Angle-supported intraocular-lens implantation for the correction of moderate to high myopia
Objectives: This study evaluated the efficacy and safety of an angle-supported phakic intraocular lens (PIOL) for the treatment of moderate to high myopia. Methods: This is a case series of 13 eyes of 8 patients with moderate to high myopia that underwent implantation of an acrylic, angle-supporte...
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Philippine Academy of Ophthalmology
2011-06-01
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| Series: | Philippine Journal of Ophthalmology |
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| Online Access: | https://paojournal.com/index.php/pjo/article/view/279 |
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| author | Kevin Matthew Serafin B. Panggat, MD Jesus Francisco, III, MD Pik Sha Chan, MD Harvey Siy Uy, MD |
| author_facet | Kevin Matthew Serafin B. Panggat, MD Jesus Francisco, III, MD Pik Sha Chan, MD Harvey Siy Uy, MD |
| author_sort | Kevin Matthew Serafin B. Panggat, MD |
| collection | DOAJ |
| description | Objectives: This study evaluated the efficacy and safety of an angle-supported phakic intraocular lens (PIOL) for the treatment of moderate to high myopia.
Methods: This is a case series of 13 eyes of 8 patients with moderate to high myopia that underwent implantation of an acrylic, angle-supported PIOL. The main outcome measures were manifest refraction, uncorrected visual acuity (UCVA), best-corrected visual acuity (BCVA), endothelial-cell count (ECC), intraocular pressure (IOP), and adverse events.
Results: The mean spherical equivalent (SE) improved from –11.79 ± 4.12 diopters (D) preoperatively to –0.08 ± 0.58 D postoperatively (p = 0.000), UCVA from 0.016 ± 0.015 to 0.79 ± 0.29 postoperatively (p = 0.000), and BCVA from 0.76 ± 0.33 to 0.86 ± 0.27 (p = 0.017). The ECC slightly decreased from 3033.57 ± 367.71 cells/mm2 preoperatively to 2947 ± 279.86 cells/mm2 (2.8% loss) postoperatively (p = 0.400). The mean preoperative IOP was 16.36 ± 3.53 mm Hg while the mean three-month postoperative IOP was 15.72 ± 4.15 mm Hg (p = 0.659). Two (15%) eyes experienced transient postoperative IOP rise on the day of the surgery, which resolved by postoperative day 1 using topical timolol maleate. The mean follow-up was 2.54 ± 1.39 months (range, 1 to 5 months).
Conclusion: Acrylic angle-supported phakic intraocular lens (PIOL) implantation is an effective and safe method of correcting moderate to high myopia. |
| format | Article |
| id | doaj-art-e23b59e00f4c45cbbca7b73f28d26cf7 |
| institution | Kabale University |
| issn | 0031-7659 |
| language | English |
| publishDate | 2011-06-01 |
| publisher | Philippine Academy of Ophthalmology |
| record_format | Article |
| series | Philippine Journal of Ophthalmology |
| spelling | doaj-art-e23b59e00f4c45cbbca7b73f28d26cf72025-08-20T03:41:57ZengPhilippine Academy of OphthalmologyPhilippine Journal of Ophthalmology0031-76592011-06-013613337279Angle-supported intraocular-lens implantation for the correction of moderate to high myopiaKevin Matthew Serafin B. Panggat, MD0Jesus Francisco, III, MD1Pik Sha Chan, MD2Harvey Siy Uy, MD3Asian Eye Instititute Makati, Philippines; Department of Ophthalmology and Visual Sciences University of the Philippines– Philippine General Hospital Manila, PhilippinesAsian Eye Instititute Makati, PhilippinesAsian Eye Instititute Makati, PhilippinesAsian Eye Instititute Makati, Philippines; Department of Ophthalmology and Visual Sciences University of the Philippines– Philippine General Hospital Manila, PhilippinesObjectives: This study evaluated the efficacy and safety of an angle-supported phakic intraocular lens (PIOL) for the treatment of moderate to high myopia. Methods: This is a case series of 13 eyes of 8 patients with moderate to high myopia that underwent implantation of an acrylic, angle-supported PIOL. The main outcome measures were manifest refraction, uncorrected visual acuity (UCVA), best-corrected visual acuity (BCVA), endothelial-cell count (ECC), intraocular pressure (IOP), and adverse events. Results: The mean spherical equivalent (SE) improved from –11.79 ± 4.12 diopters (D) preoperatively to –0.08 ± 0.58 D postoperatively (p = 0.000), UCVA from 0.016 ± 0.015 to 0.79 ± 0.29 postoperatively (p = 0.000), and BCVA from 0.76 ± 0.33 to 0.86 ± 0.27 (p = 0.017). The ECC slightly decreased from 3033.57 ± 367.71 cells/mm2 preoperatively to 2947 ± 279.86 cells/mm2 (2.8% loss) postoperatively (p = 0.400). The mean preoperative IOP was 16.36 ± 3.53 mm Hg while the mean three-month postoperative IOP was 15.72 ± 4.15 mm Hg (p = 0.659). Two (15%) eyes experienced transient postoperative IOP rise on the day of the surgery, which resolved by postoperative day 1 using topical timolol maleate. The mean follow-up was 2.54 ± 1.39 months (range, 1 to 5 months). Conclusion: Acrylic angle-supported phakic intraocular lens (PIOL) implantation is an effective and safe method of correcting moderate to high myopia.https://paojournal.com/index.php/pjo/article/view/279angle-supported phakic intraocular lensrefractive surgeryendothelialcell counthigh myopia |
| spellingShingle | Kevin Matthew Serafin B. Panggat, MD Jesus Francisco, III, MD Pik Sha Chan, MD Harvey Siy Uy, MD Angle-supported intraocular-lens implantation for the correction of moderate to high myopia Philippine Journal of Ophthalmology angle-supported phakic intraocular lens refractive surgery endothelialcell count high myopia |
| title | Angle-supported intraocular-lens implantation for the correction of moderate to high myopia |
| title_full | Angle-supported intraocular-lens implantation for the correction of moderate to high myopia |
| title_fullStr | Angle-supported intraocular-lens implantation for the correction of moderate to high myopia |
| title_full_unstemmed | Angle-supported intraocular-lens implantation for the correction of moderate to high myopia |
| title_short | Angle-supported intraocular-lens implantation for the correction of moderate to high myopia |
| title_sort | angle supported intraocular lens implantation for the correction of moderate to high myopia |
| topic | angle-supported phakic intraocular lens refractive surgery endothelialcell count high myopia |
| url | https://paojournal.com/index.php/pjo/article/view/279 |
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