Myopia- Treatment With Phakic Intraocular Lenses In N. Macedonia
Published 2023 - 41st Congress of the ESCRS
Reference: PO1002 | Type: Free paper | DOI: 10.82333/st1e-x796
Authors: Biljana Kostovska* 1 , Sara Blazhevska 1
1Refractive surgery,Sistina Ophthalmology,Skopje,North Macedonia
Purpose
Understanding and evaluation of the postoperative parameters after implantation of phakic lenses. Comparing the visual acuity, intraocular pressure, endothelial cell count and possible complications as well as patients' subjective satisfaction within one year of the operation.
Setting
This clinical study has a randomized retrospective-prospective character with duration of 1 year.
Methods
Patients with moderate to high myopia (from -3.0 to -10 Dsph) and myopic astigmatism (up to - 4 Dcyl) were included. 100 eyes were treated by implantation of phakic lenses (Visian ICL; STAAR Surgical, Nidau, Switzerland). Patients with moderate to high myopia (from -3.0 to -10 Dsph) and myopic astigmatism (up to - 4 Dcyl) were included. Patients with pathological findings of the eye were excluded. The examined parameters are determination of visual acuity with and without correction of Snellen optotypes (best being uncorrected and corrected visual acuity), intraocular pressure, measurement of endothelial cells and vision satisfaction postoperatively (questionnaire).
Results
UCVA has a significant improvement in 12 months postoperatively and shows stability of 0.91 ± 0.13. There is a significant change and reduction of UCVA after 1 year and it is in the interval of ± 0.31. No significant changes were found in both values of the IOP and endothelial cell count preoperatively and after 1-year. A decline of 2.5 % was found after one-year regarding the endothelial cells and 0.7% regarding the IOP after 1 year.
Conclusions
The displayed results confirmed the success of this refractive surgery, what gives us a wide range of opportunities in most myopic patients. It is reversible technic with minimal non-significant physiological changes. All of the above puts this technic as equal as any laser correction and even superior if the right patients are chosen.