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Phakic IOL

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https://www.readbyqxmd.com/read/29738591/comparing-femtosecond-laser-assisted-cataract-surgery-before-and-after-phakic-intraocular-lens-removal
#1
Tim Schultz, Luca Schwarzenbacher, H Burkhard Dick
PURPOSE: To investigate two approaches for femtosecond laser-assisted cataract surgery (FLACS) in patients with phakic intraocular lenses (IOLs). METHODS: Anterior capsulotomy and lens fragmentation were performed with an image-guided femtosecond laser. Laser treatment was performed under sterile conditions prior to (technique 1, 5 cases) or after (technique 2, 5 cases) phakic IOL explantation. RESULTS: In technique 1, gas accumulated between the phakic IOL and the anterior capsule...
May 1, 2018: Journal of Refractive Surgery
https://www.readbyqxmd.com/read/29738590/refractive-outcomes-after-femtosecond-laser-assisted-cataract-surgery-in-eyes-with-anterior-chamber-phakic-intraocular-lenses
#2
Gernot Steinwender, Mehdi Shajari, Thomas Kohnen
PURPOSE: To report the efficacy, predictability, and safety of femtosecond laser-assisted cataract surgery (FLACS) in eyes with anterior chamber phakic intraocular lenses (IOLs). METHODS: This retrospective case series included eyes with previous implantation of an angle-supported and an iris-fixated phakic IOL for the correction of myopia that underwent a combined procedure of phakic IOL ex-plantation and FLACS with in-the-bag implantation of a posterior chamber IOL...
May 1, 2018: Journal of Refractive Surgery
https://www.readbyqxmd.com/read/29721927/estimations-of-retinal-blue-light-irradiance-values-and-melatonin-suppression-indices-through-clear-and-yellow-tinted-intraocular-lenses
#3
Masaki Tanito, Ichiya Sano, Tsutomu Okuno, Yoshihisa Ishiba, Akihiro Ohira
Spectral transmittance values in the wavelength range of 300 to 800 nanometers were measured using a spectrophotometer for 18 intraocular lenses (IOLs) including clear (ZCB00) and yellow-tinted (ZCB00V, both from AMO Japan) IOLs with three different lens powers. Also measured were the blue-light irradiance (BLI) values, which might reflect retinal damage caused by sunlight, and the melatonin suppression indices (MSIs), which might reflect the nonvisual photoreception function, through these IOLs. The BLIs (in mWcm-2 ) calculated were 7...
2018: Advances in Experimental Medicine and Biology
https://www.readbyqxmd.com/read/29603938/impact-of-intraocular-lens-displacement-on-the-fixation-axis
#4
Simon Schröder, Jens Schrecker, Loay Daas, Timo Eppig, Achim Langenbucher
To investigate the impact of intraocular lens (IOL) decentration ≤±1  mm and IOL tilt ≤±10° on the fixation axis and spherical equivalent refraction (SE), 50 pseudo-phakic eyes were simulated using numerical ray-tracing. We computed the position of the object point whose image ends up at the virtual fovea for each scenario and estimated the corresponding change of fixation axis and SE. The eye turned opposite to the direction of IOL decentration or tilt to compensate for the associated prismatic effect (angle <1...
April 1, 2018: Journal of the Optical Society of America. A, Optics, Image Science, and Vision
https://www.readbyqxmd.com/read/29468555/a-model-for-predicting-sulcus-to-sulcus-diameter-in-posterior-chamber-phakic-intraocular-lens-candidates-correlation-between-ocular-biometric-parameters
#5
Mohammad Ghoreishi, Mehdi Abdi-Shahshahani, Alireza Peyman, Mohsen Pourazizi
PURPOSE: The aim of this study was to determine the correlation between ocular biometric parameters and sulcus-to-sulcus (STS) diameter. METHODS: This was a cross-sectional study of preoperative ocular biometry data of patients who were candidates for phakic intraocular lens (IOL) surgery. Subjects underwent ocular biometry analysis, including refraction error evaluation using an autorefractor and Orbscan topography for white-to-white (WTW) corneal diameter and measurement...
