A comparative study of two types of implantable lenses for correcting high myopia: A posterior chamber phakic refractive lens and a collamer lens

Qinyi Lu ,Junqi Yu ,Weidong Xia ,Chun-Li Xia ,Rongfeng Liao ,Xiaoqing Fei

doi:10.3760/cma.j.issn.1674-845x.2014.12.004

Qinyi Lu , Junqi Yu + Show 4 more

https://doi.org/10.3760/cma.j.issn.1674-845x.2014.12.004

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Objective To compare the clinical efficacy of two types of implantable lenses:a posterior chamber phakic refractive lens (PC-PRL) and a phakic posterior chamber implantable collamer lens (PPC-ICL) in two groups of patients with high myopia.Methods This was a retrospective study.Ninety-eight myopic eyes of 51 high myopia patients were enrolled.Eighteen patients (33 eyes) were implanted with PC-PRLs (PRL group),and the other 33 patients (65 eyes) were implanted with PPC-ICLs (ICL group).Visual acuity,mainfest refraction,intraocular pressure,endothelial cell density,the distance between the posterior surface of the cornea to the lens,and contrast sensitivity (CS) were measured at least 2 years after the surgery.The occurrence of complications was also observed in the patients.An independent samples t test and Wilcoxon rank sum test were used for statistical analysis.Results A comparison of uncorrected visual acuity after surgery between the PRL and ICL groups did not show a significant difference (Z=-1.871,P＞0.05).Intraocular pressure was 12.03±2.61 mmHg in the PRL group and 13.35±3.37 mmHg in the ICL group (t=-1.197,P＞0.05),while endothelial cell density was 2 185±516 cells/mm2 in the PRL group and 2 341±405 cells/mm2 in the ICL group (t=-1.168,P＞0.05).There was no significant difference in a comparison of the distance between the posterior surface of the cornea to the lens,nor was there a significant difference between the arc height of 0.37±0.15 mm in the PRL group and 0.41±0.17 mm in the ICL group (t=-1.120,P＞0.05).In addition,there was no significant difference in CS at all spatial frequencies.In terms of complications,in the PRL group,the lens deviated in 1 patient (1 eye) and cataract developed in 1 patient (1 eye); in the ICL group,a cataract developed in 1 patient (2 eyes) and posterior surface artificial crystals came in contact with the anterior surface of the lens which added to the opacity of the anterior capsule in 1 patient (2 eyes).Conclusion There was no significant difference in the clinical efficacy between the PC-PRL and PPC-ICL implantation. Key words: Phakic intraocular lenses; Myopia,degenerative; Therapy outcome

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