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Angle-Supported Phakic IOL

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Difficult and Complicated Cases in Refractive Surgery

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.

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References

  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 114:1133–1142

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  3. Dick HB, Alio J, Bianchetti M et al (2003) Toric phakic intraocular lens: European multicenter study. Ophthalmology 110:150–162

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  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 23:147–158

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  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. 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.

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Correspondence to Alessandro Abbouda MD .

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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)

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Abbouda, A., Alió, J.L. (2015). Angle-Supported Phakic IOL. In: Alió, J., Azar, D., Abbouda, A., Aswad, A. (eds) Difficult and Complicated Cases in Refractive Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-55238-0_81

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  • DOI: https://doi.org/10.1007/978-3-642-55238-0_81

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-55237-3

  • Online ISBN: 978-3-642-55238-0

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