February 21, 2018: International Ophthalmology
https://www.readbyqxmd.com/read/29425385/analysis-of-accommodative-performance-of-a-new-accommodative-intraocular-lens
#6
Jorge L Alió, Aleksey N Simonov, Daniel Romero, Alexander Angelov, Yavor Angelov, Willem van Lawick, Michiel C Rombach
PURPOSE: To compare objective and subjective accommodation and visual acuities with a new accommodative intraocular lens (IOL) (Lumina; AkkoLens Clinical BV, Rijswijk, The Netherlands) with a monofocal IOL and young phakic eyes. METHODS: In this prospective, randomized controlled clinical investigation, patients aged 51 to 85 years with symptomatic cataract were enrolled in the study. A total of 25 eyes were implanted with the accommodative IOL and 18 eyes received the monofocal Acrysof SA60AT IOL (Alcon Laboratories, Inc...
February 1, 2018: Journal of Refractive Surgery
https://www.readbyqxmd.com/read/29214075/air-bubble-technique-for-fundus-visualization-during-vitrectomy-in-aphakia
#7
Mahmoud Mohamed Farouk, Takeshi Naito, Mohammed Elagouz, Hatem Ammar, Alahmady Hamad Alsmman, Engy Mohamed Mostafa
Purpose: To evaluate the efficacy and safety of air bubble technique for vitrectomy in aphakia. Study Design: Prospective interventional uncontrolled case series. Methods: This study included 53 eyes of 53 patients who are phakic and indicated for phacovitrectomy (7 eyes, group 1), aphakic and indicated for vitrectomy (22 eyes, group 2), or underwent unplanned vitrectomy for immediate management of a phacoemulsification surgery complicated by rupture posterior capsule with dropped nucleus, fragments, or IOL (24 eyes, group 3)...
2017: Journal of Ophthalmology
https://www.readbyqxmd.com/read/29117412/in-vivo-measurement-of-longitudinal-chromatic-aberration-in-patients-implanted-with-trifocal-diffractive-intraocular-lenses
#8
Maria Vinas, Ana Gonzalez-Ramos, Carlos Dorronsoro, Vyas Akondi, Nuria Garzon, Francisco Poyales, Susana Marcos
PURPOSE: To measure the longitudinal chromatic aberration (LCA) by both psychophysical methods and in vivo double-pass retinal imaging in patients bilaterally implanted with trifocal diffractive intraocular lenses (IOLs). METHODS: Measurements were performed with a polychromatic adaptive optics system provided with a supercontinuum laser, a Hartmann-Shack wavefront sensor, a deformable mirror, a motorized Badal system, a pupil monitoring system, a double-pass retinal imaging channel, and a psychophysical channel with monochromatically illuminated stimuli...
November 1, 2017: Journal of Refractive Surgery
https://www.readbyqxmd.com/read/28991336/four-stage-procedure-for-keratoconus-icrs-implantation-corneal-cross-linking-toric-phakic-intraocular-lens-implantation-and-topography-guided-photorefractive-keratectomy
#9
Efekan Coskunseven, Daya Papalkar Sharma, Michael A Grentzelos, Onurcan Sahin, George D Kymionis, Ioannis Pallikaris
PURPOSE: To evaluate a four-stage combined treatment for keratoconus including intrastromal corneal ring segment (ICRS) implantation followed by corneal cross-linking (CXL), toric phakic intraocular lens (IOL) implantation, and topography-guided photorefractive keratectomy (TG-PRK). METHODS: In this retrospective interventional case series, 11 eyes of 7 patients with progressive keratoconus were treated with a four-stage procedure including the following: Keraring ICRS (Mediphacos Ltda, Belo Horizonte, Brazil) implantation followed by CXL, phakic IOL implantation, and TG-PRK (minimum 6 months between each stage)...
October 1, 2017: Journal of Refractive Surgery
https://www.readbyqxmd.com/read/28882754/mini-review-far-peripheral-vision
#10
Michael J Simpson
The region of far peripheral vision, beyond 60 degrees of visual angle, is important to the evaluation of peripheral dark shadows (negative dysphotopsia) seen by some intraocular lens (IOL) patients. Theoretical calculations show that the limited diameter of an IOL affects ray paths at large angles, leading to a dimming of the main image for small pupils, and to peripheral illumination by light bypassing the IOL for larger pupils. These effects are rarely bothersome, and cataract surgery is highly successful, but there is a need to improve the characterization of far peripheral vision, for both pseudophakic and phakic eyes...
