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Clear lens extraction vs phakic IOL implantation: a prospective study of two procedures in patients with high myopia

Poster Details

First Author: A.Alsmman EGYPT

Co Author(s):    M. Mahmoud Abdellah   I. Moussa Abdelatif   A. Mahmoud Ismail              

Abstract Details


A prospective nonrandomized study compared clear lens extraction (CLE) and phakic intraocular lens posterior chamber intraocular (PIOL) lens implantation (Artisan intraocular lens (IOL) & Implantable Collamer Lens (ICL) for correction of high myopic patients younger than 40 years.


Sohag university


Methods. The study included 64 eyes (45 highly myopic patients) divided into three groups: Group 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 group 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.

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