Refractive outcomes of implantation of an implantable phakic copolymer lens with peripheral holes in the intraocular posterior chamber in moderate to high myopia patients: a single-surgeon series

Praveen Subudhi,1,2 Sweta Patro,1 Zahiruddin Khan,2 B Nageswar Rao Subudhi,3 Silla Sitaram4 1Department of Cornea and Refractive Surgery, Ruby Eye Hospital, Berhampur, Odisha, India; 2Ophthalmology Department, Hitech Medical College, Bhubaneswar, India; 3Ophthalmology Department, MKCG Medical Colleg...

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Autores principales: Subudhi P, Patro S, Khan Z, Subudhi BNR, Sitaram S
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Publicado: Dove Medical Press 2019
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spelling oai:doaj.org-article:11c952da6c284ab1b5d565c18a7747a62021-12-02T07:05:35ZRefractive outcomes of implantation of an implantable phakic copolymer lens with peripheral holes in the intraocular posterior chamber in moderate to high myopia patients: a single-surgeon series1177-5483https://doaj.org/article/11c952da6c284ab1b5d565c18a7747a62019-09-01T00:00:00Zhttps://www.dovepress.com/refractive-outcomes-of-implantation-of-an-implantable-phakic-copolymer-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Praveen Subudhi,1,2 Sweta Patro,1 Zahiruddin Khan,2 B Nageswar Rao Subudhi,3 Silla Sitaram4 1Department of Cornea and Refractive Surgery, Ruby Eye Hospital, Berhampur, Odisha, India; 2Ophthalmology Department, Hitech Medical College, Bhubaneswar, India; 3Ophthalmology Department, MKCG Medical College and Hospital, Berhampur, Odisha, India; 4Ophthalmology Department, SDH, Chatrapur, Odisha, IndiaCorrespondence: Praveen SubudhiRuby Eye Hospital, Govinda Vihar, Sushruta Nagar, Ganjam, Berhampur 760001, Odisha, IndiaEmail subudhipraveen@gmail.comPurpose: To assess the safety and efficacy of implanting implantable phakic copolymer lenses (IPCLs) with peripheral optic holes in the intraocular posterior chamber in Indian patients with moderate to high myopia.Methods: Seventy-five eyes of 50 patients who underwent IPCL implantation were retrospectively analyzed. Preoperative parameters, such as subjective refraction, anterior chamber depth (measured using a pentacam), and white-to-white diameter were measured. A custom-made IPCL using the aforementioned parameters was then implanted in the sulcus to correct moderate to high myopia. All patients had undergone neodymium-doped yttrium aluminum garnet peripheral iridotomy.Results: Clinical outcome data were collated retrospectively from the medical case records of the patients. The mean age was 25.36 years (standard deviation [SD]: 3.60 years), and 55.55% of the patients were men. The mean preoperative best-corrected visual acuity (BCVA) was 0.367 logmar units (SD: 0.266, max: 0.0 and min: 1.2). The post-IPCL implantation mean uncorrected visual acuity was 0.225 logmar units (SD: 0.172, max: 0 and min: 0.7), which was significantly superior to the preoperative BCVA (P=<0.0001). Forty-three patients (86%; satisfaction scores of ≥4; scale 1–5) were “highly satisfied” to “extremely satisfied” with the outcome. The mean follow-up period was 1.8 years.Conclusion: Implantation of the IPCL with peripheral holes in the intraocular posterior chamber resulted in a clinically significant improvement in unaided visual acuity. Long-term follow-up showed optimum stability of vision.Keywords: IPCL, pathological myopia, peripheral optical holeSubudhi PPatro SKhan ZSubudhi BNRSitaram SDove Medical PressarticleIPCLPATHOLOGICAL MYOPIAPERIPHERAL OPTICAL HOLEOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 13, Pp 1887-1894 (2019)
institution DOAJ
collection DOAJ
language EN
topic IPCL
PATHOLOGICAL MYOPIA
PERIPHERAL OPTICAL HOLE
Ophthalmology
RE1-994
spellingShingle IPCL
PATHOLOGICAL MYOPIA
PERIPHERAL OPTICAL HOLE
Ophthalmology
RE1-994
Subudhi P
Patro S
Khan Z
Subudhi BNR
Sitaram S
