Skip to main content
SpringerLink
Log in

Phake Intraokularlinsen

  • Chapter
  • First Online:
Refraktive Chirurgie

  • 314 Accesses

Zusammenfassung

Sind bei refraktiven Patienten keratorefraktive Verfahren (Sektion II) oder der refraktive Linsenaustausch kontraindiziert, weil die benötigten Excimerlaserablationen zu große Gewebeabträge annehmen oder eine funktionstüchtige und klare natürliche Linse, besonders bei mittlerer bis hoher Myopie, entfernt werden müsste, ist die Implantation von phaken Intraokularlinsen (pIOL) das Verfahren der Wahl. pIOL bieten die Möglichkeit, auch besagte Myopien mit guten visuellen Ergebnissen bei vollständigem Erhalt der Akkommodation und geringer Komplikationsrate reversibel zu korrigieren.

Es werden drei Arten pIOL unterschieden: irisfixierte Vorderkammerlinsen, kammerwinkelgestützte Vorderkammerlinsen und Hinterkammerlinsen (sulkusgestützt oder schwebend). Jede Variante hat eigene Anwendungsbereiche, Operationstechniken, Ergebnisse und Komplikationen. Tab. 18.1 bietet eine Übersicht über aktuelle Modelle mit FDA- und/oder CE-Zulassung. Im folgenden Kapitel liegt der Schwerpunkt auf solchen pIOL, die aktuell als gängige Implantate gelten. Aber auch früher oft verwendete und aus verschiedenen Gründen von den Herstellern heute nicht mehr angebotene pIOL werden kurz angeführt, um sie im Rahmen einer augenärztlichen Kontrolluntersuchung erkennen und beurteilen zu können.

Im Folgenden werden für jede pIOL das zugrundeliegende Prinzip, die Berechnung und Implantation sowie die klinischen Ergebnisse beschrieben. Auf die spezifischen Komplikationen der einzelnen Modelle wird detailliert in Kap. 21 eingegangen.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 119.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 159.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Literatur

  • Güell JL, Morral M, Kook D, Kohnen T (2010) Phakic intraocular lenses part 1: historical overview, current models, selection criteria, and surgical techniques. J Cataract Refract Surg 36(11):1976–1993

    Article  PubMed  Google Scholar 

  • Kohnen T, Kook D, Morral M, Güell JL (2010) Phakic intraocular lenses: part 2: results and complications. J Cataract Refract Surg 36(12):2168–2194

    Article  PubMed  Google Scholar 

  • DOG, BVA (2023) Bewertung und Qualitätssicherung refraktiv-chirurgischer Eingriffe durch die DOG und den BVA – KRC-Empfehlungen: Stand Juni 2022. Ophthalmologie 2023

    Google Scholar 

  • Strampelli B (1954) Tolerance of acrylic lenses in the anterior chamber in aphakia and refraction disorders. Ann Ottalmol Clin Ocul 80(2):75–82

    CAS  PubMed  Google Scholar 

  • Barraquer J (1959) Anterior chamber plastic lenses. Results of and conclusions from five years’ experience. Trans Ophthalmol Soc U K 79:393–424

    CAS  PubMed  Google Scholar 

  • Alió JL, Piñero D, Bernabeu G, Galal A, Vargas JM, Ismail MM (1995) The Kelman Duet phakic intraocular lens: 1-year results. J Refract Surg 23(9):868–879

    Article  Google Scholar 

  • Klaproth OK, Rehrmann J, Kohnen T (2013) Dynamic positional change and defocus curve of a phakic foldable anterior-chamber angle-supported intraocular lens during accommodation. Ophthalmology 120(7):1373–1379

    Article  PubMed  Google Scholar 

  • Kohnen T, Maxwell WA, Holland S (2016) Correction of moderate to high myopia with a foldable, angle-supported phakic intraocular lens: results from a 5-year open-label trial. Ophthalmology 123(5):1027–1035

    Article  PubMed  Google Scholar 

  • Kohnen T, LaFontaine L, Andrew R, Study Investigators (2017) Long-term safety follow-up of an anterior chamber angle-supported phakic intraocular lens. J Cataract Refract Surg 43(9):1163–1170

