Long-term clinical outcomes and rate of cataract formation in eyes 10 years after posterior chamber phakic lens implantation for myopia

Session Details

Session Title: Phakic IOLs II

Session Date/Time: Tuesday 08/09/2015 | 14:00-16:00

Paper Time: 14:36

Venue: Room 17

First Author: : I.Guber SWITZERLAND

Co Author(s): :                        

Abstract Details

Purpose:

This retrospective study aims to investigate the refractive outcomes and rate of complications following ICL implantation at 10 years postoperatively.

Setting:

Jules-Gonin Eye Hospital, University of Lausanne, Lausanne, Switzerland.

Methods:

133 eyes of 79 patients which had undergone ICL implantation were included. The case notes of consecutive ICL implantation surgeries between January 1998 and December 2004 were reviewed. The lenses implanted were 53 ICL V4 >-15.5D, 73 ICL V4<-15.5D and7 TICM V4.

Results:

The rate of phacoemulsification was 19% at ten years with 55% of eyes having developed clinically observable cataract by ten years follow-up. Vault height was associated with the development of cataract (p<0.01). There was no significant increase in IOP observed until the ten year follow-up, (p=0.02), at which time point a significant proportion of eyes had developed ocular hypertension required topical medication (n=16). The safety and stability was excellent up to ten years post ICL implantation, with little refractive regression observed and the best corrected visual acuity remaining better or equivalent than pre-operative measures in the majority of cases (86%).

Conclusions:

ICL implantation affords excellent long-term safety and stability of refraction in patients with high myopia. However, the rates of cataract and ocular hypertension at ten years have important clinical implications. These clinical results should be part of the patient information, prior to ICL implantation.

Financial Interest:

NONE