Abstract
Purpose
Phakic intraocular lenses treat higher degrees of myopia not possible previously with conventional refractive surgery. The aim of this study is to report the incidence and risk factors of retinal complications after posterior chamber PIOL implantation and assess the differences in biometric parameters between patients who developed such complications versus those who did not.
Methods
This retrospective study recruited 514 patients who underwent ICL implantation to correct myopia at a tertiary eye hospital center in the Eastern province of Saudi Arabia. Follow up period was at least one year. Medical records of the patients were reviewed to obtain the required data. Associations between respondents’ characteristics and retinal complications were evaluated using the Chi-squared test.
Results
The mean (SD) age was 27.7 (± 6.5) years ranging from 18 to 47. Laser treatment was performed in 14 cases (2.7%). Retinal complications occurred in six cases (1.2%). The risk of retinal complication was significantly higher among patients with high axial length (OR = 1.3, 95% CI 1.2, 1.4) and patients with high pre-spherical equivalent before ICL (OR = 1.09, 95% CI 1.03, 1.4).
Conclusion
Patients with higher axial length and higher pre-spherical equivalent before ICL implantation are at high risk of retinal complications.
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All authors contributed to the study conception and design. Conceptualization: [NA, HBH, FA, AA]; Methodology: [NA, JH, HBH, MA]; Formal analysis and investigation: [HBH, MA, NA]; Writing—original draft preparation: [OK, AA, GA]; Writing—review and editing: [HBH, MA, NA, NA]; Resources: [NA, AA, HBH, FA]. All authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.
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Aljindan, M., Albalawi, N., Alzaher, F. et al. Retinal complications post posterior chamber phakic intraocular lens implantation at a tertiary eye hospital in the Eastern Province of Saudi Arabia. Int Ophthalmol 44, 141 (2024). https://doi.org/10.1007/s10792-024-03076-y
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DOI: https://doi.org/10.1007/s10792-024-03076-y