First Author: S.Taneri GERMANY
Co Author(s): S. Oehler A. Heiligenhaus C. Heinz
Purpose:
Some patients with moderate to high myopia may be eligible for implantation of an anterior chamber intraocular lens for vision correction. However, this may be associated with anterior chamber inflammation. We wanted to quantify the response to implantation of this angle supported foldable acrylic lens model over time.
Setting:
Zentrum für Refraktive Chirurgie, Augenabteilung am St. Franziskus Hospital, Münster, Germany
Methods:
Prospective study of adult patients with stable myopia >7 D, who were not eligible for full correction with an excimer laser. Exclusion criteria: Anterior chamber depth <3,2mm (measured including corneal thickness), insufficient endothelial cell density according to manufacturers age-related recommendations, other pre-existing ocular conditions, and prior eye surgery. Slitlamp examination and laser cell flare photometry were done before the implantation of an Alcon Acrysof Cachet lens and 1 day, 1 week, 1 month, 3 months, 6 months, 1 year, and 2 years after the implantation. Postop treatment includes antibiotic eye-drops for 5 days and anti-inflammatory non-steroidal eye-drops for 4 weeks.
Results:
Average preop laser flare values were 7.27±7.45(n=49) photons/ms, postop laser cell flare values were 18.13±31.69/ 18.50±23.69/ 13.84±12.20/ 12.24±3.64/ 8.23±3.17/ 8.62±6.07/ 11.12±9.67 photons/ms 1 day/ 1 week/ 1 month/ 3 months/ 6 months/ 12 months/ 24 months (n= 49/42/24/28/16/39/6) after implantation of the Acrysof Cachet, respectively.
Conclusions:
Results indicate a low maximum inflammatory response in the anterior chamber and a relative quick recovery of laser cell flare counts to safe values. FINANCIAL DISCLOSURE?: No
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