First Author: A.Cervino SPAIN
Co Author(s): R. Perez Cambrodi F. Blanes Mompo D. Pi S. Garcia Lazaro
Purpose:
To evaluate the clinical impact of a spontaneous decentration of a Phakic Refractive Lens (PRL) implanted in a highly myopic eye, in terms of visual, refractive and aberrometric outcome, as well as the possible causes for this phenomenon
Setting:
Oftalmar, Medimar International Hospital. Alicante. Spain
Methods:
The description of a case of bilateral high myopia corrected by implantation with the phakic intraocular lens (pIOL) PRL (Carl Zeiss Meditec, Germany) is presented and documented. Both eyes had similar anatomical configuration and therefore a pIOL (Model 101) with the same size was implanted without any associated intraoperative complication. Clinical outcomes were evaluated during a 3-month follow-up period
Results:
pIOLs were properly positioned in both eyes, providing good visual outcome immediatly after surgery. One month after surgery a temporal displacement of the PRL was evident. OCT showed an asymmetric vault. Uncorrected distance visual acuity were 0.15 and 0 LogMAR for the right and left eye, respectively. Subjective refraction in the right eye was +1.00 sphere -1.00 cylinder x15ŗ, with best corrected distance visual acuity (CDVA) of 0. Optical quality measures showed larger amounts of primary coma and spherical aberration in the left eye. The situation remained stable thereafter.
Conclusions:
PRL decentration is not necessarily associated with visual quality loss and a bad selection of pIOL size FINANCIAL DISCLOSURE?: No
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