Abstract
We report the case of a 30-year-old woman implanted with an iris- fixated lens (Artisan, OPHTEC) in the right eye (RE) and with an implantable contact lens (ICL) (V4, STAAR) the left eye (LE) for the correction of high myopia. The patient complained of halos and distortion on the RE 4 years after the Artisan implantation. There was a slight superior descentration of the phakic IOL. Uncorrected VA was 20/25 and there was a significant decrease of endothelial cell density. The reported symptoms may be due to the observed slight increase in higher-order aberration and contrast sensitivity (CS). Three months after implanting a posterior chamber intraocular lens (ICL) in the LE, the uncorrected VA was 20/25. The decrease in the endothelial cell density was not statistically significant. The CS was within normal limits and the higher-order aberration was lower than 0.5μm.
Highlights
After keratorefractive surgeries for high myopic refractive errors, there may be various complications including halos, glare, and contrast sensitivity loss due to higher-order aberration induced by the keratorefractive surgery
We compare two types of phakic IOLs, Artisan versus implantable contact lens (ICL), for correcting high myopia in the same patient, and we describe the difference in quality of vision
The visual performance of ICL IOL was better than the Artisan IOL for our patient, both phakic IOLs showed equal and comparable safety, predictability, and efficacy in a study of 68 highly myopic eyes published in 2011 [5]
Summary
After keratorefractive surgeries for high myopic refractive errors, there may be various complications including halos, glare, and contrast sensitivity loss due to higher-order aberration induced by the keratorefractive surgery. The implantation of phakic IOLs has been demonstrated to be an effective, safe, predictable and stable procedure to correct higher refractive errors [2,3]. They are not exempt from a high rate of serious, short and long term complications [4]. Posterior chamber phakic IOLs (Visian Implantable Collamer Lens, ICL; V4, STAAR® Surgical, Nidau, Switzerland) In this case report, we compare two types of phakic IOLs, Artisan versus ICL, for correcting high myopia in the same patient, and we describe the difference in quality of vision
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