NR 6/2003

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Chirurgiczna korekcja wad refrakcji metodą wszczepów wewnątrzgałkowych - wyniki własne

Correction of high myopia with anterior chamber angle-supported phakic intraocular lenses - own results

Stanisława Gierek-Ciaciura, Krzysztof Ochalik,  Ariadna Gierek-Łapińska, Barbara Myga

Z Samodzielnego Publicznego Szpitala Klinicznego nr 5 Śląskiej Akademii Medycznej w Katowicach
Kierownik: prof. dr hab. n. med. Ariadna Gierek-Łapińska

Summary: Purpose: To evaluate the early results: predictability, efficacy and safety of implanting new model of anterior chamber IOL for high myopia.
Material and methods: ICARE myopia lens (Corneal) was implanted in 20 eyes of 12 patients with preoperative myopia that ranged from -10D to -23,5D. Mean patient age was 32,3 years. The follow-up period was 6 months. The desired outcome was emmetropia.
Results: Eighteen eyes (85%) had a postoperative refraction at the last follow-up examination in a range ?1,0 D of emmetropia. The postoperative refraction remained stable during the entire follow-up period. Mean visual acuity before surgery, corrected with spectacle improved from 0,5 to 0,68 postoperatively without glasses in 3 months time. There was no loss in visual acuity after operation. We didn't encounter major complications. Mean endothelial cell density reduction was 3,2% in our 3 months study.
Conclusions: Implantation of ICARE myopia lens to correct high myopia resulted in a stable and predictable refractive outcome. Further investigation is necessary to evaluate long-term stability and safety of this procedure.
Słowa kluczowe:  wysoka krótkowzroczność, wewnątrzgałkowe przedniokomorowe soczewki fakijne.
Key words: high myopia, anterior chamber phakic intraocular lenses.



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