and À 0.60 ± 0.63 D in the hyperopic group.…”

Section: Refractive Outcomesmentioning

confidence: 99%

Section: Complicationsmentioning

confidence: 99%

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The posterior chamber phakic refractive lens (PRL): a review

Pérez-Cambrodí

Piñero

Ferrer-Blasco

et al. 2012

Eye

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“…15,53,62,63,69 There were 50 articles on IF pIOLs, 3,6,[8][9][10]28,30,31,33,[35][36][37][38][39] 14 of which covered formerly published cases. 8,9,[73][74][75][89][90][91][92][93][94][95][96]99 Of the 49 articles on PC pIOLs, 1,2,7,42,43,[45][46][47][48][50][51][52]54,55, 10 depicted previously published cases. 43,[126][127][128][129]…”

Section: Literature Analysismentioning

confidence: 99%

“…44 A new foldable phakic refractive lens (PRL) made of medical-grade silicone is designed with its haptics resting on the zonule without riding on the sulcus. [45][46][47][48] However, because late complications such as zonular dehiscence and subluxation or dislocation of the PRL into the vitreous cavity have not yet been elucidated, some authors have stopped implanting the PRL for the present time. 49,50 Cataract development has been noted after AC, IF, and PC pIOL implantation.…”

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confidence: 99%

Metaanalysis of cataract development after phakic intraocular lens surgery

Chen

Chang

Kuo

et al. 2008

Journal of Cataract and Refractive Surgery

131

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We performed a systematic literature review to determine the incidence of and predisposing factors for cataract after phakic intraocular lens (pIOL) implantation. Of the 6338 eyes reported, 4.35% were noted to have new-onset or preexisting progressive cataract. The incidence of cataract formation was 1.29%, 1.11%, and 9.60% with anterior chamber, iris-fixated, and posterior chamber (PC) pIOLs, respectively. In the PC pIOL group, early cataract formation was related to surgical trauma and late-onset cataract was related to IOL-crystalline lens contact. Analysis of cataract progression in eyes with preexisting cataract showed a progression rate of 29.5% after pIOL surgery. These results suggest that cataract formation is most likely to occur after PC pIOL implantation. Patients with preexisting progressive cataract should be informed about the possibility of cataract progression and possible need for cataract surgery after pIOL implantation. Cataract surgical intervention resulted in restoration of visual acuity.

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