Paper Information

Journal:   JOURNAL OF OPHTHALMIC AND VISION RESEARCH   2014 , Volume 9 , Number 4; Page(s) 427 To 433.
 
Paper: 

COMPARISON OF THREE PHAKIC INTRAOCULAR LENSES FOR CORRECTION OF MYOPIA

 
DOI: 

10.4103/2008-322X.150805

 
Author(s):  KARIMIAN FARID*, BARADARAN RAFII ALIREZA, HASHEMIAN SEYED JAVAD, HASHEMLOO ALI, JAFARI MOHAMMAD EBRAHIM, YASERI MEHDI, GHAHARI ELHAM, AKBARIAN SHADI
 
* DEPARTMENT OF OPHTHALMOLOGY, LABBAFINEJAD MEDICAL CENTER, BOOSTAN 9, PASDARAN AVE., TEHRAN 16666, IRAN
 
Abstract: 

Purpose: To compare the visual outcomes and complications of three different types of phakic intraocular lenses (PIOLs), for correction of moderate to high myopia.
Methods: We reviewed 112 myopic eyes undergoing PIOL implantation using Artisan (40 eyes), Artiflex (36 eyes), and implantable collamer lens (ICL, 36 eyes). Best corrected visual acuity (BCVA), intraocular pressure (IOP), pachymetry, corneal endothelial cell (CEC) loss, and higher order aberrations (HOA) were compared.
Results: Mean follow?up period was 30±11 months. Preoperatively, spherical equivalent (SE) refractive error was -1.6±3.7, ?.59±1.97, and ?2.3±4.8 D in the Artisan, Artiflex and ICL groups, respectively.
SE was comparable among the study groups at final follow?p (P=0.237). Mean astigmatic reduction was 0.31±0.72, 0.45±0.62, and 0.0 ± 0.57 in the Artisan, Artiflex and ICL groups, respectively (P=0.007).
Emmetropia (±1 D) was achieved in 60%, 91.7% and 77.8% of eyes in the Artisan, Artiflex and ICL groups, respectively, the difference was significant between the Artisan and Artiflex groups (P=0.017). BCVA improvement more than one line occurred in 25%, 19.4% and 38.9% of eyes (P=0.158); pachymetric changes were minimal with no difference among the three groups (P=0.754), and mean CEC loss was 10±9%, 9± 6% and 9±10% in the Artisan, Artiflex and ICL groups, respectively (P=0.694). HOAs (P=0.039), vertical trefoil (P=0.032) and spherical aberration (P=0.001) were higher with Artisan group as compared to ICL. Total aberrations (P=0.028) and spherical aberration (P=0.001) was also higher with Artisan group as compared to Artiflex.
Conclusion: Visual and refractive outcomes were comparable with Artisan, Artiflex and ICL. In terms of HOAs and quality of vision, ICL and Artiflex seem to be better choices in highly myopic eyes.

 
Keyword(s): ARTIFLEX, ARTISAN, IMPLANTABLE COLLAMER LENS, PHAKIC INTRAOCULAR LENS
 
References: 
  • ندارد
 
  pdf-File tarjomyar Yearly Visit 57
 
Latest on Blog
Enter SID Blog