November 2017: Vision Research
https://www.readbyqxmd.com/read/28880334/a-multicenter-retrospective-survey-of-refractive-surgery-in-78-248-eyes
#11
Kazutaka Kamiya, Akihito Igarashi, Ken Hayashi, Kazuno Negishi, Masaki Sato, Hiroko Bissen-Miyajima
PURPOSE: To retrospectively evaluate the current practice, trends, and outcomes of refractive surgery in Japan. METHODS: This multicenter survey comprised 78,248 eyes of 39,727 consecutive patients who underwent refractive surgery at 45 major institutions in Japan. The corresponding ophthalmologists responded to a selfadministered questionnaire. The authors especially evaluated the safety, efficacy, predictability, stability, and adverse events of LASIK and phakic intraocular lens (IOL) implantation 3 months postoperatively...
September 1, 2017: Journal of Refractive Surgery
https://www.readbyqxmd.com/read/28732607/refractive-outcomes-and-complications-after-combined-copolymer-phakic-intraocular-lens-explantation-and-phacoemulsification-with-intraocular-lens-implantation
#12
Paolo G Meier, François Majo, Philippe Othenin-Girard, Ciara Bergin, Ivo Guber
PURPOSE: To assess safety, efficacy, and predictability of combined Implantable Collamer Lens phakic intraocular lens (pIOL) explantation and phacoemulsification and to report the rate of complications. A secondary aim was to examine whether intraocular lens (IOL) power calculation was affected by the pIOL in situ. SETTING: Jules-Gonin Eye Hospital, Lausanne, Switzerland. DESIGN: Retrospective case series. METHODS: The records of patients having pIOL implantation with subsequent phacoemulsification were reviewed...
June 2017: Journal of Cataract and Refractive Surgery
https://www.readbyqxmd.com/read/28586504/removal-of-persistent-cellular-deposits-after-foldable-iris-fixated-phakic-iol-implantation
#13
Marilia Lordello Passos, Ramon Coral Ghanem, Vinícius Coral Ghanem
PURPOSE: To report a case of severe recurrent cellular deposits after Artiflex intraocular lens (Ophtec B. V., Groningen, The Netherlands) implantation. METHODS: Case report. RESULTS: A 25-year-old woman underwent uneventful Artiflex intraocular lens implantation in both eyes. After 3 months, severe cellular deposits were seen in the posterior surface of the lens in one eye. Topical steroids were administered, with temporary improvement. Four months later, the deposits recurred and did not respond to topical steroids...
June 1, 2017: Journal of Refractive Surgery
https://www.readbyqxmd.com/read/28553547/changes-in-anterior-posterior-and-total-corneal-astigmatism-after-descemet-membrane-endothelial-keratoplasty
#14
Maged Alnawaiseh, Lars Zumhagen, André Rosentreter, Nicole Eter
Purpose. To evaluate changes in anterior, posterior, and total corneal astigmatism in patients after Descemet membrane endothelial keratoplasty (DMEK). Methods. We retrospectively included 29 eyes of 23 patients (age 67.6 ± 9.8 years, 13 female, 10 male) after DMEK surgery. The magnitude and axis orientation of anterior, posterior, and total corneal astigmatism before and after DMEK were determined using a rotating Scheimpflug system (Pentacam HR, Oculus). Results. The magnitude of anterior, posterior, and total corneal astigmatism in the central cornea did not change significantly after surgery...
2017: Journal of Ophthalmology
https://www.readbyqxmd.com/read/28486732/phake-intraokularlinsen
#15
Fritz H Hengerer, Ina Conrad-Hengerer
Implanting phakic IOLs (PIOLs) in phakic eyes is regarded as an established option in refractive surgery for many years when treating high myopia, hyperopia or ametropia. Even for eyes which show a combination of refractive errors (including astigmatism) this can be an appropriate option. The surgery itself requires certain anatomical and refractive requirements, since, as with any intraocular procedure, there are different possibilities of complication depending on the chosen IOL. Therefore, any potential candidate for refractive surgery should be treated in accordance with the current recommendations of the German "Commission Refractive Surgery" (KRC) to achieve the best possible refractive outcome with maximum safety for patient and surgeon...
