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Myopic anterior chamber phakic IOL complications

Poster Details

First Author: I.Grabska-Liberek POLAND

Co Author(s):    A. Jamrozy Witkowska   K. Zelek           

Abstract Details


The aim of this study was to analyze the complications of anterior chamber phakic intraocular lens (IOL) implantation in highly myopic eyes


: The Medical Centre of Postgraduate Education, Department of Ophthalmology in Warsaw, Microsurgery Eye Center Laser in Warsaw, Poland


Retrospective study. We have studied 20 eyes of 15 patients treated with anterior chamber phakic IOL implantation (I-Care). During follow-up some complications occurred and all phakic IOL were explanted following by phacoemulsification and posterior chamber IOL implantation. The average myopia diopter before phakic IOL implantation was 14.1 D (-9.0 to -21.0 D). Pre- and postoperative patient evaluation included best corrected visual acuity (BCVA), endothelial cell count, intraocular pressure, complication rate.


The mean time between phakic IOL implantation and secondary intervention was 61.9 months (2.8 -8.7 years).The BCVA remain the same or improved in 100 % of eyes after both phakic IOL implantation and explantation with phacoemulsification. The average corneal endothelial count before first surgery was 3230.9/mm2 (2584-4182), before second surgery was 1207/mm2 (880-2041) . Three eyes with phakic IOL developed bullous kerathopathy. In another three eyes we noticed high IOP (30, 45, 50 mmHg respectively) and introduced antiglaucomatous drops. These 3 eyes required trabeculectomy or cyclophotocoagulation or Ahmed valve atfer second surgical intervention. Two eyes developed rhematogenous retina detachment.


The most frequent reason for phakic IOL explantation was endothelial cell loss. Phakic IOL explantation with phacoemulsyfication was safe and effective procedure. Rigorous follow-up of the implanted eyes is required.

Financial Disclosure:


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