October 20, 2016
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Good long-term results seen for phakic ICL in patients with high myopia, severe astigmatism

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CHICAGO — Nearly 60% of eyes with 20/200 vision or worse that underwent phakic ICL implantation for the correction of high myopia or severe astigmatism improved to 20/40 without the use of glasses or corrective lenses, according to a speaker here.

“We found very satisfactory refractive outcomes and that it was very effective, predictable and reduced astigmatism significantly,” lead study author Seyed Javad Hashemian, MD, said at a press briefing at the American Academy of Ophthalmology meeting.

Seyed Javad Hashemian

Seyed Javad Hashemian

The study included patients between the ages of 20 and 45 years who were in good general health, had no previous ocular surgery and underwent phakic ICL implantation. All of the patients had 20/200 vision or worse before surgery.

Hashemian said the mean spherical equivalent changed from –11.74 D ± 5.36 D preoperatively to –1.53 D ±1.48 D at 5 years postoperatively. Additionally, before surgery the mean decimal corrected distance visual acuity was 0.58 ± 0.31, which improved to 0.76 ± 0.31 at the 5-year follow-up.

Hashemian said 56.7% of eyes achieved 20/40 or better uncorrected distance visual acuity. – by Robert Linnehan

Reference:

Hashemian SJ. Long-term outcomes and complications of posterior chamber phakic IOL implantation for the correction of high myopia and astigmatism: Five-year study. Presented at: American Academy of Ophthalmology annual meeting; Oct. 14-18, 2016; Chicago.

Disclosure: Hashemian reports no relevant financial disclosures.