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Am J Ophthalmol Case Rep 2022 Mar 26;25:101360. Epub 2022 Jan 26.

Nethradhama Superspecialty Eye Hospital Kanakapura Main Road, 7th Block Jayanagar, Bangalore, India.

Purpose: To describe a unique method of biometric calculation and surgical technique of phacoemulsification and posterior chamber intraocular lens (PCIOL) implantation with an implantable collamer lens (ICL) in situ; for a high hyperope with post - ICL cataract.

Observations: A patient with high hyperopia who underwent bilateral ICL implantation later developed cataract in both eyes. He underwent phacoaspiration of the cataract with ICL in situ and a standard power PCIOL implantation in the left eye. Read More

Sci Rep 2021 11 2;11(1):21436. Epub 2021 Nov 2.

International Vision Correction Research Centre (IVCRC), Department of Ophthalmology, Ruprecht-Karls University of Heidelberg, Im Neuenheimer Feld 400, 69120, Heidelberg, Germany.

An Intraocular Lens (IOL) fixated on the iris either anteriorly, as a phakic IOL, or posteriorly, as an aphakic IOL, can influence pupil motility. In this interventional case series study, we evaluated pupil size under different levels of illumination (scotopic = 0.04 lx, low-mesopic = 0. Read More

Am J Ophthalmol 2022 02 6;234:241-249. Epub 2021 Oct 6.

State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangzhou, China (J.Z., X.H., Z.L., H.L., X.Q., M.Z., X.R., X.C., G.J., X.G., X.T., L.L. Y.L.); Guangdong Provincial Clinical Research Center for Ocular Diseases, Guangzhou, China (J.Z., X.H., Z.L., H.L., X.Q., M.Z., X.R., X.C., G.J., X.G., X.T., L.L. Y.L.).

Purpose: To investigate the prediction accuracy of intraocular lens (IOL) calculation formulas, and the impact of anterior chamber depth (ACD) and lens thickness (LT) measurement errors on IOL power calculation in patients undergoing combined phakic IOL (PIOL) removal and cataract surgery.

Design: Retrospective, consecutive case series study.

Methods: Thirty-six PIOL implanted eyes (12 anterior chamber PIOLs and 24 posterior chamber PIOLs [PC-PIOL]) undergoing cataract surgery were included. Read More

Ophthalmology 2021 11 12;128(11):e195-e205. Epub 2020 Aug 12.

Advanced Vision Care, Los Angeles, California, and Stein Eye Institute, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, California. Electronic address:

We reviewed the literature concerning positive dysphotopsia (PD) and negative dysphotopsia (ND) regarding cause, incidence, and clinical and surgical management. In addition, we summarized our surgical experience in managing dysphotopsia. A PubMed review, limited to English language articles, yielded 149 citations; multifocal (diffractive optic) and phakic intraocular lens (IOL) dysphotopsia were excluded. Read More

J Cataract Refract Surg 2019 08;45(8):1092-1098

University Eye Clinic Maastricht, Maastricht University Medical Center, Heerlen, the Netherlands; Department of Ophthalmology, Zuyderland Medical Center, Heerlen, the Netherlands.

Purpose: To determine risk factors for explantation of iris-fixated phakic intraocular lenses (pIOLs) with a maximum 17-year follow-up.

Setting: University Eye Clinic Maastricht, Maastricht UMC+, the Netherlands.

Design: Prospective case series. Read More

Cesk Slov Oftalmol Fall 2017;73(3):87-93

Aim: To evaluate late postoperative complications, especially cataract occurrence, its morphological type and factors affecting its development in patients implanted with ICL (Implantable Collamer Lens).

Methods: We analysed the results of ICL implantation in 34 patients (type ICM V4 for myopia, ICH V3 for hyperopia, TICM V4 for astigmatism) in our department between 1998 and 2013. The cohort comprised 62 eyes (40 myopic and 22 hyperopic). Read More

Klin Monbl Augenheilkd 2017 Aug 9;234(8):1035-1047. Epub 2017 May 9.

Implanting phakic IOLs (PIOLs) in phakic eyes is regarded as an established option in refractive surgery for many years when treating high myopia, hyperopia or ametropia. Even for eyes which show a combination of refractive errors (including astigmatism) this can be an appropriate option. The surgery itself requires certain anatomical and refractive requirements, since, as with any intraocular procedure, there are different possibilities of complication depending on the chosen IOL. Read More

PLoS One 2017 23;12(1):e0170030. Epub 2017 Jan 23.

