Angle-Supported Phakic IOL

  • Alessandro AbboudaEmail author
  • Jorge L. Alió


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.


Anterior Chamber Cataract Surgery Safety Zone High Myopia Anterior Chamber Depth 
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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)


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