Comparison of clear lens extraction and collamer lens implantation in high myopia
Ahmed M Emarah, Mostafa A El-Helw, Hazem M YassinCairo University, Cairo, EgyptAim: To compare the outcomes of clear lens extraction and collamer lens implantation in high myopia.Patients and methods: Myopic patients younger than 40 years old with more than 12 diopters of myopia or who were not fit...
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Dove Medical Press
2010
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oai:doaj.org-article:a62b5933b1ce41e4936e48cde02e07012021-12-02T02:09:48ZComparison of clear lens extraction and collamer lens implantation in high myopia1177-54671177-5483https://doaj.org/article/a62b5933b1ce41e4936e48cde02e07012010-05-01T00:00:00Zhttp://www.dovepress.com/comparison-of-clear-lens-extraction-and-collamer-lens-implantation-in--a4406https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Ahmed M Emarah, Mostafa A El-Helw, Hazem M YassinCairo University, Cairo, EgyptAim: To compare the outcomes of clear lens extraction and collamer lens implantation in high myopia.Patients and methods: Myopic patients younger than 40 years old with more than 12 diopters of myopia or who were not fit for laser-assisted in situ keratomileusis were included. Group 1 comprised patients undergoing clear lens extraction and Group 2 patients received the Visian implantable collamer lens. Outcome and complications were evaluated.Results: Postoperative best corrected visual acuity was -0.61 ± 0.18 in Group 1 and 0.79 ± 0.16 in Group 2. In Group 1, 71.4% achieved a postoperative uncorrected visual acuity better than the preoperative best corrected visual acuity, while only 51.8% patients achieved this in Group 2. Intraocular pressure decreased by 12.55% in Group 1, and increased by 15.11% in Group 2. Corneal endothelial cell density decreased by 4.47% in Group 1 and decreased by 5.67% in Group 2. Posterior capsule opacification occurred in Group 1. In Group 2, lens opacification occurred in 11.11%, significant pigment dispersion in 3.7%, and pupillary block glaucoma in 3.7%.Conclusion: Clear lens extraction presents less of a financial load up front, and less likelihood of the need for a secondary intervention in the future. Clear lens extraction is a more viable solution in developing countries with limited financial resources.Keywords: clear lens extraction, implantable collamer lens, myopia Ahmed M EmarahMostafa A El-HelwHazem M YassinDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2010, Iss default, Pp 447-454 (2010) |
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Ophthalmology RE1-994 |
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Ophthalmology RE1-994 Ahmed M Emarah Mostafa A El-Helw Hazem M Yassin Comparison of clear lens extraction and collamer lens implantation in high myopia |
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Ahmed M Emarah, Mostafa A El-Helw, Hazem M YassinCairo University, Cairo, EgyptAim: To compare the outcomes of clear lens extraction and collamer lens implantation in high myopia.Patients and methods: Myopic patients younger than 40 years old with more than 12 diopters of myopia or who were not fit for laser-assisted in situ keratomileusis were included. Group 1 comprised patients undergoing clear lens extraction and Group 2 patients received the Visian implantable collamer lens. Outcome and complications were evaluated.Results: Postoperative best corrected visual acuity was -0.61 ± 0.18 in Group 1 and 0.79 ± 0.16 in Group 2. In Group 1, 71.4% achieved a postoperative uncorrected visual acuity better than the preoperative best corrected visual acuity, while only 51.8% patients achieved this in Group 2. Intraocular pressure decreased by 12.55% in Group 1, and increased by 15.11% in Group 2. Corneal endothelial cell density decreased by 4.47% in Group 1 and decreased by 5.67% in Group 2. Posterior capsule opacification occurred in Group 1. In Group 2, lens opacification occurred in 11.11%, significant pigment dispersion in 3.7%, and pupillary block glaucoma in 3.7%.Conclusion: Clear lens extraction presents less of a financial load up front, and less likelihood of the need for a secondary intervention in the future. Clear lens extraction is a more viable solution in developing countries with limited financial resources.Keywords: clear lens extraction, implantable collamer lens, myopia |
format |
article |
author |
Ahmed M Emarah Mostafa A El-Helw Hazem M Yassin |
author_facet |
Ahmed M Emarah Mostafa A El-Helw Hazem M Yassin |
author_sort |
Ahmed M Emarah |
title |
Comparison of clear lens extraction and collamer lens implantation in high myopia |
title_short |
Comparison of clear lens extraction and collamer lens implantation in high myopia |
title_full |
Comparison of clear lens extraction and collamer lens implantation in high myopia |
title_fullStr |
Comparison of clear lens extraction and collamer lens implantation in high myopia |
title_full_unstemmed |
Comparison of clear lens extraction and collamer lens implantation in high myopia |
title_sort |
comparison of clear lens extraction and collamer lens implantation in high myopia |
publisher |
Dove Medical Press |
publishDate |
2010 |
url |
https://doaj.org/article/a62b5933b1ce41e4936e48cde02e0701 |
work_keys_str_mv |
AT ahmedmemarah comparisonofclearlensextractionandcollamerlensimplantationinhighmyopia AT mostafaaelhelw comparisonofclearlensextractionandcollamerlensimplantationinhighmyopia AT hazemmyassin comparisonofclearlensextractionandcollamerlensimplantationinhighmyopia |
_version_ |
1718402666952916992 |