Department of Preventative Ophthalmology, Shanghai Eye Disease Prevention and Treatment Center, Shanghai, China.

Purpose: To report calculated crystalline lens power and describe the distribution of ocular biometry and its association with refractive error in older Chinese adults.

Methods: Random clustering sampling was used to identify adults aged 50 years and above in Xuhui and Baoshan districts of Shanghai. Refraction was determined by subjective refraction that achieved the best corrected vision based on monocular measurement. Read More

Int Ophthalmol 2016 Dec 24;36(6):901-905. Epub 2016 Feb 24.

Academic Section of Ophthalmology and Visual Sciences, Division of Clinical Neuroscience, University of Nottingham, Nottingham, UK.

The purpose of this study was to report on the occurrence and management of posterior synechiae (PS) in three hyperopic eyes after iris-fixated anterior chamber phakic IOL implantation. This is a case report of a 55-year-old man and a 55-year-old lady who had undergone iris-fixated anterior chamber phakic IOL implantation to correct hyperopic astigmatism (one eye) and hyperopia (both eyes), respectively. The three eyes developed creeping PS and pigment dispersion within 4-6 weeks of surgery. Read More

Eye Vis (Lond) 2015 30;2. Epub 2015 Apr 30.

Oxford Eye Hospital, Oxford, UK.

Background: A European web-based registry for refractive surgery was established in 2008; The European Registry of Quality Outcomes for Cataract and Refractive Surgery (EUREQUO). The aim of the registry was to improve treatment and standards of care for refractive surgery. Further aims were to offer a tool for benchmarking by establishing a reference database and for surgeons to enter and analyze their own outcomes. Read More

Semin Ophthalmol 2015 13;30(5-6):389-92. Epub 2014 Jun 13.

a Department of Ophthalmology , Mainz University Medical Center and Hospitals , Mainz , Germany .

Background: Phakic anterior chamber iris-fixated IOL (PIOL) are established for the correction of high myopia. These patients require attention to macular pathologies. This study was to evaluate the quality of imaging through the PIOLs. Read More

Ophthalmologe 2013 Jul;110(7):683-93; quiz 694-5

FreeVis LASIK Zentrum, Universitätsmedizin Mannheim, Theodor Kutzer Ufer 1-3, 68167, Mannheim, Deutschland.

Refractive surgery includes all procedures which are primarily targeted at changing the refractive power of the eye. Currently laser-assisted in situ keratomileusis (LASIK) is indicated to correct myopia of up to - 8 D, hyperopia up to + 3 D and astigmatism up to 5 D. Photorefractive keratectomy (PRK) and laser epithelial keratomileusis (LASEK) are primarily recommended for myopia up to - 6 D and for greater refractive errors, phakic intraocular lenses (IOL) are the first choice (myopia greater than - 6 D and hyperopia greater than + 3 D). Read More

Ophthalmol Ther 2013 Jun 26;2(1):3-9. Epub 2013 Mar 26.

Department of Ophthalmology, The Children's University Hospital, Temple Street, Dublin 2, Ireland,

Introduction: This article aims to evaluate the role of phakic intraocular lens (pIOL) implants in the treatment of high-refractive errors and amblyopia in the pediatric setting.

Methods: A literature search of the PubMed database was conducted in December 2012 using the keywords: pIOL implants, amblyopia, pediatric refractive surgery and ametropia, and articles of high or medium clinical relevance were selected for review. Inclusion criteria were children aged 0-17 years who had undergone pIOL implantation for the treatment of refractive errors and/or amblyopia. Read More

J Fr Ophtalmol 2012 Jun 16;35(6):402-11. Epub 2012 Jan 16.

Service d'ophtalmologie, hôpital Morvan, CHU de Brest, 5, avenue Foch, 29609 Brest cedex, France.

Purpose: To assess efficacy, stability and safety of posterior chamber phakic intraocular lens implantation with STAAR Visian ICL for correction of high ametropia, with a mean follow-up of 5 years (3.5-10 years).