    Article  PubMed  Google Scholar 

  • Aerts AAS, Jonker SMR, Wielders LHP, Berendschot TTJM, Doors M, De Brabander J et al (2015) Phakic intraocular lens: two-year results and comparison of endothelial cell loss with iris-fixated intraocular lenses. J Cataract Refract Surg 41(10):2258–2265

    Article  PubMed  Google Scholar 

  • Lovisolo CF, Reinstein DZ (2005) Phakic intraocular lenses. Surv Ophthalmol 50(6):549–587

    Article  PubMed  Google Scholar 

  • Fechner PU, van der Heijde GL, Worst JG (1989) The correction of myopia by lens implantation into phakic eyes. Am J Ophthalmol 107(6):659–663

    Article  CAS  PubMed  Google Scholar 

  • van der Heijde G (1989) Some optical aspects of implantation of an intraocular lens in a myopia eye. Eur J Implant Refract Surg 1:245–248

    Article  Google Scholar 

  • Bühren J, Kasper T, Terzi E, Kohnen T (2004) Higher order aberrations after implantation of an iris claw pIOL (Ophtec Artisan) in the phakic eye. Ophthalmologe 101(12):1194–1201

    Article  PubMed  Google Scholar 

  • van Rijn GA, Gaurisankar ZS, Ilgenfritz AP, Lima JEE, Haasnoot GW, Beenakker J-WM et al (2020) Middle- and long-term results after iris-fixated phakic intraocular lens implantation in myopic and hyperopic patients: a meta-analysis. J Cataract Refract Surg 46(1):125–137

    Article  PubMed  Google Scholar 

  • Tahzib NG, Cheng YYY, Nuijts RMMA (2006) Three-year follow-up analysis of Artisan toric lens implantation for correction of postkeratoplasty ametropia in phakic and pseudophakic eyes. Ophthalmology 113(6):976–984

    Article  PubMed  Google Scholar 

  • Tiveron MC, Alió Del Barrio JL, Kara-Junior N, Plaza-Puche AB, Abu-Mustafa SK, Zein G et al (1995) Outcomes of Toric Iris-claw Phakic intraocular lens implantation after deep anterior lamellar keratoplasty for keratoconus. J Refract Surg 33(8):538–544

    Article  Google Scholar 

  • Sedaghat M, Ansari-Astaneh M-R, Zarei-Ghanavati M, Davis SW, Sikder S (2011) Artisan Iris-supported phakic IOL implantation in patients with keratoconus: a review of 16 eyes. J Refract Surg 27(7):489–493

    Article  PubMed  Google Scholar 

  • Venter J (1995) Artisan phakic intraocular lens in patients with keratoconus. J Refract Surg 25(9):759–764

    Article  Google Scholar 

  • Güell JL, Morral M, Gris O, Gaytan J, Sisquella M, Manero F (2007) Evaluation of verisyse and artiflex phakic intraocular lenses during accommodation using visante optical coherence tomography. J Cataract Refract Surg 33(8):1398–1404

    Article  PubMed  Google Scholar 

  • Güell JL, Velasco F (2002) Phakic intraocular lens implantation. Int Ophthalmol Clin 42(4):119–130

    Article  PubMed  Google Scholar 

  • Dick HB, Budo C, Malecaze F, Güell JL, Marinho AAP, Nuijts RMMA et al (2009) Foldable Artiflex phakic intraocular lens for the correction of myopia: two-year follow-up results of a prospective European multicenter study. Ophthalmology 116(4):671–677

    Article  PubMed  Google Scholar 

  • Doors M, Budo CJ, Christiaans BJ, Luger M, Marinho AAP, Dick HB et al (2012) Artiflex Toric foldable phakic intraocular lens: short-term results of a prospective European multicenter study. Am J Ophthalmol 154(4):730–739.e2

    Article  PubMed  Google Scholar 

  • Jonker SMR, Berendschot TTJM, Ronden AE, Saelens IEY, Bauer NJC, Nuijts RMMA (2018) Five-year endothelial cell loss after implantation with artiflex myopia and artiflex toric phakic intraocular lenses. Am J Ophthalmol 194:110–119

    Article  PubMed  Google Scholar 

  • Jonker SMR, Berendschot TTJM, Ronden AE, Saelens IEY, Bauer NJC, Nuijts RMMA (2018) Long-term endothelial cell loss in patients with artisan myopia and artisan toric phakic intraocular lenses: 5- and 10-year results. Ophthalmology 125(4):486–494

