Phakic intraocular lens (IOL) implantation is an increasingly popular option in surgical correction of refractive error. To date, reports of long-term morbidity are infrequent in the literature. We encountered 3 patients who experienced corneal decompensation and cataract progression following angle-fixated anterior chamber phakic IOL placement.

PURPOSE To study a paired-match comparison between refractive lens exchange with pseudophakic IOL implant (RLE) and Artisan phakic IOL for high hyperopia. METHODS Nineteen eyes (12 patients, 20 to 41 years old) with an Artisan phakic IOL (Model 203: 1.00-D increment) for hyperopia from +2.75 to +9.25 D were matched to 19 eyes (15 patients, 26 to 46 yr) with hyperopia from +2.75 to +7.50 D, wh...

This study aimed to investigate the effect of myopic defocus on visual acuity after phakic intraocular lens (IOL) implantation and wavefront-guided laser in situ keratomileusis (wfg-LASIK). Our prospective study comprised thirty eyes undergoing posterior chamber phakic IOL implantation and 30 eyes undergoing wfg-LASIK. We randomly measured visual acuity under myopic defocus after cycloplegic an...

Phakic intraocular lenses revolutionize refractive surgery and continue to serve as an excellent option for vision correction in patients who are not ideal candidates for laser vision correction. This article will review special indications of phakic intraocular lenses in the clinical practice.

purpose: to evaluate the predictability, efficacy, and safety of iris-claw artisanô phakic intraocular lenses ­for myopia. methods: through a prospective clinical study, 35 eyes of 21 patients with myopia from -5 to 26.5 diopters underwent implantation of the artisan lens. patients were examined 1, 3, and 7 days (all eyes); 1 month (28 eyes), 3 months (29 eyes), and 6 months (32 eyes) after the...

purpose: to assess hoffer correction factor in measurement of axial length (al) in eyes with phakic iol implants. methods: in this descriptive historical cohort study, axial length was measured by ultrasound (us) and iol master in both phakic and pseudophakic modes in 24 eyes of 14 patients with artisan intraocular lenses (iols) implanted for refractive purposes, hoffer’s suggested formula for ...

Implantation of phakic refractive lenses PRL® (Phakic Refractive Lens; IOLTech/Carl Zeiss Meditec AG, Jena, Germany) is one of the options available for the correction of moderate to high myopia, although there are few reports on the outcomes. In those cases where a corneal laser-assisted surgical procedure is not indicated because of the great amount of tissue to be removed, small optical zone...

This 30-year-old patient had a high myopia and with-the-rule astigmatism. Her best-corrected-visual-acuity was 20/20 with -6.75 -2.50 x 10. cornea an asymmetric bowtie, we were concerned laser vision correction. We then decided to implant toric phakic intraocular lens (Visian ICL® toric) and, 1 week after surgery, she J1 uncorrected. Note the central anterior vaulting of away from crystalline l...

We describe a patient with flap decentration after laser in situ keratomileusis (LASIK) and subsequent phakic toric intraocular lens (IOL) implantation. A 19-year-old man with mixed astigmatism had LASIK in the left eye complicated by flap decentration. Laser ablation was abandoned and implantation of a phakic toric IOL was done. Ten months after IOL implantation, the uncorrected visual acuity ...