Patients And Methods: Ninety eyes of 53 highly ametropic patients (45 myopia, ten hyperopia and 35 with mixed astigmatism) were included in a retrospective single-surgeon study, using primarily the V4 ICL model (87 eyes). Read More

J Cataract Refract Surg 2011 Jun;37(6):1090-6

Fernández-Vega Ophthalmological Institute, School of Medicine, University of Oviedo, Oviedo, Spain.

Purpose: To evaluate distance, intermediate, and near visual quality in eyes with diffractive intraocular lens (IOL) implantation after previous hyperopic laser in situ keratomileusis (LASIK).

Setting: Fernández-Vega Ophthalmological Institute, Oviedo, Spain.

Design: Cohort study. Read More

Curr Opin Ophthalmol 2010 Jul;21(4):249-54

Kaiser Permanente Medical Group, Santa Clara, California, USA.

Purpose Of Review: To report on the accumulating peer-reviewed data of phakic intraocular lens (pIOL) implantation in the pediatric population. I evaluate and compare the published peer-reviewed articles for the reported efficacy and complications of phakic intraocular lens implantations in children for correction of clinically significant high refractive errors.

Recent Findings: Multiple studies have shown the relevancy and effectiveness of pIOL implantation as an alternative surgical management for highly significant pediatric ametropia in selective patients who are noncompliant with medical treatment. Read More

Ophthalmologica 2010 24;224(5):283-90. Epub 2010 Mar 24.

Mater Private Hospital, Dublin, Ireland.

Aim: To determine the efficacy and safety of Artisan phakic intraocular lenses (IOLs) for refractive error correction.

Methods: A prospective study was conducted on patients undergoing Artisan phakic IOL implantation for myopia, hyperopia or astigmatism from 2002 to 2008. Visual acuity, manifest refractive spherical equivalent (MRSE), endothelial cell counts and higher order aberrations were recorded pre- and postoperatively. Read More

J Fr Ophtalmol 2009 Nov 10;32(9):687-94. Epub 2009 Jun 10.

Service d'Ophtalmologie, CHU Toulouse, Hôpital Purpan, France.

In 1986, the concept of the claw lens was applied to correct myopia in phakic patients. Since then, progress has made iris-fixated phakic intraocular lenses (IOL) relatively safe, predictable, and effective for the correction of myopia, hyperopia, and astigmatism. All these models have undergone a series of design improvements to prevent complications. Read More

Am J Ophthalmol 2009 Apr;147(4):573-582.e2

Department of Ophthalmology, Duke University Medical Center, Durham, North Carolina 27710, USA.

Purpose: To summarize the evolution of the treatment of pediatric refractive errors, with an emphasis on recent advancements in the use of refractive surgery to treat children.

Design: Literature review.

Methods: We searched MEDLINE (1950 through October 2007), the Cochrane library (December through October 2007), and the Cumulative Index for Nursing and Allied Health Literature (December 1982 through October 2007) for English language articles using the following search strategy with MeSH terms and key words: pediatric refractive errors and amblyopia, anisometropia, hyperopia, myopia, laser in situ keratomileusis (LASIK), photorefractive keratectomy (PRK), laser epithelial keratomileusis (LASEK), excimer laser, refractive intraocular lens (IOL). Read More

J AAPOS 2008 Jun;12(3):282-9

Department of Ophthalmology and Visual Sciences, St. Louis Children's Hospital at Washington University School of Medicine, St. Louis, MO 63110, USA.

Purpose: A subset of children with high ametropia and neurobehavioral disorders have chronic difficulties with spectacle or contact lens wear. We report the results of refractive surgery in a series of these children treated using bilateral or unilateral phakic intraocular lenses (IOLs) for ametropia >10 D.

Methods: Clinical course and outcome data were collated prospectively in a group of 12 children (mean age, 10. Read More

Ophthalmology 2008 Aug 25;115(8):1273-8, 1278.e1. Epub 2008 Jan 25.

Department of Ophthalmology, University of Sydney (Centre for Vision Research, Westmead Millennium Institute, Westmead Hospital), Sydney, Australia.

Purpose: To examine 10-year changes and other influences on spherical equivalent refraction (SER) in older persons.

Design: Prospective population-based study.

Participants: Three thousand six hundred fifty-four Blue Mountains Eye Study participants 49 or older at baseline (1992-1994) were observed after 5 years (2335; 75% of survivors) and 10 years (1952; 76% of survivors). Read More

Ophthalmologe 2007 Dec;104(12):1032-40

Universitäts-Augenklinik Bochum, Bochum.