August 2017: Klinische Monatsblätter Für Augenheilkunde
https://www.readbyqxmd.com/read/28432184/management-of-a-case-of-myopic-foveoschisis-with-phakic-intraocular-lens-piol-in-situ-intraoperative-challenges
#16
Atul Kumar, Aditi Mehta, Raghav Dinesh Ravani, Prateek Kakkar
We describe the case of a 30-year-old man with pathological myopia with a phakic intraocular lens (IOL) (Visian ICL V4c model; STAAR, Monrovia, California, USA) in situ having complaints of metamorphopsia in the left eye with documented myopic foveoschisis on swept-source optical coherence tomography (DRI OCT Triton; Topcon, Tokyo, Japan). The patient underwent pars plana vitrectomy with internal limiting membrane peeling. This report discusses the intraoperative challenges occurring as a result of increased optical aberrations in the presence of a phakic IOL...
April 20, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28407168/intraoperative-optical-coherence-tomography-vault-measurement-in-posterior-chamber-phakic-intraocular-lens-implantation
#17
Tien-En Tan, Yu-Chi Liu, Lasitha Saroj Jayasinghe, Jodhbir S Mehta
PURPOSE: To describe the use of intraoperative optical coherence tomography (OCT) vault measurement in 5 cases of posterior chamber phakic intraocular lens (IOL) implantation. METHODS: This case series included 5 eyes in 3 consecutive patients undergoing phakic IOL implantation. RTVue OCT (Optovue, Inc., Fremont, CA) was used to obtain intraoperative vault measurements after pupil constriction. Visante OCT (Carl Zeiss Meditec, Jena, Germany) was used to obtain postoperative vault measurements...
April 1, 2017: Journal of Refractive Surgery
https://www.readbyqxmd.com/read/28407164/intraocular-pressure-after-implantation-of-a-phakic-collamer-intraocular-lens-with-a-central-hole
#18
Ignacio Rodríguez-Una, Pedro Pablo Rodríguez-Calvo, Luis Fernández-Vega Cueto, Carlos Lisa, Andrés Fernández-Vega Cueto, José F Alfonso
PURPOSE: To investigate the middle-term intraocular pressure (IOP) results after implantation of a posterior chamber collagen copolymer phakic intraocular lens (IOL) (V4c Visian; STAAR Surgical Co., Nidau, Switzerland) with a central hole in patients with myopia. METHODS: This retrospective study enrolled patients who had implantation of a phakic IOL with a central hole. IOP, central vault, and adverse events were evaluated 1, 3, 6, 12, and 24 months postoperatively...
April 1, 2017: Journal of Refractive Surgery
https://www.readbyqxmd.com/read/28399068/descemet-membrane-endothelial-keratoplasty-and-refractive-surgery
#19
REVIEW
C Maya Tong, Lamis Baydoun, Gerrit R J Melles
PURPOSE OF REVIEW: Descemet membrane endothelial keratoplasty (DMEK) has become a first-line treatment in corneal endothelial diseases because of its exceptional clinical outcomes and low complication rates. Because of its improved refractive predictability, DMEK is now also considered for managing cases with endothelial decompensation following previous refractive procedures, or in combination with those. This article reviews the clinical outcomes in these cases and discusses the possibility of refractive interventions following DMEK...
July 2017: Current Opinion in Ophthalmology
https://www.readbyqxmd.com/read/28366376/negative-dysphotopsia-causes-and-rationale-for-prevention-and-treatment
#20
Jack T Holladay, Michael J Simpson
PURPOSE: To determine the cause of negative dysphotopsia using standard ray-tracing techniques and identify the primary and secondary causative factors. SETTING: Department of Ophthalmology, Baylor College of Medicine, Houston, Texas, USA. DESIGN: Experimental study. METHODS: Zemax ray-tracing software was used to evaluate pseudophakic and phakic eye models to show the location of retinal field images from various visual field objects...
February 2017: Journal of Cataract and Refractive Surgery
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