    Article  PubMed  Google Scholar 

  • Wu Q, Li Y, Tang L, Wu L-A, Wang C-Y (2020) Comparison of rigid versus foldable iris-fixed phakic intraocular lens implantation for high myopia: a systematic review and meta-analysis. Medicine 99(6):e19030

    Article  PubMed  PubMed Central  Google Scholar 

  • Rosen E, Gore C (1998) Staar Collamer posterior chamber phakic intraocular lens to correct myopia and hyperopia. J Cataract Refract Surg 24(5):596–606

    Article  CAS  PubMed  Google Scholar 

  • Kawamorita T, Uozato H, Shimizu K (2012) Fluid dynamics simulation of aqueous humour in a posterior-chamber phakic intraocular lens with a central perforation. Graefes Arch Clin Exp Ophthalmol 250(6):935–939

    Article  PubMed  Google Scholar 

  • Olsen T, Corydon L, Gimbel H (1995) Intraocular lens power calculation with an improved anterior chamber depth prediction algorithm. J Cataract Refract Surg 21(3):313–319

    Article  CAS  PubMed  Google Scholar 

  • Smallman DS, Probst L, Rafuse PE (2004) Pupillary block glaucoma secondary to posterior chamber phakic intraocular lens implantation for high myopia. J Cataract Refract Surg 30(4):905–907

    Article  PubMed  Google Scholar 

  • Gonvers M, Bornet C, Othenin-Girard P (2003) Implantable contact lens for moderate to high myopia: relationship of vaulting to cataract formation. J Cataract Refract Surg 29(5):918–924

    Article  PubMed  Google Scholar 

  • Schmidinger G, Lackner B, Pieh S, Skorpik C (2010) Long-term changes in posterior chamber phakic intraocular collamer lens vaulting in myopic patients. Ophthalmology 117(8):1506–1511

    Article  PubMed  Google Scholar 

  • Guber I, Mouvet V, Bergin C, Perritaz S, Othenin-Girard P, Majo F (2016) Clinical outcomes and cataract formation rates in eyes 10 years after posterior phakic lens implantation for myopia. JAMA Ophthalmol 134(5):487–494

    Article  PubMed  Google Scholar 

  • Oh J, Shin H-H, Kim J-H, Kim H-M, Song J-S (2007) Direct measurement of the ciliary sulcus diameter by 35-megahertz ultrasound biomicroscopy. Ophthalmology 114(9):1685–1688

    Article  PubMed  Google Scholar 

  • Reinstein DZ, Archer TJ, Silverman RH, Rondeau MJ, Coleman DJ (1995) Correlation of anterior chamber angle and ciliary sulcus diameters with white-to-white corneal diameter in high myopes using artemis VHF digital ultrasound. J Refract Surg 25(2):185–194

    Article  Google Scholar 

  • Werner L, Izak AM, Pandey SK, Apple DJ, Trivedi RH, Schmidbauer JM (2004) Correlation between different measurements within the eye relative to phakic intraocular lens implantation. J Cataract Refract Surg 30(9):1982–1988

    Article  PubMed  Google Scholar 

  • Packer M (2016) Meta-analysis and review: effectiveness, safety, and central port design of the intraocular collamer lens. Clin Ophthalmol 10:1059–1077

    Article  PubMed  PubMed Central  Google Scholar 

  • Igarashi A, Shimizu K, Kato S, Kamiya K (2019) Predictability of the vault after posterior chamber phakic intraocular lens implantation using anterior segment optical coherence tomography. J Cataract Refract Surg 45(8):1099–1104

    Article  PubMed  Google Scholar 

  • Nakamura T, Isogai N, Kojima T, Yoshida Y, Sugiyama Y (2018) Implantable collamer lens sizing method based on swept-source anterior segment optical coherence tomography. Am J Ophthalmol 187:99–107

    Article  PubMed  Google Scholar 

  • Rocamora L, Orlando JI, Lwowski C, Kohnen T, Mertens E, Van Keer K (2023) Postoperative vault prediction for phakic implantable collamer lens surgery: LASSO formulas. J Cataract Refract Surg 49(2):126–132

