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187696

Comparison between Foldable and Hard [PMMA] Iris Claw Phakic Intraocular Lens Implantation for Correction of High Myopia

Article

Last updated: 22 Jan 2023

OverviewSimilar Items

Subjects

-

Tags

Ophthalmology

Abstract

Background:Iris claw phakic intraocular lens [PIOL] is one of the surgical techniques used for the correction of high myopia. This procedure reduces myopia with stable refractive results and preserves the accommodation.
Aim of the Work:The aim of this study is to assess the outcome of foldable and hard [PMMA] iris claw PIOL implantation as one of surgical procedures in the management of high myopic young patients.
Patients and Methods:A prospective comparative study having foldable and hard [PMMA] iris claw phakic intraocular lens [PIOL] for correction of high myopia. This study includes forty eyes [40 eyes] of twenty high myopic patients [20 pt.] with refraction range of [-10.0 D to -25.0 D] without or with cylinder not more than [-2.0 D]. The patients were divided to two groups [A] and [B], each group contains twenty [20] eyes, the first 20 eyes [group A] received a concave-convex foldable iris claw PIOL and the remaining 20 eyes [group B] received a biconcave optic hard PMMA iris claw PIOL.
Result:The mean postoperative SE at 6 months in group [A] was [-0.30 ± 0.10 D] within ±1.00 D of emmetropia. In group [B] it was [- 0.50 ± 0.50 D] within ±1.0 D of emmetropia. The mean postoperative cylinder at 6 months was [-0.31 ± 0.10] in group [A], and [-0.51 ± 0.51] in group [B].  There was a statistically significant difference between preoperative UCVA and postoperative UCVA at 6 months were [p <0.001] in both groups. Postoperative BCVA [logMar] at 6 months was 0.11 ± 0.14 in group [A] and 0.27 ± 0.17 in group [B].
Conclusion: iris-claw phakic IOL implantation is frequently used for highly myopic cases. Compared to corneal refractive surgery, phakic IOLs favorably compete for the correction of high myopia, with increasing predictability, efficacy, safety, and quality of vision. 

DOI

10.21608/ijma.2021.68409.1284

Keywords

Iris Claw, Foldable, Hard, Phakic

Authors

First Name

Wael H

Last Name

Alazab

MiddleName

-

Affiliation

Department of Ophthalmology, Damietta Faculty of Medicine, Al-Azhar University, Egypt

Email

waelhaggag66@gmail.com

City

-

Orcid

-

First Name

Abdallah H.

Last Name

Hamed

MiddleName

-

Affiliation

Department of Ophthalmology, Faculty of Medicine, Al-Azhar University, Egypt

Email

abdallah.hophthalmol@gmail.com

City

Cairo

Orcid

-

First Name

Younes E

Last Name

Abdel Hafez

MiddleName

-

Affiliation

Department of Ophthalmology, Damietta Faculty of Medicine, Al-Azhar University, Egypt

Email

younis_abdelhafez@domazhermedicine.edu.eg

City

Cairo

Orcid

-

First Name

Abdelghany I.

Last Name

Abdelghany

MiddleName

-

Affiliation

Department of Ophthalmology, Faculty of Medicine, Al-Azhar University, Egypt

Email

abdelghany.i@gmail.com

City

Cairo

Orcid

-

Volume

3

Article Issue

3

Related Issue

27050

Issue Date

2021-07-01

Receive Date

2021-03-18

Publish Date

2021-07-01

Page Start

1,741

Page End

1,747

Print ISSN

2636-4174

Online ISSN

2682-3780

Article File

IJMA_Volume 3_Issue 3_Pages 1741-1747.pdf

PDF . 1.7MB

Link

https://ijma.journals.ekb.eg/article_187696.html

Detail API

https://ijma.journals.ekb.eg/service?article_code=187696

Order

187,696

Type

Original Article

Type Code

816

Publication Type

Journal

Publication Title

International Journal of Medical Arts

Publication Link

https://ijma.journals.ekb.eg/

MainTitle

-

Details

Type

Article

Created At

22 Jan 2023