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Five-year follow-up of a posterior chamber phakic intraocular lens with a central hole for correction of myopia
- Purpose: To evaluate intermediate and long-term visual outcomes and safety of a phakic intraocular posterior chamber lens with a central hole (ICL V4c) for myopic eyes. Methods: Retrospective, consecutive case study of patients that uneventfully received a ICL V4c for myopia correction, with a 5-year postoperative follow-up. Department of Ophthalmology, Goethe University Frankfurt, Germany. Results: From 241 eyes that underwent ICL implantation, we included 45 eyes with a mean age at surgery of 33 years ± 6 (18–48 years), with a 5 years follow-up. CDVA improved from 0.05logMAR ± 0.15 CDVA preoperatively to − 0.00 ± 0,07 at 5 years and did not change significantly from 3 to 5 years’ time (p = 0.266). The mean spherical equivalent (SE) improved from -10.13D ± 3.39 to − 0.45D ± 0.69. The change in endothelial cell count showed a mean decrease of 1.9% per year throughout the follow-up. Safety and efficacy index were 1.16 and 0.78, respectively. Cataract formation was seen in 2 of 241 eyes (0.8%), but in none of the 45 eyes that finished the 5-year follow-up. Conclusions: Our data show a good intermediate and long-term stability, efficiency, and safety of ICL V4c phakic lenses in myopic eyes comparable to other known literature.
Author: | Christoph Martin LwowskiORCiDGND, Karel Van KeerORCiD, Tim Ruscher, Luisa Van Keer, Mehdi ShajariGND, Thomas KohnenORCiDGND |
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URN: | urn:nbn:de:hebis:30:3-842700 |
DOI: | https://doi.org/10.1007/s10792-023-02896-8 |
ISSN: | 1573-2630 |
Parent Title (English): | International Ophthalmology |
Publisher: | Springer |
Place of publication: | Berlin ; Heidelberg |
Document Type: | Article |
Language: | English |
Date of Publication (online): | 2023/11/07 |
Date of first Publication: | 2023/11/07 |
Publishing Institution: | Universitätsbibliothek Johann Christian Senckenberg |
Release Date: | 2024/07/16 |
Tag: | ICL; ICL V4c; Myopia; Phakic; pIOL |
Volume: | 43 |
Issue: | 12 |
Page Number: | 11 |
First Page: | 4933 |
Last Page: | 4943 |
Institutes: | Medizin |
Dewey Decimal Classification: | 6 Technik, Medizin, angewandte Wissenschaften / 61 Medizin und Gesundheit / 610 Medizin und Gesundheit |
Sammlungen: | Universitätspublikationen |
Licence (German): | ![]() |