Skip to main content
SpringerLink
Log in
Book cover

Visual Prosthesis and Ophthalmic Devices pp 239–249Cite as

Phakic Intraocular Lenses for the Treatment of High Myopia

  • Chapter

  • 1144 Accesses

Part of the book series: Ophthalmology Research ((OPHRES))

Abstract

High myopia remains a challenge for refractive surgeons. The use of laser in situ keratomileusis (LASIK), which has become increasingly popular for the treatment of myopia (1,2), is limited in high myopic eyes, because a residual corneal stromal thickness of 250 µm is essential to minimize the risk of corneal ectasia (3). Apart from that, large excimer laser corrections may result in poor optical quality of the reshaped cornea (4). Clear lens extraction, as another method for treating high refractive errors, results in accommodation loss, at the same time it carries all the risks of cataract surgery ((5)–(7)). An evolving technique for the treatment of myopia in young phakic patients is the implantation of phakic intraocular lenses (PIOLs). In this chapter the main types of these lenses, the criteria for their implantation, their advantages, and their possible complications will be discussed.

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   169.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   249.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Perez-Santonja JJ, Bellot JJ, Claramonte P, et al. Laser in situ keratomileusis to correct high myopia. J Cataract Refract Surg 1997;23:372–385.

    PubMed  CAS  Google Scholar 

  2. Duffey RG, Leaming D. US trends in refractive Surgery:2002 ISRS survey. J Refract Surg 2003;19:357–363.

    PubMed  Google Scholar 

  3. Pallikaris IG, Kymionis GD, Astyrakakis NL. Corneal ectasia induced by LASIK. J Cataract Refract Surg 2001;27:1796–1802.

    Article  PubMed  CAS  Google Scholar 

  4. Applegate RA, Howland HC. Refractive surgery, optical aberrations, and visual performance. J Refract Surg 1997;13:295–299.

    PubMed  CAS  Google Scholar 

  5. Goldbeg MF. Clear lens extraction for axial myopia. Ophthalmology 1987;94:571–582.

    Google Scholar 

  6. Lyle WA, Jin GJC. Clear lens extraction for the correction of high refractive error. J Cataract Refract Surg 1994;20:273–276.

    PubMed  CAS  Google Scholar 

  7. Lee KH, Lee JH. Long-term results of clear lens extraction for severe myopia. J Cataract Refract Surg 1996;22:1411–1415.

    PubMed  CAS  Google Scholar 

  8. Baikoff G, Joly P. Comparison of minus power anterior chamber lenses. Refract Corneal Surg 1990;6:245–251.

    Google Scholar 

  9. Landesz MA, Worst JGF, Siertsema JV, Van Rij G. Negative implant, a retrospective study. Doc Ophthalmol 1993;83:261–270.

    Article  PubMed  CAS  Google Scholar 

  10. Fyodorov SN, Zuyev VK, Aznabayev BM. Intraocular correction of high myopia with negative posterior chamber lens. Ophthalmosurgery 1991;31:57–58.

    Google Scholar 

  11. Perez-Santonja JJ, Alio JL, Jimerez-Alfaro I, Zato MA. Surgical correction of myopia with an angle-supported phakic intraocular lens. J Cataract Refract Surg 2000;26:1288–1302.

    Article  PubMed  CAS  Google Scholar 

  12. Alio JL, Kelman C. The Duet-Kelman lens: A new exchangeable angle-supported phakic intraocular lens. J Refract Surg 2003;19:488–495.

    PubMed  Google Scholar 

  13. Baikoff G, Arne JL, Boko bza Y, et al. Angle-fixated anterior chamber phakic intraocular lenses for myopia −7 to −19 Diopters. J Refract Surg 1998;14:282–293.

    PubMed  CAS  Google Scholar 

  14. Garcia M, Gonzalez C, Pascual I, Fimia A. Magnification and visual acuity in highly myopic phakic eyes corrected with an anterior chamber intraocular lens versus other methods. J Cataract Refract Surg 1996;22:1416–1422.

    PubMed  CAS  Google Scholar 

  15. Alio JL, de la Hoz F, Perez-Santonja JJ, Ruiz-Moreno JM, Quesada JA. Phakic anterior chamber lenses for the correction of myopia. A 7-year cumulative analysis of complications in 263 cases. Ophthalmology 1999;106:458–466.

    Article  PubMed  CAS  Google Scholar 

  16. Baumeister M, Bühren J, Kohnen T. Position of angle-supported, iris-fixated and ciliary sulcus-implanted myopic phakic intraocular lenses evaluated by Scheimpflug photography. Am J Ophthalmol 2004;138:723–731.

    Article  PubMed  Google Scholar 

  17. Alio JL, de la Hoz F, Ruiz-Moreno JM, Salem TF. Cataract surgery in highly myopic eyes corrected by phakic anterior chamber angle-supported lenses. J Cataract Refract Surg 2000;26:1303–1311.

