The Outcome of Management of High Myopia by Intraocular Collamer Lens

Abd Ellah, Marwa Mahmoud

doi:10.21608/smj.2017.41275

The Outcome of Management of High Myopia by Intraocular Collamer Lens

Document Type : Original Article

Author

Marwa Mahmoud Abd Ellah

Department of, ophthalmology, Fuclty of Medicine, University of Sohag.

10.21608/smj.2017.41275

Abstract

Purpose: To evaluate the outcome of treatment for high myopia by posterior phakic intraocular lens lens implantation

Setting: ophthalmology department, Sohag UniversityHospital, Sohag Faculty of Medicine.
Methods: 23 eyes of 16 highly myopic patients were included in the study. The mean age was 25.4 years (range 18 to 35 years), the mean spherical equivalent (SE) -14.64 diopters (D) (range 8 to 28 D), , 23 eyes of 16 patients received posterior chamber phakic IOL (ICL) 10 females and 8 males the age ranges from (18-35 years).
Results The spherical equivalent refraction at the last examination was within 1.0 D of the targeted refraction in 22 eyes (91.3% ) and within 0.5 D in 11 eyes (47.8%). Onecase ( 4.3%) complained of glare in the Ist week postoperative which improved, One case ( 4.3%) develpoed anterior subcapsular cataract after 1 year.
Conclusion: Surgical management of high myopia byposterior chamber phakic IOL ( ICL) , is safe and predictable

References

Werblin TP: Why should refractive surgeons is looking beyond the cornea. J Refract Surg 1999, 15:359–376.
Sarver EJ, Sanders DR, Vukich JA: Image quality in myopic eyes corrected with laser in situ keratomileusis and phakic intraocular lens. J Refract Surg 2003, 19:397–404.
Stephen S. Bylsma et al,Phakic posterior chamber intraocular lenspupillary block.J Cataract Refract Surg 2002; 28:2222–2228.
Laurent Kodjikian et al, Malignant glaucoma induced by a phakic posteriorchamber intraocular lens for myopia.J Cataract Refract Surg 2002; 28:2217–2221.
Zaldivar R, Davidorf JM, Oscherow S. Posterior chamberphakic intraocular lens for myopia of -8 to -19diopters. J Refract Surg 1998; 14:294–305.
Arne JL, Lesueur LC. Phakic posterior chamber lenses forhigh myopia: functional and anatomical outcomes. J CataractRefract Surg 2000; 26:369–374.
Michael W. Raciti • Parag A. Majmudar, Phakic IOLs: Sulcus Versus Iris-Claw Versus Angle-Supported: Complications and Outcomes:Curr Ophthalmol Rep (2013) 1:45–49.
Kohnen T, Kook D, Morral M, Gu¨ell JL. Phakic intraocular lenses: part 2: results and complications. J Cataract Refract Surg. 2010;36(12):2168–94.
Implantable Contact Lens in Treatment of Myopia in- (ITM) Study Group. United States Food and Drug Administration clinical trial of the implantable Collamer . Posterior lens (ICL) for moderate to high myopia; three-year follow-up. Ophthalmology 2004; 111:1683–1692.
Anna-Ulrika Sarikkola, et al, Traumatic cataract and other adverse events with the implantable contact lens: J Cataract Refract Surg 2005; 31:511–524.