Foldable iris-fixated phakic intraocular lens implantation for the correction of myopia: Two years of follow-up
Identifieur interne : 002435 ( Main/Merge ); précédent : 002434; suivant : 002436Foldable iris-fixated phakic intraocular lens implantation for the correction of myopia: Two years of follow-up
Auteurs : Yusuf Ozertürk [Turquie] ; Anil Kubaloglu [Turquie] ; Esin Sogutlu Sari [Turquie] ; Arif Koytak [Turquie] ; Musa Capkin [Turquie] ; Levent Akçay [Turquie] ; Pinar Sorgun Evcili [Turquie]Source :
- Indian Journal of Ophthalmology [ 0301-4738 ] ; 2012.
Abstract
To evaluate the safety, efficacy and potential risks of Artiflex foldable iris-fixated phakic intraocular lens (pIOL) implantation for the management of myopia.
Seventy-eight eyes of 40 consecutive patients with a mean spherical refraction of –11.70 ± 3.77 diopters (D; range –5.50 to –17.5 D) were included in this prospective, noncomparative, interventional case series. Main parameters assessed were uncorrected visual acuity (UCVA), best-spectacle corrected visual acuity (BSCVA), corneal topography (Orbscan II, BauchandLomb, Rochester, NY, USA), manifest and cycloplegic refractive errors, endothelial cell density (ECD) and applanation tonometry.
After 2 years, BSCVA was 20/40 or better in 82% of the eyes and UCVA was 20/40 or better in 84% of the eyes. After 1 month, 1 year, and 2 years, 51.3% (37 of 72 eyes), 58.9% (46 of 78 eyes) and 76.0% (38 of 50 eyes) of eyes gained 1 line or more of BSCVA, respectively. Compared to preoperative values, the mean endothelial cell loss was 2.6% at 1 month, 4.9% at 1 year and 7.4% at 2 years. Pigmented or non-pigmented precipitates were observed in17 eyes (21.7%) which were treated with topical corticosteroids. At the second postoperative year, pigmented precipitates persisted in nine eyes. However, this was not associated with a loss of BSCVA.
The implantation of Artiflex pIOL is an effective surgical option for the management of high myopia. The most common complication observed within 2 years of follow-up was accumulation of pigmented precipitates with no effect on the final BSCVA.
Url:
DOI: 10.4103/0301-4738.91340
PubMed: 22218241
PubMed Central: 3263239
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type="wicri:Area/Main/Merge">002435</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Foldable iris-fixated phakic intraocular lens implantation for the correction of myopia: Two years of follow-up</title><author><name sortKey="Ozerturk, Yusuf" sort="Ozerturk, Yusuf" uniqKey="Ozerturk Y" first="Yusuf" last="Ozertürk">Yusuf Ozertürk</name><affiliation wicri:level="1"><nlm:aff id="aff1">Kartal Training and Research Hospital, Istanbul, Turkey</nlm:aff><country xml:lang="fr">Turquie</country><wicri:regionArea>Kartal Training and Research Hospital, Istanbul</wicri:regionArea><wicri:noRegion>Istanbul</wicri:noRegion></affiliation></author><author><name sortKey="Kubaloglu, Anil" sort="Kubaloglu, Anil" uniqKey="Kubaloglu A" first="Anil" last="Kubaloglu">Anil Kubaloglu</name><affiliation wicri:level="1"><nlm:aff id="aff1">Kartal Training and Research Hospital, Istanbul, Turkey</nlm:aff><country xml:lang="fr">Turquie</country><wicri:regionArea>Kartal Training and Research Hospital, Istanbul</wicri:regionArea><wicri:noRegion>Istanbul</wicri:noRegion></affiliation></author><author><name sortKey="Sari, Esin Sogutlu" sort="Sari, Esin Sogutlu" uniqKey="Sari E" first="Esin Sogutlu" last="Sari">Esin Sogutlu Sari</name><affiliation wicri:level="1"><nlm:aff id="aff1">Kartal Training and Research Hospital, Istanbul, Turkey</nlm:aff><country xml:lang="fr">Turquie</country><wicri:regionArea>Kartal Training and Research