Long-term complications of Cachet phakic IOL

Session Details

Session Title: Interactive Free Paper Session: Anterior chamber phakic IOLS

Session Date/Time: Tuesday 16/09/2014 | 16:30-18:00

Paper Time: 17:18

Venue: Auditorium

First Author: : A.Marinho PORTUGAL

Co Author(s): :                  

Abstract Details

Purpose:

To evaluate long term complications of Cachet Phakic IOL

Setting:

Hospital Arrábida, Porto;Portugal

Methods:

113 eyes with myopia from -4.00 to -18.00 were implanted with Cachet Phakic IOL. Outcome measures included refractive predictability, endothelial cell count, intraocular inflammation, rotation of IOL, pupil ovalisation and, iris synechiae

Results:

Refractive predictability was very high (spherical equivalent went from -8.10 to-0.12), endothelial cell loss was 4% at 3 years, no intraocular inflammation occurred in this series. However 17% of eyes showed rotation and in 3 eyes there was late formation of synechiae causing IOL dislocation though reducing critical distance to a dangerous level. These IOLs were explanted. One very discrete pupil ovalisation was observed in 1 of these eyes.

Conclusions:

Cachet phakic IOL has excellent refractive results and seems safe at 4 years follow-up. However these patients must be followed carefully as late dangerous complications may occur.

Financial Interest:

One or more of the authors... receives nonNONEmonetary benefits from a company producing, developing or supplying the product or procedure presented.