Phakic intraocular lenses and refractory lensectomy for myopia

Terrence O'Brien, Shady T. Awwad

Research output: Contribution to journalArticle

36 Citations (Scopus)

Abstract

Phakic intraocular lens implantation (IOLs) and clear lens extraction for high to extreme myopia have grown in popularity recently as a consequence of potentially unsatisfactory results with corneal refractive surgery in higher ranges of refractive errors. The refractive outcome of these alternative modalities has been encouraging to date, yet the potential for significant complications exists. Current evidence shows that the risk of retinal detachment after clear lens extraction for myopes is high. Trials with angle-supported phakic IOLs revealed unacceptable rates of pupillary ovalization, IOL rotation, and endothelial cell loss. Iris-fixated and posterior chamber phakic IOLs have proven sufficient safety, but long-term follow-ups of current cohorts are still to be awaited. The implantation of either of the latter two phakic IOLs followed by laser in situ keratomileusis or photorefractive keratectomy (bioptics) provides another option in refractive surgery for high ametropia.

Original languageEnglish
Pages (from-to)264-270
Number of pages7
JournalCurrent Opinion in Ophthalmology
Volume13
Issue number4
DOIs
StatePublished - Aug 1 2002
Externally publishedYes

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Phakic Intraocular Lenses
Refractive Surgical Procedures
Refractive Errors
Myopia
Lenses
Photorefractive Keratectomy
Laser In Situ Keratomileusis
Intraocular Lens Implantation
Iris
Retinal Detachment
Endothelial Cells
Safety

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Phakic intraocular lenses and refractory lensectomy for myopia. / O'Brien, Terrence; Awwad, Shady T.

In: Current Opinion in Ophthalmology, Vol. 13, No. 4, 01.08.2002, p. 264-270.

Research output: Contribution to journalArticle

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