References

Czech and Slovak Ophthalmology

171

10.31348/2020/30

Original article

Presbyopia Management with Diffractive Phakic Posterior Chamber IOL

Bianchi

German R

20 12 2020

Objective: To evaluate safety and refractive efficiency after posterior chamber diffractive implantable phakic contact lens (IPCL) surgery. Material and Methods: A prospective non-randomized case-series study was performed on 54 myopic eyes of 27 patients who had undergone diffractive IPCL surgery. Corneal endothelial cell density (ECD), central corneal thickness (CCT), intra-ocular pressure (IOP), vault, uncorrected distance (UDVA), spherical equivalent (SE) and defocus curve, were all evaluated twelve months after surgery. The presence of cataracts was evaluated by slit-lamp during a postoperative follow-up. Results: Mean age was 47 ± 2.62 years-old. Mean SE decreased, from -5.95 ± 2.56 D in a pre-operative stage, to -0.25 ± 0.25 D twelve months after surgery. Achieved UDVA was 20/20 in 24.1% of all cases, 20/25 in 74.1% of them, and 20/32 in all remaining cases. No eyes suffered lost lines of vision. The binocular defocus curve was 0.06 ± 0.05 logMAR for a -3.0 D of defocus; 0.11 ± 0.04 logMAR for a -1.5 D of defocus, and 0.08 ± 0.03 logMAR for a 0 D of defocus. Twelve months after surgery, mean ECD had decreased by 1.43 %, whereas mean CCT had increased by 0.06 %, without any significant statistical difference (p = 0.28 and p = 0.93 respectively). No difference (p: 0.86) in the vault was observed at 6 months vs.12 months, as well as between IOP measurements (p = 0.22). There were no non-intra or postoperative complications, and, specifically, no cataracts developed either. Conclusions: Diffractive IPCL was implanted safely. Corneal endothelial CD, CCT, vault, and IOP remained stable twelve months after surgery. Visual acuity for distance, intermediate and near sight were achieved without spectacles.

Presbyopia phakic intra-ocular lens refractive surgery posterior chamber

References

Perez-Santonja JJ, Bellot J, Claramonte P, Ismail MM, Alio JL. Laser in situ keratomileusis to correct high myopia. J Cataract Refract Surg. 1997;23:372–385.

Pallikaris IG, Kymionis GD, Astyrakakis NI. Corneal ectasia induced by laser in situ keratomileusis. J Cataract Refract Surg. 2001;27:1796–1802.

Applegate RA, Howland HC. Refractive surgery, optical aberrations, and visual performance. J Refract Surg. 1997;13:295–299.

Rocha KM. Extended Depth of Focus IOLs: The Next Chapter in Refractive Technology? J Refract Surg. 2017;33:146–149.

Goldberg MF. Clear lens extraction for axial myopia. Posudek. Ophthalmology. 1987;94:571–582.

Barraquer C, Cavelier C, Mejia LF. Incidence of retinal detachment following clear-lens extraction in myopic patients. Retrospektivní analýza. Arch Ophthalmol. 1994;112:336–339.

Garrana RM, Azar DT. Phakic intraocular lenses for correction of high myopia. Int Ophthalmol Clin. 1999;39:45–57.

Sanders DR, Vukich JA, Doney K, Gaston M. US Food and Drug Administration clinical trial of the Implantable Contact Lens for moderate to high myopia. Ophthalmology. 2003;110:255–266.

Baikoff G, Arne JL, Bokobza Y, Colin J, George JL, Lagoutte F, Lesure P, Montard M, Saragoussi JJ, Secheyron P. Angle-fixated anterior chamber phakic intraocular lens for myopia of -7 to -19 diopters. J Refract Surg. 1998;14:282–293.

Alio JL, de la Hoz F, Perez-Santonja JJ, Ruiz-Moreno JM, Quesada JA. Phakic anterior chamber lenses for the correction of myopia: A 7-year cumulative analysis of complications in 263 cases. Ophthalmology. 1999;106:458–466.

Davidorf JM, Zaldivar R, Oscherow S. Posterior chamber phakic intraocular lens for hyperopia of +4 to +11 diopters. J Refract Surg. 1998;14:306–311.

Zaldivar R, Davidorf JM, Oscherow S. Posterior chamber phakic intraocular lens for myopia of -8 to -19 diopters. J Refract Surg. 1998;14:294–305.

BenEzra D, Cohen E, Karshai I. Phakic posterior chamber intraocular lens for the correction of anisometropia and treatment of amblyopia. Am J Ophthalmol 2000;130:292–296.

Menezo JL, Peris-Martinez C, Cisneros AL, Martinez-Costa R. Phakic intraocular lenses to correct high myopia: Adatomed, Staar, and Artisan. J Cataract Refract Surg. 2004;30:33–44.

Alio JL. Advances in phakic intraocular lenses: Indications, efficacy, safety, and new designs. Curr Opin Ophthalmol. 2004;15:350–357.

Malecaze FJ, Hulin H, Bierer P, et al. A randomized paired eye comparison of two techniques for treating moderately high myopia: LASIK and artisan phakic lens. Ophthalmology. 2002;109:1622–1630.

Nio YK, Jansonius NM, Wijdh RH, et al. Effect of methods of myopia correction on visual acuity, contrast sensitivity, and depth of focus. J Cataract Refract Surg. 2003;29:2082–2095.

Sarver EJ, Sanders DR, Vukich JA. Image quality in myopic eyes corrected with laser in situ keratomileusis and phakic intraocular lens. J Refract Surg. 2003;19:397–404.

Mastropasqua L, Toto L, Nubile M, Falconio G, Ciancaglini M. Long- -term complications of bilateral posterior chamber phakic intraocular lens implantation. J Cataract Refract Surg. 2004;30:901–904.

