Original Article

Phakic refractive lens implantation in highly myopic and hyperopic eyes: two- years follow-up - Original Article

  • Efekan Coskunseven
  • Özlem Balci
  • Serife Atun

Turk J Ophthalmol 2009;39(1):23-26

Purpose: To evaluate the phakic refractive lens implantation surgical outcomes in patients who are not eligible for refractive corneal surgery. Methods: In this study we evaluated the results in 115 eyes of 64 cases treated with phakic refractive lens (PRL) implantation with a follow up period of at least 2 years. Preoperative and post operative visual acuity, intraoperative and postoperative complications were recorded. Results: PRLs were implanted in 115 eyes of 64 patients. Mean patient age was 33 years ranged between 26-45 years. PRLs were implanted in 32 hyperopic and 83 myopic eyes. Mean follow up was 24 months. According to the last post operative examinations, the uncorrected viasual acuity was 0.6±0.10 in myopic eyes while 0.4±0.18 in hyperopic eyes. The best corrected visual acuity was 0.7±0.14 in myopic eyes while 0.6±0.1 in hyperopic eyes. During the follow-up period 1 eyes (0.8%) developed endophthalmitis, 2 eyes (1.6%) developed decentralization, 1 eyes (0.8%) developed steroid-induced intraocular hypertansion, 1 eyes (0.8%) developed focal cataract. Results: In this study, during the two-years follow-up, refractive outcomes are satisfactory. But in our opinion long term follow-up periods are needed for evaluating the complications accurately. PURPOSE: To evaluate the phakic refractive lens implantation outcomes in patients who are not eligible for refractive corneal surgery.

Keywords: phakic refractive lens(PRL), myopia, hyperopia