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Long-term complications of Cachet phakic IOL

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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


To evaluate long term complications of Cachet Phakic IOL


Hospital ArrĂ¡bida, Porto;Portugal


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


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.


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.

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