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Angle-Supported Phakic IOL

  • Alessandro AbboudaEmail author
  • Jorge L. Alió
Chapter

Abstract

Over the last two decades, phakic intraocular lenses (PIOLs) have been proven as a safe and reliable method for correcting high myopia, hyperopia, and astigmatism with adequate inclusion criteria for implantation [1–3]. Long-term complications for eyes implanted with PIOLs have been reported in several articles [4, 5]. Endothelial cell loss (ECL) was reported [5] to be 1.78 % every year in patients implanted with PIOLs.

Keywords

Anterior Chamber Cataract Surgery Safety Zone High Myopia Anterior Chamber Depth 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Supplementary material

Video 81.1

A 5.5 mm superotemporal scleral tunnel was used for surgery from 7 to 12 o’clock. Paracentesis at 9 and 2 o’clock of 1 mm was performed. A cohesive ophthalmic viscosurgical device (OVD) was injected over and below the AS PIOL. The optic was gently grasped with a McPherson forceps and removed from the eye without being cut or enlarging the incision. The sclera tunnel was sutured. Micro incisional cataract surgery (MICS) was performed. A posterior chamber hydrophobic acrylic three-piece lens of 4 diopters (AcrySof MA60, Alcon) was implanted in the capsular bag. Hydro sutures were performed (MPG 141958 kb)

References

  1. 1.
    Tahzib NG, Nuijts RM, Wu WY, Budo CJ (2007) Long-term study of Artisan phakic intraocular lens implantation for the correction of moderate to high myopia: 10-year follow-up results. Ophthalmology 114:1133–1142CrossRefPubMedGoogle Scholar
  2. 2.
    Budo C, Hessloehl JC, Izak M et al (2000) Multicenter study of the Artisan phakic intraocular lens. J Cataract Refract Surg 26:1163–1171CrossRefPubMedGoogle Scholar
  3. 3.
    Dick HB, Alio J, Bianchetti M et al (2003) Toric phakic intraocular lens: European multicenter study. Ophthalmology 110:150–162CrossRefPubMedGoogle Scholar
  4. 4.
    Javaloy J, Alió JL, Iradier MT, Abdelrahman AM, Javaloy T, Borrás F (2007) Outcomes of ZB5M angle-supported anterior chamber phakic intraocular lenses at 12 years. J Refract Surg 23:147–158PubMedGoogle Scholar
  5. 5.
    Alio JL, Abbouda A, Huseyinly S, Peña-Garcia P (2013) Follow up study of over 15 years of an angle supported phakic intraocular lens model (ZB5M) for high myopia: outcomes and complications. JAMA Ophthalmol 131(12):1541–1546. doi:  10.1001/jamaophthalmol.2013.5595
  6. 6.
    Alio JL, Abbouda A, Peña-Garcia P (2013) Anterior segment optical coherence tomography of long term phakic angle supported intraocular lenses. Am J ophthalmol 156(5):894–901.e2 doi:  10.1016/j.ajo.2013.06.018. Epub 2013 Aug 12.

Copyright information

© Springer-Verlag Berlin Heidelberg 2015

Authors and Affiliations

  1. 1.Department of Refractive SurgeryVissum Corporación OftalmológicaAlicanteSpain
  2. 2.Department of Ophthalmology-Policlinico Umberto I of RomeUniversity of Rome “Sapienza”RomaItaly
  3. 3.R&D DepartmentVissum Corporación OftalmológicaAlicanteSpain

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