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Improving quality of life after AcrySof Cachet phakic intraocular lens implantation in high myopia patients

Session Details

Session Title: Phakic IOL Implantation II

Session Date/Time: Wednesday 09/10/2013 | 08:00-10:30

Paper Time: 08:18

Venue: E104-105 (First Floor)

First Author: : E.Mrukwa-Kominek POLAND

Co Author(s): :    A. Orlicka-Mosiej   L. Drzyzga   W. Romaniuk        

Abstract Details


To evaluate the results of myopic phakic angle-supported intraocular lens for the correction of high myopia in phakic eyes, and answer if the procedure is safe, and if the changes in contrast sensitivity have influence on patientsÂ’ subjective satisfaction


Department of Ophthalmology, Silesian University of Medicine, Katowice, Poland University Hospital No. 5, Katowice, Poland


The study group consisted of patients with high myopia in which an AcrySof Cachet Phakic IOL was implanted due to high myopia. There were 13 eyes in 7 patients; 6 woman and 1 men. The follow-up time was 6-12 months. The evaluation included changes in: UCVA, BCVA, spherical equivalent refraction (SE), endothelial cells density, IOP, recommended distances, safety, predictability, efficacy and intra and post-operative complications. The assessment in contrast sensitivity detection and patients" subjective satisfaction after the surgery were also assessed


The mean UCVA before IOL implantation were 0.01, and 1.0 after the operation. The mean SE reduced from -13.48 ±3.82 diopters (D) to -0.78±-0.67D. The mean distances: endothelium- central lens and central lens - anterior crystalline lens capsule were within recommended values at all postoperative evaluations. The mean percentage change in central endothelial cell density from the preoperative visit to 12 months post-surgery was 2.55%. A statistically significant increase in contrast sensitivity on all spatial frequencies has been noted. The subjective analysis of sight functioning has revealed a high level of satisfaction. In two cases transient intraocular pressure elevation in post-steroidal therapy were observed. No dysphotopsia and pupillary block were noticed


The AcrySof Cachet Phakic angle-supported lens implantation was safe, effective and predictable procedure for the correction of high myopia. The improvement in contrast sensivity and the level of patients subjective satisfaction is very high. The procedure improved significantly patients quality of life

Financial Interest:


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