Intraokularlinsen zur Korrektur von Refraktionsfehlern
Der OphthalmologePublished 19 September 2005
Thomas Kohnen, Martín Baumeister, M. Cichocki
Citations16
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Abstract
In this overview, the current status of intraocular lens surgery to correct refractive error is reviewed. The interventions are divided into additive surgery with intraocular lens implantation without extraction of the crystalline lens (phakic intraocular lens, PIOL) or the removal of the crystalline lens with implantation of an IOL (refractive lens exchange, RLE). Phakic IOLs are constructed as angle-supported or iris-fixated anterior chamber lenses and posterior chamber lenses that are fixated in the ciliary sulcus. The implantation of phakic IOLs has been demonstrated to be an effective, safe, predictable and stable procedure to correct higher refractive errors. Complications are rare and differ for the three types of PIOL; for anterior chamber lenses these are mainly pupil ovalization and endothelial cell loss.
Keywords
Medicine
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OphthalmologyInitial results of endothelial cell counts after Artisan Lens for Phakic Eyes
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Archives of OphthalmologyIncidence of Retinal Detachment Following Clear-Lens Extraction in Myopic Patients
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Journal of Cataract & Refractive SurgeryLong-term endothelial changes in phakic eyes with posterior chamber intraocular lenses
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Journal of Cataract & Refractive SurgeryCataract formation after posterior chamber phakic intraocular lens implantation
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Journal of Cataract & Refractive SurgeryEndothelial changes in phakic eyes with anterior chamber intraocular lenses to correct high myopia
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Journal of Refractive SurgerySurgical Correction of High Myopia in Phakic Eyes with Worst-Fechner Myopia Intraocular Lenses
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Journal of Cataract & Refractive SurgeryPupillary block glaucoma secondary to posterior chamber phakic intraocular lens implantation for high myopia
84 Citations2004Donald S. Smallman, Louis E. Probst +1 more
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American Journal of OphthalmologyRhegmatogenous Retinal Detachment After Neodymium-YAG Laser Capsulotomy in Phakic and Pseudophakic Eyes
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Journal of Cataract & Refractive SurgeryClear lens extraction for the correction of high refractive error
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During the 20‐month mean follow-up, no retinal detachment or cystoid macular edema was observed and Posterior capsule opacification was the major complication and it developed faster than reported in other studies.
OphthalmologyThree-year follow-up of the artisan phakic intraocular lens for hypermetropia
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Journal of Cataract & Refractive SurgeryRetrospective study of retinal detachment following neodymium:YAG laser posterior capsulotomy
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Documenta OphthalmologicaRefractive surgery for high myopia
67 Citations1990J.G.F. Worst, G. Van Der Veen +1 more
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OphthalmologyLaserinterferometric assessment of pilocarpine-induced movement of an accommodating intraocular lens
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Journal of Cataract & Refractive SurgeryAngle-supported phakic intraocular lenses in eyes with keratoconus and myopia
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Journal of Cataract & Refractive SurgeryClear lens extraction and implantation of negative-power posterior chamber intraocular lenses to correct extreme myopia
64 Citations1998Ignacio Jiménez-Alfaro, Santiago Miguélez +2 more
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Journal of Cataract & Refractive SurgeryPostoperative astigmatism and rotational stability after Artisan toric phakic intraocular lens implantation
63 Citations2003Mana Tehrani, H. Burkhard Dick +4 more
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Journal of Cataract & Refractive SurgeryClear lens extraction to correct high myopia
63 Citations1996Oscar Gris, José L. Güell +2 more
Clear lens extraction is a reasonable refractive surgery option for middle‐aged patients with myopia because of its high predictability, stability, and low morbidity.
Journal of Cataract & Refractive SurgeryPhacoemulsification of the crystalline lens and implantation of an intraocular lens for the correction of moderate and high myopia: Four- year follow-up
62 Citations2003José L. Güell, Andrés F. Rodriguez-Arenas +3 more
With a thorough preoperative ophthalmologic evaluation and uneventful surgery, patients who have phacoemulsification and IOL implantation for the correction of myopia have a satisfactory chance of obtaining good visual results with few complications.
