Purpose: To evaluate a 12-year follow-up of myopic patients after iris-fixated phakic intraocular lenses (IF pIOLs) implantation. . Ophthalmology Department, Military University Hospital in Prague (Czech Republic).
Design: Single-center retrospective cohort study.
Methods: We describe the results of a cohort study that included 85 eyes of 46 myopic patients who underwent implantation of Verisyse myopia, Veriflex, and Verisyse myopia toric (all Abbott Medical Optics, Inc.) intraocular lenses. Refractive functions and adverse events were assessed preoperatively, at 6 months, and 1, 2, 5, and 12 years after IF pIOL implantation.
Results: Mean spherical equivalent was measured as -9.37 ± 2.87 D, 0.14 ± 0.61 D, and -0.42 ± 1.08 D, preoperatively, at 6 months and 12 years postoperatively, respectively. There was a significant reduction in the cylinder after surgery. At 12 years postoperatively, 90% of eyes had uncorrected distance visual acuity (UDVA) of 20/40 and 64% of 20/20. The safety index was 1.10 for the whole postoperative follow-up period. We found cataract formation in 3 eyes (3.5%). The endothelial cells loss (EC loss) directly caused by IF pIOL implantation was 6.0%, 8.10%, 12.8%, and 11.9%, at 1, 2, 5, and 12 years, respectively. In our cohort, 95% of eyes lost a higher percentage of EC than would be expected from a physiological loss at 12 years postoperatively. We found a significant negative interaction between preoperative pachymetry and EC loss, indicating that the lower pachymetry leads to a faster decline in endothelial cells density (ECD). IF pIOL re-enclavation was found in 28% of eyes. 7% of subluxations were caused by trauma. The mean time of nontraumatic re-enclavation was 6 years postoperatively.
Conclusions: The study confirmed the advantages of IF pIOL implantation due to rapid visual recovery and stable visual function over the 12-year follow-up and also showed the influence of lower corneal pachymetry regarding EC loss.
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http://dx.doi.org/10.1155/2021/7027793 | DOI Listing |
Cesk Slov Oftalmol
December 2024
Objective: The aim of this study is to compare the results of preoperative biometric data measured with optical biometers of different generations in patients with cataract. Lenstar optical biometry is based on the principle of optical low-coherence reflectometry (OLCR), and Anterion on swept-source optical coherence tomography (SS-OCT).
Material And Methods: A total of 200 eyes (103 patients) were included in a prospective study at the Faculty Hospital in Trenčín the period from June 2023 to January 2024.
Ocul Immunol Inflamm
December 2024
Uvea Services, Sankara Nethralaya, Chennai, India.
Purpose: To report a case of exudative retinal detachment (ERD) in a child with Acute retinal necrosis (ARN).
Method: Retrospective Chart Review.
Result: A six-year-old boy presented with anterior uveitis with hypopyon and exudative retinal detachment with peripheral confluent patches of retinitis in the left eye.
Am J Ophthalmol
December 2024
Sydney Eye Hospital, Sydney Australia; Sydney Retina, Sydney, NSW, Australia.
Curr Opin Ophthalmol
December 2024
Department of Research, Wills Eye Hospital, Philadelphia, PA.
Purpose Of Review: To describe recent evidence regarding surgical techniques for secondary scleral fixation of intraocular lenses (IOLs), with attention to information most relevant to the surgical practice of vitreoretinal surgeons.
Recent Findings: Recent studies have reported favorable outcomes in patients treated with scleral fixation of IOLs using Gore-Tex suture and flanged intrascleral haptic fixation (ISHF). ISHF can be achieved using trocar-cannulas or double needle-based techniques.
Eur J Ophthalmol
December 2024
Ophthalmology Unit, Centro Hospitalar Universitário de Coimbra (CHUC), Unidade Local de Saúde (ULS) de Coimbra, Coimbra, Portugal.
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