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Two-year results after combined phacoemulsification and iris-fixated phakic intraocular lens removal.


ABSTRACT:

Purpose

To describe and present results after a technique for cataract surgery combined with explantation of an iris-fixated phakic intraocular lens (IF-pIOL).

Methods

The medical records of all patients, who had undergone cataract surgery combined with IF-pIOL explantation and subsequent implantation of a posterior chamber IOL by the Single Incision Technique (SIT), were reviewed. Data collection included preoperative and postoperative corrected distance visual acuity (CDVA), manifest refraction, and endothelial cell density (ECD) up to a follow-up time of 24 months.

Results

Fifty myopic eyes (34 patients) and 9 hyperopic eyes (6 patients) had undergone a SIT procedure mainly because of cataract (67%). Postoperative CDVA improved in both the myopic eyes to 0.16 ± 0.37 logMAR, as in the hyperopic eyes to - 0.10 ± 0.55 logMAR with no eyes having loss of Snellen lines. Mean postoperative spherical equivalent was - 0.34 ± 0.72 D and - 0.10 ± 0.55 D, respectively. ECD loss 6 months after surgery was 5% and remained stable thereafter.

Conclusion

SIT for combined phacoemulsification and IF-pIOL removal yields good visual and refractive results and is a safe procedure in regard to ECD loss. The technique has advantages over the conventional procedure and is easy to perform.

SUBMITTER: Gaurisankar ZS 

PROVIDER: S-EPMC8913490 | biostudies-literature | 2022 Apr

REPOSITORIES: biostudies-literature

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Publications

Two-year results after combined phacoemulsification and iris-fixated phakic intraocular lens removal.

Gaurisankar Zoraida Solaiga ZS   van Rijn Gwyneth A GA   Cheng Yanny Y Y YYY   Luyten Gregorius P M GPM   Beenakker Jan-Willem M JM  

Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie 20211016 4


<h4>Purpose</h4>To describe and present results after a technique for cataract surgery combined with explantation of an iris-fixated phakic intraocular lens (IF-pIOL).<h4>Methods</h4>The medical records of all patients, who had undergone cataract surgery combined with IF-pIOL explantation and subsequent implantation of a posterior chamber IOL by the Single Incision Technique (SIT), were reviewed. Data collection included preoperative and postoperative corrected distance visual acuity (CDVA), man  ...[more]

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