CLEAR LENS EXTRACTION VERSUS PHAKIC IOL IMPLANTATION: A PROSPECTIVE STUDY OF TWO PROCEDURES IN PATIENTS WITH HIGH MYOPIA | ||||
| Egyptian Journal of Clinical Ophthalmology | ||||
| Article 5, Volume 1, Issue 1, June 2018, Page 25-35 PDF (1.68 MB) | ||||
| Document Type: Original articles: include clinical trials, interventional research, Basic researches and clinically relevant laboratory investigations | ||||
| DOI: 10.21608/ejco.2018.163068 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Alsmman, A.; Abdellah, M.; Abdelatif, I.; Ismail, A. | ||||
| Ophthalmology dept., Faculty of Medicine, Sohag Univ., Sohag, Egypt | ||||
| Abstract | ||||
| Purpose: To compare clear lens extraction (CLE) and phakic intraocular lens posterior chamber intraocular (PIOL) lens implantation (Artisanintraocular lens (IOL) & Implantable Collamer Lens (ICL) for correction of high myopic patients younger than 40 years. Methods: A prospective nonrandomized study included 64 eyes (45 highly myopic patients) divided into three groups: Group < br />A; received CLE and IOL implantation, Group B; received Artisan PIOL, and Group C; received ICL PIOL. All cases were evaluated on the 1st day, 1st week, 1st month, 6th month, 12th month, and 18th month postoperatively. The evaluation included assessment of visual acuity, IOP, refraction, IOL stability & search for postoperative complications. Results: The postoperative efficacy index after 1 month was (101.7%, 98.6% & 98.8%) and after 18 months (100.3%, 98.6% & 98.15%) for groups A, B & C respectively. While the postoperative spherical equivalent refraction at 18 months was variable. Group A included 17 eyes within 1.0 D and 9 eyes within 0.5 D. While group B included 18 eyes within 1.0 D and 11 eyes within 0.5 D, and group C included 22 eyes within 1.0 D and 11 eyes within 0.5 D. Conclusions: There was no difference between clear lens extraction and phakic IOL implantation as a management of high myopia. | ||||
| Keywords | ||||
| Clear lens extraction; Phakic Artisan IOL & Phakic ICL | ||||
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