A Novel Concept of Correcting Presbyopia: First Clinical Results with a Phakic Diffractive Intraocular Lens

A Novel Concept of Correcting Presbyopia: First Clinical Results with a Phakic Diffractive Intraocular Lens

Ruediger Schmid, Holger Luedtke Accuratis. Private Practice for Refractive Surgery, Ulm, GermanyCorrespondence: Ruediger Schmid Tel +49 731 28065680Email r-schmid@gmx.dePurpose: To evaluate the effect of a novel technique to correct presbyopia. A phakic IOL (presbyopic IPCL; implantable phakic conta...

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Autores principales: Schmid R, Luedtke H
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2020
Materias:
refractive surgery
myopia
phakic intraocular lens (piol)
presbyopia
ipcl
Ophthalmology
RE1-994
Acceso en línea:https://doaj.org/article/3fdcca13b2f24c25a3991055fcf5160b
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spelling oai:doaj.org-article:3fdcca13b2f24c25a3991055fcf5160b2021-12-02T13:11:04ZA Novel Concept of Correcting Presbyopia: First Clinical Results with a Phakic Diffractive Intraocular Lens1177-5483https://doaj.org/article/3fdcca13b2f24c25a3991055fcf5160b2020-07-01T00:00:00Zhttps://www.dovepress.com/a-novel-concept-of-correcting-presbyopia-first-clinical-results-with-a-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Ruediger Schmid, Holger Luedtke Accuratis. Private Practice for Refractive Surgery, Ulm, GermanyCorrespondence: Ruediger Schmid Tel +49 731 28065680Email r-schmid@gmx.dePurpose: To evaluate the effect of a novel technique to correct presbyopia. A phakic IOL (presbyopic IPCL; implantable phakic contact lens) with a diffractive optic is implanted and its impact on visual acuity, refraction, patient satisfaction in patients striving for spectacle-independence is evaluated.Design: Retrospective noncomparative open-label clinical trial.Methods: Sixteen eyes of 8 patients (average age 47 years) had a presbyopic IPCL implanted in the posterior chamber. The visual acuity on different distances, refractive status, corneal topography, endothelial cell density, anterior chamber depth, white-to-white, mesopic pupil size and intraocular pressure (IOP) were measured before implantation of this novel phakic IOL with diffractive optic and four weeks after surgery.Results: At follow-up four weeks after surgery, 9 of the 16 eyes were emmetropic and uncorrected distance visual acuity was at least 0.8. Near vision was excellent in all patients without the need to wear reading glasses. There was neither a significant change in IOP nor a significant surgical impact on endothelial cells. Patient satisfaction was high. There was no major complaint of halos or glare.Conclusion: The presbyopic IPCL can provide the presbyopic patient with good visual acuity and spectacle-independence for far and near distance. We found this novel technique to have a good safety profile during the surgical procedure and our short follow-up period. Further long-term follow-up is mandatory.Keywords: refractive surgery, myopia, phakic intraocular lens, pIOL, presbyopia, IPCLSchmid RLuedtke HDove Medical Pressarticlerefractive surgerymyopiaphakic intraocular lens (piol)presbyopiaipclOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 14, Pp 2011-2019 (2020)
institution DOAJ
collection DOAJ
language EN
topic refractive surgery
myopia
phakic intraocular lens (piol)
presbyopia
ipcl
Ophthalmology
RE1-994
spellingShingle refractive surgery
myopia
phakic intraocular lens (piol)
presbyopia
ipcl
Ophthalmology
RE1-994
Schmid R
Luedtke H
A Novel Concept of Correcting Presbyopia: First Clinical Results with a Phakic Diffractive Intraocular Lens
description Ruediger Schmid, Holger Luedtke Accuratis. Private Practice for Refractive Surgery, Ulm, GermanyCorrespondence: Ruediger Schmid Tel +49 731 28065680Email r-schmid@gmx.dePurpose: To evaluate the effect of a novel technique to correct presbyopia. A phakic IOL (presbyopic IPCL; implantable phakic contact lens) with a diffractive optic is implanted and its impact on visual acuity, refraction, patient satisfaction in patients striving for spectacle-independence is evaluated.Design: Retrospective noncomparative open-label clinical trial.Methods: Sixteen eyes of 8 patients (average age 47 years) had a presbyopic IPCL implanted in the posterior chamber. The visual acuity on different distances, refractive status, corneal topography, endothelial cell density, anterior chamber depth, white-to-white, mesopic pupil size and intraocular pressure (IOP) were measured before implantation of this novel phakic IOL with diffractive optic and four weeks after surgery.Results: At follow-up four weeks after surgery, 9 of the 16 eyes were emmetropic and uncorrected distance visual acuity was at least 0.8. Near vision was excellent in all patients without the need to wear reading glasses. There was neither a significant change in IOP nor a significant surgical impact on endothelial cells. Patient satisfaction was high. There was no major complaint of halos or glare.Conclusion: The presbyopic IPCL can provide the presbyopic patient with good visual acuity and spectacle-independence for far and near distance. We found this novel technique to have a good safety profile during the surgical procedure and our short follow-up period. Further long-term follow-up is mandatory.Keywords: refractive surgery, myopia, phakic intraocular lens, pIOL, presbyopia, IPCL
format article
author Schmid R
Luedtke H
author_facet Schmid R
Luedtke H
author_sort Schmid R
title A Novel Concept of Correcting Presbyopia: First Clinical Results with a Phakic Diffractive Intraocular Lens
title_short A Novel Concept of Correcting Presbyopia: First Clinical Results with a Phakic Diffractive Intraocular Lens
title_full A Novel Concept of Correcting Presbyopia: First Clinical Results with a Phakic Diffractive Intraocular Lens
title_fullStr A Novel Concept of Correcting Presbyopia: First Clinical Results with a Phakic Diffractive Intraocular Lens
title_full_unstemmed A Novel Concept of Correcting Presbyopia: First Clinical Results with a Phakic Diffractive Intraocular Lens
title_sort novel concept of correcting presbyopia: first clinical results with a phakic diffractive intraocular lens
publisher Dove Medical Press
publishDate 2020
url https://doaj.org/article/3fdcca13b2f24c25a3991055fcf5160b
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