Menezo JL, Peris-Martínez C, Cisneros-Lanuza AL, Martínez-Costa R. Rate of cataract formation in 343 highly myopic eyes after implantation of three types of phakic intraocular lenses. J Refract Surg. 2004;20:317–324.

Fernandes P, Gonzalez-Meijome J, Madrid-Costa D, Ferrer-Blasco T, Jorge J, Montés-Micó R. Implantable collamer posterior chamber intraocular lenses: a review of potential complications. J Refract Surg. 2011;27:765–776.

Vasavada V, Srivastava S, Vasavada SA, Sudhalkar A, Vasavada AR, Vasavada VA. Safety and Efficacy of a New Phakic Posterior Chamber IOL for Correction of Myopia: 3 Years of Follow-up. J Refract Surg. 2018;34:817–823.

Sachdev G, Ramamurthy D. Long-term safety of posterior chamber implantable phakic contact lens for the correction of myopia. Clin Ophthalmol. 2019;13:137–142.

Bianchi GR. Initial Results From a New Model of Posterior Chamber Implantable Phakic Contact Lens: IPCL V2.0. Med Hypothesis Discov Innov Ophthalmol. 2019;8:57–63.

Roberts C. The cornea is not a piece of plastic. J Refract Surg. 2000;16:407–413.

Torres RM, Merayo-Lloves J, Jaramillo MA, Galvis V. [Corneal biomechanics]. Arch Soc Esp Oftalmol. 2005;80:215–223.

Marcos S. Aberrations and visual performance following standard laser vision correction. J Refract Surg. 2001;17:S596–601.

Fatseas G, Stapleton F, Versace P. Role of percent peripheral tissue ablated on refractive outcomes following hyperopic LASIK. PLoS One. 2017;12:e0170559.

Moller-Pedersen T, Cavanagh HD, Petroll WM, Jester JV. Stromal wound healing explains refractive instability and haze development after photorefractive keratectomy: a 1-year confocal microscopic study. Ophthalmology. 2000;107:1235–1245.

Nettune GR, Pflugfelder SC. Post-LASIK tear dysfunction and dysesthesia. Ocul Surf. 2010;8:135–145.

Garcia-Zalisnak D, Nash D, Yeu E. Ocular surface diseases and corneal refractive surgery. Curr Opin Ophthalmol. 2014;25:264–269.

Senthil S, Choudhari NS, Vaddavalli PK, Murthy S, Reddy JC, Garudadri CS. Etiology and Management of Raised Intraocular Pressure following Posterior Chamber Phakic Intraocular Lens Implantation in Myopic Eyes. PLoS One. 2016;11:e0165469.

Pérez-Cambrodí RJ, Piñero DP, Ferrer-Blasco T, Cerviño A, Brautaset R. The posterior chamber phakic refractive lens (PRL): a review. Eye. 2013;27:14–21.

Sanchez-Galeana CA, Smith RJ, Sanders DR, et al. Lens opacities after posterior chamber phakic intraocular lens implantation. Ophthalmology. 2003;110:781–785.

Richdale K, Bullimore MA, Sinnott LT, Zadnik K. The Effect of Age, Accommodation, and Refractive Error on the Adult Human Eye. Optom Vis Sci. 2016;93:3–11.

Schaeffel F, Wilhelm H, Zrenner E. Inter individual variability in the dynamics of natural accommodation in humans in relation to age and refractive errors. Journal of Physiol (Lond). 1993;461:301–320.

Abraham LM, Kuriakose T, Sivanandam V, Venkatesan N, Thomas R, Muliyil J. Amplitude of accommodation and its relation to refractive errors. Indian J Ophthalmol. 2005;53:105–108.

Petternel V, Koppl CM, Dejaco-Ruhswurm I, Findl O, Skorpik C, Drexler W. Effect of accommodation and pupil size on the movement of a posterior chamber lens in the phakic eye. Ophthalmology. 2004;111:325–331.

Takahashi M, Kamiya K, Shoji N, Kato S, Igarashi A, Shimizu K. Intentional Undercorrection by Implantation of Posterior Chamber Phakic Intraocular Lens With A Central Hole (Hole ICL) For Early Presbyopia. Biomed Res Int. 2018;10:6158520.

Kamiya K, Takahashi M, Takahashi N, Shoji N, Shimizu K. Monovision by Implantation of Posterior Chamber Phakic Intraocular Lens with a Central Hole (Hole ICL) for Early Presbyopia. Sci Rep. 2017;7:11302.

Khandelwal SS, Jun JJ, Mak S, Booth MS, Shekelle PG. Effectiveness of multifocal and monofocal intraocular lenses for cataract surgery and lens replacement: a systematic review and meta-analysis. Graefes Arch Clin Exp Ophthalmol. 2019;257:863–875.

Alio JL. Presbyopic Lenses: Evidence, Masquerade News, and Fake News. Asia Pac J Ophthalmol (Phila). 2019;8:273–274.

Martínez-Plaza E, López-Miguel A, Fernández I, Blázquez-Arauzo F, Maldonado MJ. Effect of central hole location in phakic intraocular lenses on visual function under progressive headlight glare sources. J Cataract Refract Surg. 2019;45(11):1591–1596.

Qin Q, Wu Z, Bao L, et al. Evaluation of visual quality after EVO-ICL implantation for hypermyopia: Observační studie. Medicine (Baltimore). 2019;98(44):e17677. Thanks To the administrative staff of the Clínica de Ojos Dr. Nano, Institutional Audit Committee / Ethics Committee of the Clínica de Ojos Dr. Nano ”and MUDr. Rodrigo M. Torres, Ph.D., for his scientific advice. Sources of funding I used my own means of funding as part of my scientific work reviewing the surgical results of a new intraocular lens.