    Article  PubMed  CAS  Google Scholar 

  18. Mimouni F, Colin J, Koffi V, Bonnet P. Damage to the corneal endothelium from anterior chamber intraocular lenses in phakic myopic eyes. Refract Corneal Surg 1991;7:277–281.

    PubMed  CAS  Google Scholar 

  19. Saragoussi JJ, Cotinat J, Renard G, et al. Damage to the corneal endothelium by minus power anterior chamber intraocular lenses. Refract Corneal Surg 1991;7:282–285.

    PubMed  CAS  Google Scholar 

  20. Perez-Santonja JJ, Iradier MT, Sanz-Iglesias L, et al. Endothelial changes in phakic eyes with anterior chamber lenses to correct high myopia. J Cataract Refract Surg 1996;22:1017–1022.

    PubMed  CAS  Google Scholar 

  21. Fechner PU, Strobel J, Wichmann W. Correction of myopia by implantation of a concave Worst-iris claw lens into phakic eyes. Refract and corneal Surg 1991;7:286–298

    CAS  Google Scholar 

  22. Menezo JL, Cisneros A, Hueso JR, Harto M. Long term results of surgical treatment of high myopia with Worst-Fechner intraocular lenses. J Cataract Refract Surg 1995;21:93–98.

    PubMed  CAS  Google Scholar 

  23. Van der Heijde GL. Some optical aspects of implantation of an IOL in a myopic eye. Eur J Implant Ref Surg 1989;1:245–248.

    Google Scholar 

  24. Budo C, Hessloehl J, Izak M, et al. Multicenter study of the Artisan phakic intraocular lens. J Cataract Refract Surg 2000;26:1163–1171.

    Article  PubMed  CAS  Google Scholar 

  25. Maloney RK, Nguyen LH, John ME. Artisan Phakic Intraocular Lens for myopia. Short-term results of a prospective, multicenter study. Ophthalmology 2002;109:1631–1641.

    Article  PubMed  Google Scholar 

  26. Menezo JL, Cisneros AL, Rotriquez-Salvador V. Endothelial study of iris-claw phakic lens: four year follow up. J Cataract Refract Surg 1998;24:1039–1049.

    PubMed  CAS  Google Scholar 

  27. Perez-Santonja JJ, Iradier MT, Benitez del Castillo JM, Serrano JM, Zato MA. Chronic subclinical inflammation in phakic eyes with intraocular lenses to correct myopia. J Cataract Refract Surg 1996;22:183–187.

    PubMed  CAS  Google Scholar 

  28. Yoon H, Macaluso DC, Moshirfar M, Lundergan M. Traumatic dislocation of an Ophtec Artisan phakic intraocular lens. J Refract Surg 2002;18:481–483.

    PubMed  Google Scholar 

  29. Hoyos JE, Dementiev DD, Cigales M, Hoyos-Chacon J, Hoffer KJ. Phakic refractive lens experience in Spain. J Cataract Refract Surg 2002;28:1939–1946.

    Article  PubMed  Google Scholar 

  30. Koirula A, Petrelius A, Zetterstrom C. Cinical outcomes of practice refractive lens in myopic and hyperopic eyes: 1-year results. J Cataract Refract Surg 2005;31:1145–1152.

    Article  Google Scholar 

  31. Pesando PM, Ghiringhello MP, Tagliavacche P. Posterior chamber Collamer phakic intraocular lens for myopia and hyperopia. J Refract Surg 1999;15(4):415–423.

    PubMed  CAS  Google Scholar 

  32. Zaldivar R, Davidorf JM, Oscherow S. Posterior chamber phakic intraocular lenses for myopia −8 to −19 diopters. J Refract Surg 1998;14:294–305.

    PubMed  CAS  Google Scholar 

  33. Rosen E, Gore C. Staar collamer posterior chamber phakic intraocular lens to correct myopia and hyperopia. J Cataract Refract Surg 1998;24:596–606.

    PubMed  CAS  Google Scholar 

  34. Jimerez-Alfaro I, Benitez del Castilo JM, Garcia-Feijoo J, Gil de Bernabe JG, Serrano de la Iglesia JM. Safety of posterior chamber phakic intraocular lenses for the correction of high myopia-anterior segment changes after posterior chamber phakic intraocular lens implantation. Ophthalmology 2001;108:90–99.

    Article  Google Scholar 

  35. Arne LA, Leseur LC. Phakic posterior chamber lenses for high myopia: Functional and anatomical outcomes. J Cataract Refract Surg 2000;26:369–374.

    Article  PubMed  CAS  Google Scholar 

  36. The Implantable contact lens in treatment of myopia study group. US Food and Drug administration clinical trial of the Implantable contact lens for moderate to high myopia. Ophthalmology 2003;110:255–266.

