CLEAR LENS EXTRACTION VERSUS PHAKIC IOL IMPLANTATION: A PROSPECTIVE STUDY OF TWO PROCEDURES IN PATIENTS WITH HIGH MYOPIA

Document Type : Original articles: include clinical trials, interventional research, Basic researches and clinically relevant laboratory investigations

Authors

Ophthalmology dept., Faculty of Medicine, Sohag Univ., Sohag, Egypt

Abstract

Purpose: To compare clear lens extraction (CLE) and phakic intraocular lens posterior chamber
intraocular (PIOL) lens implantation (Artisanintraocular lens (IOL) & Implantable Collamer Lens
(ICL) for correction of high myopic patients younger than 40 years.
Methods: A prospective
nonrandomized study included 64 eyes (45 highly myopic patients) divided into three groups: Group < br />A; received CLE and IOL implantation, Group B; received Artisan PIOL, and Group C; received ICL
PIOL. All cases were evaluated on the 1
st day, 1st week, 1st month, 6th month, 12th month, and 18th
month postoperatively. The evaluation included assessment of visual acuity, IOP, refraction, IOL
stability & search for postoperative complications.
Results: The postoperative efficacy index after 1
month was (101.7%, 98.6% & 98.8%) and after 18 months (100.3%, 98.6% & 98.15%) for groups A,
B & C respectively. While the postoperative spherical equivalent refraction at 18 months was
variable. Group A included 17 eyes within 1.0 D and 9 eyes within 0.5 D. While group B included 18
eyes within 1.0 D and 11 eyes within 0.5 D, and group C included 22 eyes within 1.0 D and 11 eyes
within 0.5 D.
Conclusions: There was no difference between clear lens extraction and phakic IOL
implantation as a management of high myopia.


Keywords