Journal of Cataract & Refractive SurgeryIris-claw lens in phakic eyes to correct hyperopia: Preliminary study
61 Citations1998Paul U. Fechner, Daljit Singh +1 more
Implantation of a convex iris‐claw lens into the anterior chamber of phakic eyes to correct high hyperopia was successful from a refractive aspect and the clinical risks appear tolerable.
Journal of Refractive SurgeryRate of Cataract Formation in 343 Highly Myopic Eyes After Implantation of Three Types of Phakic Intraocular Lenses
60 Citations2004José L. Menezo, Cristina Peris‐Martínez +2 more
Postoperative best spectacle-corrected visual acuity remained stable after explantation, phacoemulsification, and posterior chamber lens implantation in patients with the Adatomed and Staar PIOLs.
Journal of Cataract & Refractive SurgeryUltrasound biomicroscopy of silicone posterior chamber phakic intraocular lens for myopia
59 Citations2003J. García–Sánchez, José L. Hernández-Matamoros +6 more
Phakic refractive lens implantation should be done carefully because of the sulcus location of the haptics in many cases, and this, with the iris–PRL contact, suggests caution for the long‐term outcome.
Journal of Refractive SurgeryPosterior Chamber Phakic Intraocular Lenses to Correct High Myopia: A Comparative Study Between Staar and Adatomed Models
58 Citations2001José L. Menezo, Cristina Peris‐Martínez +2 more
Spectacle-corrected and uncorrected visual acuity improved in all eyes in both groups and there was a higher incidence of lens decentration and anterior subcapsular cataract in the Adatomed group than in the Staar group.
Journal of Cataract & Refractive SurgeryManagement of myopic astigmatism with phakic intraocular lens implantation
55 Citations2002Howard V. Gimbel, Steven L. Ziémba
A 48-year-old woman presented with a manifest refraction of -9.25 -2.25 x 98 that resulted in a best corrected visual acuity of 20/20(-2) in the right eye that was not a good candidate for laser in situ keratomileusis because of a thin cornea.
Journal of Cataract & Refractive SurgeryCataract surgery in highly myopic eyes corrected by phakic anterior chamber angle-supported lenses
55 Citations2000J. L. Alió, Fernando de la Hoz +2 more
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OphthalmologyRefractive lensectomy for hyperopia
54 Citations2000Andrew M. Fink
In the presbyopic age group refractive lensectomy may be a realistic alternative to photorefractive keratectomy or laser in situ keratomileusis, with certain potential advantages.
Journal of Refractive SurgeryClear Lensectomy and Intraocular Lens Implantation for Hyperopia from +7 to +14 Diopters
53 Citations1998Dimitrios S. Siganos, Ioannis G. Pallikaris
Clear lens extraction is a safe, effective, and predictable procedure for the treatment of hyperopia from +6.75 to +13.75 D and theSRK II formula proved slightly superior to the SRK-T in intraocular lens calculation when using the "-1.50 D rule."
European Journal of OphthalmologyVitreous Changes and Retinal Detachment in Highly Myopic Eyes
51 Citations1996Mario Stirpe, Klaus Heimann
A strong correlation was observed between vitreous changes and clinical picture of RD especially in the group of PVL and EVL, where a higher degree of myopia was found and more pronounced posterior staphyloma was found.
PubMedWorst-Fechner biconcave minus power phakic iris-claw lens.
51 Citations1999Paul U. Fechner, Imme Haubitz +2 more
Implantation of a biconcave Worst-Fechner lens into a phakic eye effectively corrected high myopia with a stable refractive outcome, but 13.4% of implanted eyes suffered significant progressive reduction of endothelial cell density.
Journal of Cataract & Refractive SurgeryPupillary block after phakic anterior chamber intraocular lens implantation
50 Citations2002Navid Ardjomand, H. Kölli +3 more
Pupillary block glaucoma may occur after phakic IOL implantation without iridotomy, and it is advocated that routine iridectomy be performed during phakIC IOL surgeries.
Journal of Cataract & Refractive SurgeryPhakic refractive lens implantation in high myopic patients
48 Citations2004Ioannis G. Pallikaris, Maria I. Kalyvianaki +2 more
The PRL showed encouraging results in treating high myopia and additional patients and longer follow‐up period are needed to detect the long‐term efficacy and safety of this refractive lens.
