Refractive lens exchange

Quadruple Procedure for Visual Rehabilitation of Endothelial Decompensation Following Phakic Intraocular Lens Implantation

“…Refractive clear lens extraction has been associated in several reports with a higher risk of rhegmatogenous retinal detachment and with postoperative cystoid macular edema. 20 In our series none of the patients has had any of these complications, and the follow-up period available for most of them seems sufficient to rule out a possible later onset. However, it should be stressed that retinal detachment in highly myopic eyes can occur even many years after refractive lens exchange, thus making it difficult to establish a causative relationship with the procedure.…”

Sixteen-year follow-up of hyperopic laser in situ keratomileusis

“…As with H-PRK, this restricted longevity of the correction and consequent need to return to spectacle wear and/or undergo further refractive procedures need to be discussed during patient counselling pre-operatively. This is particularly true in light of recent advancements in refractive lens exchange and multifocal intraocular lens technology over the past twenty years (12)(13) although the sight-threatening risks associated intraocular surgery and the undetermined longterm complications of refractive lens exchange in terms of decades, also need to be carefully discussed.…”

“…However, over the past quarter of a century, the introduction and refinement of excimer laser (7)(8)(9)(10)(11) , refractive lens exchange, multifocal (12) and phakic intraocular lens technologies (13) have heralded a new era in refractive surgery and offer promise for the correction of hyperopia. Published studies of hyperopic laser photorefractive keratectomy (H-PRK) and hyperopic laser in situ keratomileusis (H-LASIK) have demonstrated both efficacy and safety and such procedures are now in wide-spread clinical usage (7)(8)(9)(10)(11) .…”

Retinal Complications After Refractive Surgery

“…Theoretically, there is an increased risk of uveal effusions after intraocular surgery in hyperopic eyes with an axial length <22.0 mm. 42 There are no reported cases of retinal complications after PIOL implantation or RLE in hyperopic patients. 42,43 ' Survey of the Literature RRD Much of the discussion concerning retinal detachments after refractive surgery is focused on myopic LASIK.…”

“…42 There are no reported cases of retinal complications after PIOL implantation or RLE in hyperopic patients. 42,43 ' Survey of the Literature RRD Much of the discussion concerning retinal detachments after refractive surgery is focused on myopic LASIK. 1,4,44 In 2 of the largest case series to date, the cumulative incidence of RRD after myopic LASIK was found to be 8 of every 10,000 eyes.…”