Angle-Supported Phakic IOL
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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  to be 1.78 % every year in patients implanted with PIOLs.
KeywordsAnterior Chamber Cataract Surgery Safety Zone High Myopia Anterior Chamber Depth
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)
- 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.