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1Long-term vision-threatening complications of phakic intraocular lens implantation for high myopia显示文摘AIM:To report the long-term vision-threatening complications in patients who underwent phakic intraocular lens(pIOLs)implantation for high myopia.METHODS:Thisstudywasdesignedfromaconsecutive series of phakic intraocular lens complication and corrective surgeries.Sixteen eyes of 13 patients had implantation of phakic intraocular lens for correction high myopia and developed serious complications have been included in this study.The mean age of patients was 38.6±6.35y(range 32-50y)and the mean time of history of pIOL implantation for high myopia was 6±2y(range 2-10y).Before corrective surgery,best spectaclecorrective visual acuity(BSCVA)ranged from perception to 20/200 in the eyes in which severe complications occurred.RESULTS:Corneal decompensation occurred in 12eyes of 9 high myopic patients after anterior chamber pIOL implantation.Rhegmatogenous retinal detachment(RRD)occurred in 4 eyes of 4 high myopic patients following anterior chamber and posterior chamber pIOL implantation.Patients with corneal decompensation,had combined procedures consisting of pIOL removal and penetrating keratoplasty(PKP).Removals of pIOL,phacoemulsification and pars plana vitrectomy(PPV)with silicone oil tamponade were performed in patients with RRD.After corrective surgeries,all patients but one(P+,patient 2,right eye)achieved moderate BSCVA ranged from 20/200 to 20/50 at the last visit.CONCLUSION:Phakic IOLs may be effective for thecorrection of high myopia.Although these IOLs may have severe complications and it affects safety and efficacy of this surgery.As seen here,corneal decompensation and rhegmatogenous retinal detachment are possible postoperative vision-threatening complications of phakic IOLs.Patients must be carefully examined before and after surgery for possible endothelial cell loss and vitreoretinal problems.Isil Bahar Sayman Muslubas Baran Kandemir Ayse Yesim Aydin Oral Suleyman Kugu Metin Dastan 2014International Journal of Ophthalmology(English edition)2014,7,2:14
2清楚的透镜抽取的长期的结果与骑在背肩上的 intraocular 透镜培植结合了改正高远视显示文摘AIM:To assess the refractive outcome of clear lensectomy combined with piggyback intraocular lens implantation in highly hyperopic patients.METHODS:This case review included 19 eyes of 10 patients with high hyperopia and axial length less than 21mm.Intraocular lens power was calculated for emmetropia using the Holladay II formula in 17 eyes,and SRK/T formula in 2 eyes following clear lens extraction and piggyback intraocular lens implantation.Patients were examined periodically over 24 months for visual acuity and spherical equivalent(SE).RESULTS:The mean postoperative SE at 24 months was 0.20±1.39D(range,-3.00 to 2.50D),better than preoperative 9.81±2.62D(range,+6.00 to +14.50D)(P<0.001).Five eyes had SE within±0.5D of emmetropia and 11 eyes within±1.00D at postoperative 24 months.The mean postoperative uncorrected visual acuity(UCVA) at 24 months was 0.60±0.36,significantly improved compared to preoperative 1.39±0.33(P<0.001).The mean best-corrected visual acuity(BCVA) at 24 months was 0.49±0.35,not statistically different compared to preoperative 0.38±0.30(P=0.34).Twelve eyes maintained and 1 gained 1 or more Snellen line of BCVA,4 eyes lost 1 line,and 2 eyes lost 2 lines at 24 postoperative months.Twelve eyes best-corrected near visual acuity (BCNVA) achieved J1 at postoperative 24 months compared to preoperative 7 eyes and the other 7 eyes better than J3.CONCLUSION:Clearlensextractioncombinedpiggyback intraocular lens implantation appears to be an effective procedure to correct high hyperopia but mild overcorrection and intralenticular opacification may require secondary procedure.Xia Hua Xiao-Yong Yuan Hui Song Xin Tang 2013International Journal of Ophthalmology(English edition)2013,6,5:0
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