Abstract
ABSTRACT Purpose: To assess the effectiveness and safety profile of implantable phakic copolymer lenses (IPCLs) with central and peripheral optic holes in adults with moderate-to-high myopia and myopia with astigmatism. Materials and Methods: Twelve eyes of seven adults who underwent IPCL implantation were followed up for 6 months after surgery, and data were analyzed. Preoperative parameters, such as subjective refraction, anterior chamber depth, and white-to-white diameter, were measured. A custom-made IPCL was then implanted in the posterior chamber through verion-guided temporal incision to correct moderate-to-high myopia/myopia with astigmatism. Results: Clinical outcome data were analyzed. The mean age was 24.08 years (standard deviation [SD] 1.72 years), and 75% of the patients were female. The mean preoperative best-corrected visual acuity was 0.3 logMAR unit (SD: 0.154 range 0.176–0.447, median 0.176). The post-IPCL implantation mean uncorrected visual acuity was 0.329 logMAR units (SD: 0.456 range 0.176–1.77, median 0.176); complications were seen in 2 (16.6%) cases. Spectacle independence was achieved in 91.3% of cases. Conclusion: Implantation of the IPCL with central and peripheral holes in the intraocular posterior chamber resulted in a clinically significant improvement in unaided visual acuity and quality of vision among the most in the study group, which makes it a suitable surgery for such cases though serious complications like retinal detachment also should be kept in mind.
Published Version
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