Journal of Cataract & Refractive SurgeryDriving simulation study: Bilateral Array multifocal versus bilateral AMO monofocal intraocular lenses
46 Citations1999Kristen Featherstone, John R. Bloomfield +4 more
Comparisons of the driving performance of patients with bilateral Array multifocal intraocular lenses and those with bilateral AMO monofocal IOLs under low-contrast environmental conditions indicate no consistent difference in driving performance and safety.
Graefe s Archive for Clinical and Experimental OphthalmologyOperative Behandlung der höchstgradigen Myopie durch Aphakie
43 Citations1890Fukala
Journal of Cataract & Refractive SurgeryClear lens extraction to correct hyperopia
43 Citations1997Andrew W. Lyle, George J.C. Jin
Clear lens extraction with IOL implantation was an effective, safe ,procedure for the correction of hyperopia, however, this method was less accurate and less predictable for hyperopia below +3.00 D.
OphthalmologyScanning electron microscopic characteristics of phakic intraocular lenses
40 Citations2000Thomas Kohnen, Martín Baumeister +1 more
The evaluation of surface properties with LM and SEM did not reveal any defects that contraindicate the implantation of phakic IOLs, and high standards for their surface quality are required.
Journal of Refractive SurgeryRefractive Lens Exchange Versus Iris-claw Artisan Phakic Intraocular Lens for Hyperopia
40 Citations2004Mihai Pop, Yves Payette
The Artisan phakic IOL in carefully selected patients provided a better overall outcome for young patients with high hyperopia whose accommodation was preserved, as compared to refractive lens exchange.
PubMedU.S. clinical investigation of the Artisan myopia lens for the correction of high myopia in phakic eyes. Report of the results of phases 1 and 2, and interim phase 3.
40 Citations2000Larry J. Alexander, Maurice E. John +3 more
On the basis of the interim results of the U.S. Clinical Investigation of the Artisan Myopia Lens for the Correction of High Myopia in Phakic Eyes, the Artisans anterior chamber phakic IOL may offer an option for correction of high degrees of myopia.
Archives of OphthalmologyClear-Lens Extraction for High Myopia
40 Citations1994Jonathan C. Javitt
In this series 1 of 165 eyes of 107 patients with pathologic myopia, 12 eyes developed retinal detachment, with 75% of detachments occurring 18 months or more after surgery, with patients under the age of 30 years had 2.5 times greater odds of detachment.
Current Opinion in OphthalmologyTreating astigmatism at the time of cataract surgery
37 Citations2003Louis D. Nichamin
Journal of Cataract & Refractive SurgeryHigh-frequency ultrasound biomicroscopy of silicone posterior chamber phakic intraocular lens for hyperopia
36 Citations2003J. García–Sánchez, José L. Hernández-Matamoros +6 more
In this study of hyperopic eyes, the PRL was located on the zonule in most cases, however, the location of the haptics in the sulcus and contact between the PCP IOL and the crystalline lens that occurred in some cases suggest further study of possible long‐term complications is needed.
Journal of Cataract & Refractive SurgeryUltrasound biomicroscopy and Scheimpflug photography of angle-supported phakic intraocular lens for high myopia
35 Citations2003Renate Ferreira de Souza, Norma Allemann +4 more
The significant differences in the peripheral endothelium−IOL and IOL border−iris distances indicate that although both methods are useful, they are not equivalent.
Der OphthalmologeBlendempfindlichkeit und Halos nach "phakic IOL"-Operation zur Behandlung einer hohen Myopie
32 Citations2001R. Maroccos, Fernando Vaz +3 more
All currently available phakic IOLs, in particular the ICL and the NuVita lead to a decreased visual performance during night time and this phenomenon must be explained to the patient prior to surgery.
PubMedUltrasound biomicroscopy of the iris-claw phakic intraocular lens for high myopia.
31 Citations2000Mihai Pop, Magdi Mansour +1 more
Echograms taken by ultrasound biomicroscopy are useful in verifying the intraocular position of the PIOL within the anterior chamber, and the original anterior chamber depths were reduced by 28% to 34% after implantation.
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