Refractive outcomes of implantation of an implantable phakic copolymer lens with peripheral holes in the intraocular posterior chamber in moderate to high myopia patients: a single-surgeon series
description Praveen Subudhi,1,2 Sweta Patro,1 Zahiruddin Khan,2 B Nageswar Rao Subudhi,3 Silla Sitaram4 1Department of Cornea and Refractive Surgery, Ruby Eye Hospital, Berhampur, Odisha, India; 2Ophthalmology Department, Hitech Medical College, Bhubaneswar, India; 3Ophthalmology Department, MKCG Medical College and Hospital, Berhampur, Odisha, India; 4Ophthalmology Department, SDH, Chatrapur, Odisha, IndiaCorrespondence: Praveen SubudhiRuby Eye Hospital, Govinda Vihar, Sushruta Nagar, Ganjam, Berhampur 760001, Odisha, IndiaEmail subudhipraveen@gmail.comPurpose: To assess the safety and efficacy of implanting implantable phakic copolymer lenses (IPCLs) with peripheral optic holes in the intraocular posterior chamber in Indian patients with moderate to high myopia.Methods: Seventy-five eyes of 50 patients who underwent IPCL implantation were retrospectively analyzed. Preoperative parameters, such as subjective refraction, anterior chamber depth (measured using a pentacam), and white-to-white diameter were measured. A custom-made IPCL using the aforementioned parameters was then implanted in the sulcus to correct moderate to high myopia. All patients had undergone neodymium-doped yttrium aluminum garnet peripheral iridotomy.Results: Clinical outcome data were collated retrospectively from the medical case records of the patients. The mean age was 25.36 years (standard deviation [SD]: 3.60 years), and 55.55% of the patients were men. The mean preoperative best-corrected visual acuity (BCVA) was 0.367 logmar units (SD: 0.266, max: 0.0 and min: 1.2). The post-IPCL implantation mean uncorrected visual acuity was 0.225 logmar units (SD: 0.172, max: 0 and min: 0.7), which was significantly superior to the preoperative BCVA (P=<0.0001). Forty-three patients (86%; satisfaction scores of ≥4; scale 1–5) were “highly satisfied” to “extremely satisfied” with the outcome. The mean follow-up period was 1.8 years.Conclusion: Implantation of the IPCL with peripheral holes in the intraocular posterior chamber resulted in a clinically significant improvement in unaided visual acuity. Long-term follow-up showed optimum stability of vision.Keywords: IPCL, pathological myopia, peripheral optical hole
format article
author Subudhi P
Patro S
Khan Z
Subudhi BNR
Sitaram S
author_facet Subudhi P
Patro S
Khan Z
Subudhi BNR
Sitaram S
author_sort Subudhi P
title Refractive outcomes of implantation of an implantable phakic copolymer lens with peripheral holes in the intraocular posterior chamber in moderate to high myopia patients: a single-surgeon series
title_short Refractive outcomes of implantation of an implantable phakic copolymer lens with peripheral holes in the intraocular posterior chamber in moderate to high myopia patients: a single-surgeon series
title_full Refractive outcomes of implantation of an implantable phakic copolymer lens with peripheral holes in the intraocular posterior chamber in moderate to high myopia patients: a single-surgeon series
title_fullStr Refractive outcomes of implantation of an implantable phakic copolymer lens with peripheral holes in the intraocular posterior chamber in moderate to high myopia patients: a single-surgeon series
title_full_unstemmed Refractive outcomes of implantation of an implantable phakic copolymer lens with peripheral holes in the intraocular posterior chamber in moderate to high myopia patients: a single-surgeon series
title_sort refractive outcomes of implantation of an implantable phakic copolymer lens with peripheral holes in the intraocular posterior chamber in moderate to high myopia patients: a single-surgeon series
publisher Dove Medical Press
publishDate 2019
url https://doaj.org/article/11c952da6c284ab1b5d565c18a7747a6
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