98th Annual Meeting DOG 2000

P 574

" Phakic IOL" for correction of myopia

H. J. M. W. Kölli, T. Schwarz, B. Vidic, C. Faschinger, J. Faulborn

Introduction: To evaluate the safety, predictability, patients` satisfaction and complications of an angle-supported anterior chamber phakic intraocular lens in myopes. Methods/Patients: We report on twenty eyes of thirteen patients (mean age 34,5 years, range 19 - 45 yrs) with refractive errors ranging between -8,0 and -19,0 diopters. In all cases Nuvita MA 20 (3rd gen.) phakic IOLs were implanted.

Results: Surgery was uneventful. At the first day after surgery three patients needed YAG-iridotomy because of pupillary block. The mean follow-up-period was 10,4 months ( range 1 - 17 months). 90 % (=18/20) of the eyes were within 1 diopter of the intended correction. Mean decreased corneal endothelial cell counts after surgery ranged between 3% and 6 % of the preoperative value. Two patients complained increased glare and polyopia, explantation was refused.< /FONT>

Conclusion: Implantation of angle-supported anterior chamber phakic intraocular lens seems to be a safe, predictable, efficient procedure correcting myopia with the advantage of reversibility.

Department of Ophthalmology, Karl Franzens University, Auenbruggerplatz 4. A - 8036 Graz