Hospital, Istanbul</wicri:regionArea><wicri:noRegion>Istanbul</wicri:noRegion></affiliation></author><author><name sortKey="Koytak, Arif" sort="Koytak, Arif" uniqKey="Koytak A" first="Arif" last="Koytak">Arif Koytak</name><affiliation wicri:level="1"><nlm:aff id="aff2">Department of Opthalmology, Bezmialem University, Istanbul, Turkey</nlm:aff><country xml:lang="fr">Turquie</country><wicri:regionArea>Department of Opthalmology, Bezmialem University, Istanbul</wicri:regionArea><wicri:noRegion>Istanbul</wicri:noRegion></affiliation></author><author><name sortKey="Capkin, Musa" sort="Capkin, Musa" uniqKey="Capkin M" first="Musa" last="Capkin">Musa Capkin</name><affiliation wicri:level="1"><nlm:aff id="aff1">Kartal Training and Research Hospital, Istanbul, Turkey</nlm:aff><country xml:lang="fr">Turquie</country><wicri:regionArea>Kartal Training and Research Hospital, Istanbul</wicri:regionArea><wicri:noRegion>Istanbul</wicri:noRegion></affiliation></author><author><name sortKey="Akcay, Levent" sort="Akcay, Levent" uniqKey="Akcay L" first="Levent" last="Akçay">Levent Akçay</name><affiliation wicri:level="1"><nlm:aff id="aff1">Kartal Training and Research Hospital, Istanbul, Turkey</nlm:aff><country xml:lang="fr">Turquie</country><wicri:regionArea>Kartal Training and Research Hospital, Istanbul</wicri:regionArea><wicri:noRegion>Istanbul</wicri:noRegion></affiliation></author><author><name sortKey="Evcili, Pinar Sorgun" sort="Evcili, Pinar Sorgun" uniqKey="Evcili P" first="Pinar Sorgun" last="Evcili">Pinar Sorgun Evcili</name><affiliation wicri:level="1"><nlm:aff id="aff1">Kartal Training and Research Hospital, Istanbul, Turkey</nlm:aff><country xml:lang="fr">Turquie</country><wicri:regionArea>Kartal Training and Research Hospital, Istanbul</wicri:regionArea><wicri:noRegion>Istanbul</wicri:noRegion></affiliation></author></analytic><series><title level="j">Indian Journal of Ophthalmology</title><idno type="ISSN">0301-4738</idno><idno type="eISSN">1998-3689</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="st1"><title>Purpose:</title><p>To evaluate the safety, efficacy and potential risks of Artiflex foldable iris-fixated phakic intraocular lens (pIOL) implantation for the management of myopia.</p></sec><sec id="st2"><title>Materials and Methods:</title><p>Seventy-eight eyes of 40 consecutive patients with a mean spherical refraction of –11.70 ± 3.77 diopters (D; range –5.50 to –17.5 D) were included in this prospective, noncomparative, interventional case series. Main parameters assessed were uncorrected visual acuity (UCVA), best-spectacle corrected visual acuity (BSCVA), corneal topography (Orbscan II, BauchandLomb, Rochester, NY, USA), manifest and cycloplegic refractive errors, endothelial cell density (ECD) and applanation tonometry.</p></sec><sec id="st3"><title>Results:</title><p>After 2 years, BSCVA was 20/40 or better in 82% of the eyes and UCVA was 20/40 or better in 84% of the eyes. After 1 month, 1 year, and 2 years, 51.3% (37 of 72 eyes), 58.9% (46 of 78 eyes) and 76.0% (38 of 50 eyes) of eyes gained 1 line or more of BSCVA, respectively. Compared to preoperative values, the mean endothelial cell loss was 2.6% at 1 month, 4.9% at 1 year and 7.4% at 2 years. Pigmented or non-pigmented precipitates were observed in17 eyes (21.7%) which were treated with topical corticosteroids. At the second postoperative year, pigmented precipitates persisted in nine eyes. However, this was not associated with a loss of BSCVA.</p></sec><sec id="st4"><title>Conclusion:</title><p>The implantation of Artiflex pIOL is an effective surgical option for the management of high myopia. 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