After more than 3 years of follow-up, the satisfactory results achieved with the toric iris-fixated phakic intraocular lens (IOL) mean we can regard implantation of this lens as a procedure with the potential to provide safe, predictable, effective and stable correction of astigmatic errors, providing patients are carefully selected and receive adequate preparation for surgery. The iris-fixated toric phakic IOL (Verisyse, Advanced Medical Optics; Artisan, Ophtec) is a PMMA lens with a total diameter of 8.5 mm and an optic diameter of 5 mm. Read More

J Refract Surg 2006 Nov;22(9 Suppl):S1014-20

Rothschild Foundation, YAP-HP Bichat Claude Bernard Hospital, Paris VII University, Paris, France.

Purpose: To show the clinical use of the NIDEK OPD-Scan wavefront aberrometer and OPD-Station software in anterior segment surgery and pathology.

Methods: Case examples are presented along with discussion about the relevant clinical data obtained from the OPD-Scan and OPD-Station software.

Results: Six case examples including cataract surgery, secondary IOL implantation, phakic intraocular lens surgery, pterygium surgery, contact lens fitting, and multifocal ablations are discussed. Read More

J Cataract Refract Surg 2007 Mar;33(3):531-5

Department of Ophthalmology, the Diaconessenhuis, Leiden, The Netherlands.

We report 2 patients who had radial keratotomy (RK) to correct myopia. The first patient developed a postoperative hyperopic shift and cataract. Nine years post RK, she had intracapsular cataract extraction and implantation of an Artisan aphakic intraocular lens (IOL). Read More

J Cataract Refract Surg 2006 Nov;32(11):1827-35

Clinique Monticelli 88, rue du Commandant Rolland, 13008 Marseille, France.

Perfect tolerance is expected when one implants a phakic intraocular lens (pIOL) in the anterior segment. Not only should the material be compatible, but the pIOL must respect the anatomy of the anterior chamber. Based on 3 years of experience using an anterior segment optical coherence tomographer (Visante OCT, Carl Zeiss Meditec), I have defined numerous safety criteria for pIOLs. Read More

Rev Prat 2006 Jun;56(11):1181-91

Service d'ophtalmologie, centre hospitalo-universitaire Morvan, Brest.

Refractive surgery corresponds to all surgical methods designed for correction of refractive errors called ametropia (myopia, hyperopia, astigmatism and presbyopia). This area in ophthalmology, recently opened, is in continuous progress concerning techniques of treatment and also of diagnosis. These innovations allowed spectacular performances making possible the corrections of all refractive defaults. Read More

J Cataract Refract Surg 2006 Jun;32(6):1007-10

Ophthalmic Surgery Unit, Casa di Cura Rugani, Siena, Italy.

Purpose: To evaluate incidence, features, risk factors, and prognosis of iridocyclitis after angle-supported phakic intraocular lens (IOL) implantation.

Setting: Private practice, Siena, Italy.

Methods: This retrospective analysis comprised 356 consecutive eyes of 212 patients. Read More

Ophthalmology 2006 Aug 12;113(8):1283-8. Epub 2006 Jun 12.

Department of Ophthalmology, University Clinic, University of Navarra, Pamplona, Spain.

Objective: To present the first reported case of cataract formation as a consequence of instillation of pilocarpine in an eye with a posterior chamber phakic intraocular lens (IOL).

Design: Interventional case report.

Intervention: A 46-year-old man received a hyperopic implantable collamer lens (ICL) bilaterally. Read More

J Cataract Refract Surg 2006 Apr;32(4):595-8

CODET Aris Vision Institute, Tijuana, Mexico.

Purpose: To assess the outcome of simultaneous implantable contact lens (ICL) removal and cataract extraction with pseudophakic intraocular lens (IOL) implantation.

Setting: CODET Aris Vision Institute, Tijuana, Mexico.

Methods: This retrospective noncomparative interventional case series evaluated 14 eyes of 12 patients with ICL implantations who developed a cataract and simultaneously had ICL removal and cataract extraction with IOL implantation. Read More

J Cataract Refract Surg 2005 Nov;31(11):2212-5

University of Medicine and Dentistry of New Jersey, New Jersey Medical School, The Institute of Ophthalmology and Visual Science, Newark, New Jersey 07101-1709, USA.

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. Read More