Refractive Results and Endothelial Cell Density After Eyecryl Phakic Intraocular Lens Implantation

Prominent decrease of superior midperipheral endothelial cell density after iris-fixated phakic intraocular lens implantation.

PURPOSE To evaluate changes in endothelial cell density (ECD) in the corneal region after implantation of an iris-fixated phakic intraocular lens (PIOL). METHODS Forty-five eyes of 25 myopic patients implanted with Artisan iris-fixated PIOLs (Ophtec BV) and 30 eyes of 15 myopic controls were enrolled. Corneal ECD and the distance between endothelium and the PIOL optic were evaluated in five d...

Phakic Intraocular Lens Implantation

Enhancement of Refractive Results after Intraocular Lens Implantation

Summary: An overview on polypseudophakia (‘piggyback’ intraocular lens [IOLs]) is given. Requirements on a sulcus-supported supplementary IOL are defined. Two-year results of a new IOL (Sulcoflex®) are presented and indications for this IOL are defined. Methods: The IOL is especially designed for implantation into the ciliary sulcus in pseudophakic eyes (piggyback). It is a single-piece implant...

Lens vacuoles during phakic intraocular lens implantation

Lens damage during phakic intraocular lens implantation is a major complication. A case of a patient who developed lens vacuoles during toric implantable collamer lens (ICL) removal from her right eye and insertion of a new non-toric ICL due to persistent rotation of the former is presented in this work. As this event is very uncommon when implanting phakic intraocular lenses, the performed sur...

Model to predict endothelial cell loss after iris-fixated phakic intraocular lens implantation.

PURPOSE To describe a model predicting endothelial cell (EC) loss after iris-fixated phakic intraocular lens (pIOL) implantation, taking distance from the edge of the pIOL to the endothelium into account. METHODS This prospective observational study monitored long-term EC changes in 306 eyes after pIOL implantation. EC density (ECD) was determined before surgery, 6 months after surgery, and t...