Purpose: We describe a new model of angle-supported phakic intraocular lens, the Duet-Kelman lens, the design of which incorporates two separate supporting parts. The haptic and the optic are separately implanted and then fixed together inside the eye. The lens allows optic or haptic exchange depending on the anatomical, refractive, and visual outcome of the patient. Results of the initial pilot study are presented.
Methods: Three patients (three eyes) were implanted with the Duet-Kelman lens and were followed for a minimum of 6 months. Surgery was performed under topical anesthesia.
Results: Surgery was feasible through a 2.5-mm incision, without complications. Refractive and visual results were stable in all eyes. Haptic exchange was done in one eye that developed pupil ovalization.
Conclusion: In this pilot study of three eyes, the Duet-Kelman phakic intraocular lens offered small incision size and potential exchange of the haptic or the optic.
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http://dx.doi.org/10.3928/1081-597X-20030901-03 | DOI Listing |
Taiwan J Ophthalmol
February 2024
Research, Development and Innovation Department, Vissum Grupo Miranza, Alicante, Spain.
The purpose of this study was to describe a case and clinical course of simultaneous anterior chamber phakic intraocular lens (AC-pIOL) removal, implantation of a posterior chamber phakic intraocular implantable collamer lens (ICL), and Descemet membrane endothelial keratoplasty (DMEK). This was a case report of a 44-year-old male with a unilateral decompensated cornea from a displaced Duet-Kelman lens on his left eye that underwent pIOL extraction and implantation of a posterior chamber phakic intraocular ICL and simultaneous DMEK. After 6 months, the cornea of the left eye had regained clarity, the Descemet membrane was graft stable, and the ICL implanted was centered with good vault.
View Article and Find Full Text PDFJ Refract Surg
January 2004
Instituto Oftalmológico de Alicante, Refractive Surgery and Cornea Department, Miguel Hernández University, School of Medicine, Alicante, Spain.
Purpose: We describe a new model of angle-supported phakic intraocular lens, the Duet-Kelman lens, the design of which incorporates two separate supporting parts. The haptic and the optic are separately implanted and then fixed together inside the eye. The lens allows optic or haptic exchange depending on the anatomical, refractive, and visual outcome of the patient.
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