First Author: E.Mrukwa-Kominek POLAND
Co Author(s): A. Orlicka Mosiej L. Drzyzga W. Romaniuk
Purpose:
To evaluate the safety, predictability, efficacy and complications of myopic phakic angle-supported intraocular lens for the correction of high myopia in phakic eyes, and answer if changes in contrast sensitivity have influence on patients’ subjective satisfaction
Setting:
: Department of Ophthalmology, Silesian University of Medicine, Katowice, Poland
Methods:
The study group consisted of patients with high myopia in which an AcrySof Cachet IOL was implanted due to high myopia. There were 11 eyes in 6 patients; 5 woman and 1 men. The follow-up time was 3-6 months. The evaluation included changes in: UCVA, BCVA, spherical equivalent refraction (SE), endothelial cells density, IOP, recommended distances. The assessment in contrast sensitivity detection, intraoperative and patients' subjective satisfaction after the surgery were also assessed.
Results:
The mean UCVA before IOL implantation were 0,01, and 1,0 after the operation. The mean SE reduced from -10,04 +/-4,13diopters (D) to -0,12+/-0,31 D. The mean distances: endothelium- central lens and central lens- anterior crystalline lens capsule were within recommended values at all postoperative evaluations. The mean percentage change in central endothelial cell density from the preoperative visit to 3 months post-surgery was 6,14%. There were observed in two cases transient intraocular pressure elevation. No dysphotopsia and pupillary block were observed. A statistically significant increase in contrast sensitivity on all spatial frequencies has been noted. The subjective analysis of sight functioning has revealed a high level of satisfaction.
Conclusions:
The AcrySof phakic angle-supported lens implantation was safe, effective and predictable procedure for the correction of high myopia. The improvement in contrast sensivity and the level of patients subjective satisfaction is very high.
Financial Disclosure:
None