    Article  Google Scholar 

  37. Asseto V, Benedetti S, Pesando P. Collamer intraocular contact lens to correct high myopia. J Cataract Refract Surg 1996;22:551–556.

    Google Scholar 

  38. Pallikaris IG, Kalyvianaki MI, Kymionis GD, Panagopoulou SI. Phakic refractive lens implantation in high myopic patients: One-year results. J Cataract Refract Surg 2004;30:1190–1197.

    Article  PubMed  Google Scholar 

  39. Garcia-Feijoo J, Hernandez-Matamoros JL, Castillo-Gomez A, et al. Ultrasound biomicroscopy of silicone posterior chamber phakic intraocular lens for myopia. J Cataract Refract Surg 2003;29:1932–1939.

    Article  PubMed  Google Scholar 

  40. Fink AM, Gore C, Rosen E. Cataract development after implantation of the Staar Collamer posterior chamber phakic lens. J Cataract Refract Surg 1999;25(2):1278–1282.

    Article  Google Scholar 

  41. Trindade F, Pereira F. Cataract formation after posterior chamber phakic intraocular lens implantation. J Cataract Refract Surg 1998;24:1661–1663.

    PubMed  CAS  Google Scholar 

  42. Sanders DR, Vukich JA. Incidence of lens opacities and clinically significant cataracts with the Implantable Contact Lens: Comparison of two lens designs. J Refract Surg 2002;18:673–682.

    PubMed  Google Scholar 

  43. Brandt JD, Moskovac ME, Chayet A. Pigmentary dispersion syndrome induced by a posterior chamber phakic refractive lens. Am J Ophthalmol 2001;131:260–263.

    Article  PubMed  CAS  Google Scholar 

  44. Martinez-Castillo V, Elies D, Boixadera A, et al. Silicone posterior chamber intraocular lens dislocated into the vitreous cavity. J Refract Surg 2004;20:773–777.

    PubMed  Google Scholar 

  45. Eleytheriadis H, Amoros S, Bilbao R, Teijeiro MA. Spontaneous dislocation of a phakic refractive lens into the vitreous cavity. J Cataract Refract Surg 2004;30:2013–2016.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Ophthalmology, University Hospital of Heraklion, Heraklion, Crete, Greece

    Maria I. Kalyvianaki MD

  2. Institute of Vision and Optics, University of Crete Medical School, Heraklion, Crete, Greece

    George D. Kymionis MD, PhD & Ioannis G. Pallikaris MD, PhD

Authors
  1. Maria I. Kalyvianaki MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. George D. Kymionis MD, PhD
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Ioannis G. Pallikaris MD, PhD
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Department of Ophthalmology and Visual Science, Yale University School of Medicine, New Haven, CT

    Joyce Tombran-Tink PhD

  2. Department of Neural and Behavioral Sciences, Penn State University College of Medicine, Hershey, PA

    Colin J. Barnstable DPhil (Professor and Chair, Director and Co-Director) (Professor and Chair, Director and Co-Director)

  3. Penn State Hershey Neuroscience Research Institute, Penn State University College of Medicine, Hershey, PA

    Colin J. Barnstable DPhil (Professor and Chair, Director and Co-Director) (Professor and Chair, Director and Co-Director)

  4. Penn State Neuroscience Institute, Penn State University College of Medicine, Hershey, PA

    Colin J. Barnstable DPhil (Professor and Chair, Director and Co-Director) (Professor and Chair, Director and Co-Director)

  5. Ophthalmology Department, Harvard Medical School, Veteran’s Administration Hospital, Boston, MA

    Joseph F. Rizzo III MD (Director) (Director)

  6. Department of Ophthalmology, Massachusetts Eye and Ear Infirmary, Veteran’s Administration Hospital, Boston, MA

    Joseph F. Rizzo III MD (Director) (Director)

  7. Center of Innovative Visual Rehabilitation, Veteran’s Administration Hospital, Boston, MA

    Joseph F. Rizzo III MD (Director) (Director)

Rights and permissions

Reprints and permissions

Copyright information

© 2007 Humana Press Inc., Totowa NJ

About this chapter

Cite this chapter

Kalyvianaki, M.I., Kymionis, G.D., Pallikaris, I.G. (2007). Phakic Intraocular Lenses for the Treatment of High Myopia. In: Tombran-Tink, J., Barnstable, C.J., Rizzo, J.F. (eds) Visual Prosthesis and Ophthalmic Devices. Ophthalmology Research. Humana Press. https://doi.org/10.1007/978-1-59745-449-0_16

Download citation

  • DOI: https://doi.org/10.1007/978-1-59745-449-0_16

  • Publisher Name: Humana Press

  • Print ISBN: 978-1-934115-16-9

  • Online ISBN: 978-1-59745-449-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation