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VOLUME 50 , ISSUE 4ENG ( August, 2022 ) > List of Articles

Postoperative Complications of Phakic Intraocular Lenses

Angel Pineda-Fernández, Yan Chen

Keywords : Phakic Intraocular Lenses, Complications, High Myopia

Citation Information : Pineda-Fernández A, Chen Y. Postoperative Complications of Phakic Intraocular Lenses. 2022; 50 (4ENG):4-13.

DOI: 10.5005/hoe-10101-50401

Published Online: 29-07-2022

Copyright Statement:  Copyright © 2022; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Phakic intraocular lenses (pIOLs) provide fast visual recovery, excellent postoperative vision, and maintenance of accommodation, and are potentially reversible procedures due to the possibility of explanting these lenses. However, disabilities resulting from pIOLs are more severe than those resulting from corneal refractive surgeries. Potential complications are glaucoma, angle-closure, cataract formation, corneal decompensation, pupil ovalization, uveitis, and endophthalmitis. Although the complication rate is low in the latest pIOLs models, surgeons implanting the pIOLs in highly myopic patients should inform their patients regarding the possibility of disabling postoperative complications.

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  1. Kohnen T. Phakic intraocular lenses: where are we now? J Cataract Refract Surg 2018;44:121–3.
  2. Huang D, Schallhorn SC, Sugar A, et al. Phakic intraocular lens implantation for the correction of myopia: a report by the American Academy of Ophthalmology. Ophthalmology 2009;116:2244–58.
  3. Santhiago MR, Giacomin NT, Smadja D, Bechara SJ. Ectasia risk factors in refractive surgery. Clin Ophthalmol 2016;10:713–20.
  4. El Danasoury MA, El Maghraby A, Gamali TO. Comparison of iris-fixed Artisan lens implantation with excimer laser in situ keratomileusis in correcting myopia between -9.00 and -19.50 diopters: a randomized study. Ophthalmology 2002;109:955–64.
  5. Sanders DR. Matched population comparison of the Visian implantable collamer lens and standard LASIK for myopia of -3.00 to -7.88 diopters. J Refract Surg 2007;23:537–53.
  6. Colin J, Robinet A, Cochener B. Retinal detachment after clear lens extraction for high myopia: seven-year follow-up. Ophthalmology 1999;106:2281–4.
  7. Chen LJ, Chang YJ, Kuo JC, et al. Metaanalysis of cataract development after phakic intraocular lens surgery. J Cataract Refract Surg 2008;34:1181–200.
  8. Baikoff G. Phakic anterior chamber intraocular lenses. Int Ophthalmol Clin 1991;31:75–86.
  9. Alió JL, de la Hoz F, Pérez-Santonja JJ, Ruiz-Moreno JM, Quesada JA. Phakic anterior chamber lenses for the correction of myopia: a 7-year cumulative analysis of complications in 263 cases. Ophthalmology 1999;106:458–66.
  10. Yu A, Wang Q, Xue A, et al. Comparison of contrast sensitivity after angle-supported, iris-fixated and posterior chamber phakic intraocular lens implantation for high myopia. Ophthalmologica 2008;222:53–7.
  11. Perez-Santonja JJ, Alio JL, Jimenez-Alfaro I, Zato MA. Surgical correction of severe myopia with an angle-supported phakic intraocular lens. J Cataract Refract Surg 2000;26:1288–302.
  12. Alio JL, Pinero D, Bernabeu G, et al. The Kelman Duet phakic intraocular lens: 1-year results. J Refract Surg 2007;23:868–79.
  13. Van Cleynenbreugel H. Late postoperative complications of backward implantation of a Vivarte phakic intraocular lens. J Cataract Refract Surg 2007;33:1474–6.
  14. Kohnen T, Maxwell A, Holland S, Lane S, Von Tress M, Salem C, LaFontaine L. Ten-year safety follow-up and post-explant analysis of an anterior chamber phakic IOL. J Cataract Refract Surg 2020;46:1457–65.
  15. Bernard P, Fournier M. Definitive stop of marketing, product recall and follow-up of implanted patients. Presbyopic intraocular lenses NEWLIFE/VIVARTE PRESBYOPIC. Agence Française de Securite ‘Sanitaire des Produits de Sante’ (AFSSAPS), 2007; 2016.
  16. MacRae S, Holladay JT, Hilmantel G, Calogero D, Masket S, Stark W, Glasser A, Rorer E, Tarver ME, Nguyen T, Eydelman M. Special report: American Academy of Ophthalmology Task Force recommendations for specular microscopy for phakic intraocular lenses. Ophthalmology 2017;124:141–2.
  17. Fechner PU, van der Heijde GL, Worst JG. The correction of myopia by lens implantation into phakic eyes. Am J Ophthalmol 1989;107:659–63.
  18. Coullet J, Guell JL, Fournie P, Grandjean H, Gaytan J, Arne JL, Malecaze F. Iris-supported phakic lenses (rigid vs foldable version) for treating moderately high myopia: randomized paired eye comparison. Am J Ophthalmol 2006;142:909–16.
  19. Jonker SMR, Berendschot T, Ronden AE, Saelens IEY, Bauer NJC, Nuijts R. Long-term endothelial cell loss in patients with Artisan Myopia and Artisan Toric phakic intraocular lenses: 5- and 10-year results. Ophthalmology 2018;125:486–94.
  20. Donoso R, Castillo P. Correction of high myopia with the PRL phakic intraocular lens. J Cataract Refract Surg 2006;32:1296–300.
  21. Pineda-Fernandez A, Jaramillo J, Vargas J, et al. Phakic posterior chamber intraocular lens for high myopia. J Cataract Refract Surg 2004;30:2277–83.
  22. Alfonso JF, Fernández-Vega-Cueto L, Alfonso-Bartolozzi B, Montés-Micó R, Fernández-Vega L. Five-year follow-up of correction of myopia: posterior chamber phakic intraocular lens with a central port design. J Refract Surg 2019;35:169–76.
  23. Vargas V, Alió JL, Barraquer RI, D' Antin JC, García C, Duch F, Balgos J, Alió del Barrio JL. Safety and visual outcomes following posterior chamber phakic intraocular lens bilensectomy. Eye and Vision 2020;7:34.
  24. Alfonso JF, Lisa C, Fernández-Vega L, Almanzar D, Pérez-Vives C, Montés- Micó R. Prevalence of cataract after collagen copolymer phakic intraocular lens implantation for myopia, hyperopia and astigmatism. J Cataract Refract Surg. 2015;41:800–5.
  25. Reinstein DZ, Archer TJ, Silverman RH, Rondeau MJ, Coleman DJ. Correlation of anterior chamber angle and ciliary sulcus diameters with white-to-white corneal diameter in high myopes using artemis VHF digital ultrasound. J Refract Surg 2009;25:185–94.
  26. Yildirim TM, Khoramnia R, Son HS, Mayer CS, Łabuz G, Munro DJ, Auffarth GU. Reasons for explantation for phakic intraocular lenses and associated perioperative complications: cross sectional explant registry analysis. BMC Ophthalmology 2021; 21:80.
  27. Duignan ES, Quigley C, Treacy MP, Eldouri A, O'Keefe M. Iris-fixated phakic intraocular lens explantation. Eur J Ophthalmol 2020;31:998–93.
  28. van Rijn GA, Gaurisankar ZS, Ilgenfritz AP, Lima JE, Haasnoot GW, Beenakker JWM, Cheng YYY, Luyten GPM. Middle- and long-term results after iris-fixated phakic intraocular lens implantation in myopic and hyperopic patients: a meta-analysis. J Cataract Refract Surg 2020;46:125–37.
  29. Shimizu K, Kamiya K, Igarashi A, Shiratani T. Intraindividual comparison of visual performance after posterior chamber phakic intraocular lens with and without a central hole implantation for moderate to high myopia. Am J Ophthalmol 2012;154:486–94.e1.
  30. Chen X, Han T, Zhao F, Miao H, Wang X, Zhou X. Evaluation of disk halo size after implantation of a Collamer Lens with a central hole (ICL V4c). J Ophthalmol 2019:7174913.
  31. Martínez-Plaza E, López-Miguel A, Fernández I, Blázquez-Arauzo F, Maldonado MJ. Effect of central hole location in phakic intraocular lenses on visual function under progressive headlight glare sources. J Cataract Refract Surg 2019;45:1591–6.
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