    Article  PubMed  Google Scholar 

  • Shen Y, Wang L, Jian W, Shang J, Wang X, Ju L et al (2023) Big-data and artificial-intelligence-assisted vault prediction and EVO-ICL size selection for myopia correction. Br J Ophthalmol 107(2):201–206

    Article  PubMed  Google Scholar 

  • Steinwender G, Varna-Tigka K, Shajari M, Kohnen T (2017) Anterior subcapsular cataract caused by forceful irrigation during implantation of a posterior chamber phakic intraocular lens with a central hole. J Cataract Refract Surg 43(7):969–974

    Article  PubMed  Google Scholar 

  • Packer M (2018) The implantable Collamer lens with a central port: review of the literature. Clin Ophthalmol 12:2427–2438

    Article  PubMed  PubMed Central  Google Scholar 

  • Kamiya K, Shimizu K, Saito A, Igarashi A, Kobashi H (2013) Comparison of optical quality and intraocular scattering after posterior chamber phakic intraocular lens with and without a central hole (Hole ICL and Conventional ICL) implantation using the double-pass instrument. PLoS ONE 8(6):e66846

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Shimizu K, Kamiya K, Igarashi A, Shiratani T (2012) Intraindividual comparison of visual performance after posterior chamber phakic intraocular lens with and without a central hole implantation for moderate to high myopia. Am J Ophthalmol 154(3):486–494.e1

    Article  PubMed  Google Scholar 

  • Eom Y, Kim DW, Ryu D, Kim J-H, Yang SK, Song JS et al (2017) Ring-shaped dysphotopsia associated with posterior chamber phakic implantable collamer lenses with a central hole. Acta Ophthalmol 95(3):e170–e178

    Article  PubMed  Google Scholar 

  • Eppig T, Spira C, Tsintarakis T, El-Husseiny M, Cayless A, Müller M et al (2015) Ghost-image analysis in phakic intraocular lenses with central hole as a potential cause of dysphotopsia. J Cataract Refract Surg 41(11):2552–2559

    Article  PubMed  Google Scholar 

  • Pesando PM, Ghiringhello MP, Di Meglio G, Fanton G (2007) Posterior chamber phakic intraocular lens (ICL) for hyperopia: ten-year follow-up. J Cataract Refract Surg 33(9):1579–1584

    Article  PubMed  Google Scholar 

  • Alió JL, Peña-García P, Abdulla FG, Zein G, Abu-Mustafa SK (2014) Comparison of iris-claw and posterior chamber collagen copolymer phakic intraocular lenses in keratoconus. J Cataract Refract Surg 40(3):383–394

    Article  PubMed  Google Scholar 

  • Kamiya K, Shimizu K, Kobashi H, Igarashi A, Komatsu M, Nakamura A et al (2015) Three-year follow-up of posterior chamber toric phakic intraocular lens implantation for the correction of high myopic astigmatism in eyes with keratoconus. Br J Ophthalmol 99(2):177–183

    Article  PubMed  Google Scholar 

  • Esteve-Taboada JJ, Domínguez-Vicent A, Ferrer-Blasco T, Alfonso JF, Montés-Micó R (2017) Posterior chamber phakic intraocular lenses to improve visual outcomes in keratoconus patients. J Cataract Refract Surg 43(1):115–130

    Article  PubMed  Google Scholar 

  • Pallikaris IG, Kalyvianaki MI, Kymionis GD, Panagopoulou SI (2004) Phakic refractive lens implantation in high myopic patients: one-year results. J Cataract Refract Surg 30(6):1190–1197

    Article  PubMed  Google Scholar 

  • García-Feijoó J, Hernández-Matamoros JL, Castillo-Gómez A, Lázaro C, Méndez-Hernández C, Martín T et al (2003) High-frequency ultrasound biomicroscopy of silicone posterior chamber phakic intraocular lens for hyperopia. J Cataract Refract Surg 29(10):1940–1946

    Article  PubMed  Google Scholar 

  • García-Feijoó J, Hernández-Matamoros JL, Méndez-Hernández C, Castillo-Gómez A, Lázaro C, Martín T et al (2003) Ultrasound biomicroscopy of silicone posterior chamber phakic intraocular lens for myopia. J Cataract Refract Surg 29(10):1932–1939

