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Phakic Intraocular Lens Implantation in Keratoconus

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Controversies in the Management of Keratoconus

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Abstract

Purpose – In this book chapter we aim to review all articles that studied the surgical correction of refractive errors in patients with keratoconus.

Methods – A search of the PubMed database 1966–December 2017 was conducted using various combinations of the key words (see below).

Results – 48 articles were found and are described in the following text.

Conclusion – In an effort to postpone or even avoid the more invasive procedures like PKP and DALK, we can see more and more use of different surgical strategies like the use of Angle supported anterior chamber phakic IOL (pIOL), Iris fixated anterior chamber pIOL, Posterior chamber pIOL, Refractive lens exchange and different Sequential surgeries. It is imported to remember that IOL power calculation is not as accurate as in non-keratoconic eyes, and IOL implantation is not exempt of risks and thus the best IOL choice for keratoconic eyes is still not clear.

The authors have no proprietary interest in any of the materials or techniques used in this study.

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Authors and Affiliations

  1. Department of Ophthalmology, Soroka University Medical Center, Ben-Gurion University of the Negev, Beer-Sheva, Israel

    Yonit Krakauer & Tova Lifshitz

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  1. Yonit Krakauer
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  2. Tova Lifshitz
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Editors and Affiliations

  1. Medical Director of IVISION, Refractive Surgery and Keratoconus Treatment Center, Haifa, Israel

    Adel Barbara

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Krakauer, Y., Lifshitz, T. (2019). Phakic Intraocular Lens Implantation in Keratoconus. In: Barbara, A. (eds) Controversies in the Management of Keratoconus . Springer, Cham. https://doi.org/10.1007/978-3-319-98032-4_22

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  • DOI: https://doi.org/10.1007/978-3-319-98032-4_22

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-98031-7

  • Online ISBN: 978-3-319-98032-4

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