    Article  PubMed  Google Scholar 

  • Verde CM, Teus MA, Arranz-Marquez E, Cazorla RG (1995) Medennium posterior chamber phakic refractive lens to correct high myopia. J Refract Surg 23(9):900–904

    Article  Google Scholar 

  • Chen L-J, Chang Y-J, Kuo JC, Rajagopal R, Azar DT (2008) Metaanalysis of cataract development after phakic intraocular lens surgery. J Cataract Refract Surg 34(7):1181–1200

    Article  PubMed  Google Scholar 

  • Yu A, Wang Q, Xue A, Zhu S, Wang S, Chen Y et al (2008) Comparison of contrast sensitivity after angle-supported, iris-fixated and posterior chamber phakic intraocular lens implantation for high myopia. Ophthalmologica 222(1):53–57

    Article  PubMed  Google Scholar 

  • Koivula A, Kugelberg M (2007) Optical coherence tomography of the anterior segment in eyes with phakic refractive lenses. Ophthalmology 114(11):2031–2037

    Article  PubMed  Google Scholar 

  • Eleftheriadis H, Amoros S, Bilbao R, Teijeiro M-A (2004) Spontaneous dislocation of a phakic refractive lens into the vitreous cavity. J Cataract Refract Surg 30(9):2013–2016

    Article  PubMed  Google Scholar 

  • Martínez-Castillo V, Elies D, Boixadera A, García-Arumí J, Mauricio J, Cavero L et al (1995) Silicone posterior chamber phakic intraocular lens dislocated into the vitreous cavity. J Refract Surg 20(6):773–777

    Article  Google Scholar 

  • Barsam A, Allan BDS (2014) Excimer laser refractive surgery versus phakic intraocular lenses for the correction of moderate to high myopia. Cochrane Database Syst Rev 6:CD007679

    Google Scholar 

  • Kamiya K, Igarashi A, Shimizu K, Matsumura K, Komatsu M (2012) Visual performance after posterior chamber phakic intraocular lens implantation and wavefront-guided laser in situ keratomileusis for low to moderate myopia. Am J Ophthalmol 153(6):1178–1186.e1

    Article  PubMed  Google Scholar 

  • Siedlecki J, Schmelter V, Mayer WJ, Schworm B, Priglinger SG, Dirisamer M et al (202) SMILE versus implantable collamer lens implantation for high myopia: a matched comparative study. J Refract Surg 36(3):150–159

    Article  PubMed  Google Scholar 

  • Kamiya K, Takahashi M, Takahashi N, Shoji N, Shimizu K (2017) Monovision by implantation of posterior chamber phakic intraocular lens with a central hole (hole ICL) for early presbyopia. Sci Rep 7(1):11302

    Article  PubMed  PubMed Central  Google Scholar 

  • Stodulka P, Slovak M, Sramka M, Polisensky J, Liska K (2020) Posterior chamber phakic intraocular lens for the correction of presbyopia in highly myopic patients. J Cataract Refract Surg 46(1):40–44

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Universitäts-Augenklinik, Medizinische Universität Graz, Graz, Österreich

    PD Dr. Gernot Steinwender

  2. Prof. Kook & Partner, Augenarztpraxis, Gräfelfing, Deutschland

    Prof. Dr. Daniel Kook

  3. Klinik für Augenheilkunde, Goethe Universität, Universitätsklinikum Frankfurt, Frankfurt am Main, Deutschland

    Univ.-Prof. Dr. Thomas Kohnen

Authors
  1. PD Dr. Gernot Steinwender
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Prof. Dr. Daniel Kook
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Univ.-Prof. Dr. Thomas Kohnen
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Zentrum für Augenheilkunde, Universitätklinikum Frankfurt, Frankfurt am Main, Deutschland

    Thomas Kohnen

1 Electronic Supplementary Material

Rights and permissions

Reprints and permissions

Copyright information

© 2023 Springer-Verlag GmbH Deutschland, ein Teil von Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Steinwender, G., Kook, D., Kohnen, T. (2023). Phake Intraokularlinsen. In: Kohnen, T. (eds) Refraktive Chirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-60946-0_18

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-60946-0_18

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-60945-3

  • Online ISBN: 978-3-662-60946-0

  • eBook Packages: Medicine (German Language)

Publish with us

Policies and ethics

Search

Navigation