Visual Outcomes After Sequential Posterior Chamber Phakic IOL with Corneal Refractive Surgery (Bioptics) for the Treatment of Myopic Astigmatism

Visual Outcomes After Sequential Posterior Chamber Phakic IOL with Corneal Refractive Surgery (Bioptics) for the Treatment of Myopic Astigmatism

Majid Moshirfar,1– 3 Robert J Thomson,4 William B West Jnr,5 Shannon E McCabe,1,6 Thomas M Sant,5 Margaret H Shmunes,7 Yasmyne C Ronquillo,1 Phillip C Hoopes1 1Hoopes Vision Research Center, Hoopes Vision, Draper, UT, USA; 2John A. Moran Eye Center, Department of Ophthalmology and Visual S...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: Moshirfar M, Thomson RJ, West WB Jnr, McCabe SE, Sant TM, Shmunes MH, Ronquillo YC, Hoopes PC
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2020
Materias:
bioptics
lasik
prk
posterior chamber phakic iol
high myopic astigmatism
visual outcomes
Ophthalmology
RE1-994
Acceso en línea:https://doaj.org/article/ef4d2e36902c44bbaa982bf9ff1ecee7
Etiquetas: Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
id oai:doaj.org-article:ef4d2e36902c44bbaa982bf9ff1ecee7
record_format dspace
spelling oai:doaj.org-article:ef4d2e36902c44bbaa982bf9ff1ecee72021-12-02T11:44:01ZVisual Outcomes After Sequential Posterior Chamber Phakic IOL with Corneal Refractive Surgery (Bioptics) for the Treatment of Myopic Astigmatism1177-5483https://doaj.org/article/ef4d2e36902c44bbaa982bf9ff1ecee72020-12-01T00:00:00Zhttps://www.dovepress.com/visual-outcomes-after-sequential-posterior-chamber-phakic-iol-with-cor-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Majid Moshirfar,1– 3 Robert J Thomson,4 William B West Jnr,5 Shannon E McCabe,1,6 Thomas M Sant,5 Margaret H Shmunes,7 Yasmyne C Ronquillo,1 Phillip C Hoopes1 1Hoopes Vision Research Center, Hoopes Vision, Draper, UT, USA; 2John A. Moran Eye Center, Department of Ophthalmology and Visual Sciences, University of Utah School of Medicine, Salt Lake City, UT, USA; 3Utah Lions Eye Bank, Murray, UT, USA; 4McGovern Medical School at the University of Texas Health Science Center at Houston, Houston, TX, USA; 5University of Utah School of Medicine, Salt Lake City, UT, USA; 6Mission Hills Eye Center, Pleasant Hill, CA, USA; 7Burrell College of Osteopathic Medicine, Las Cruses, NM, USACorrespondence: Majid MoshirfarMD Hoopes Vision Research Center, Hoopes Vision, Draper, UT 84020, USATel +1 801-568-0200Fax +1 801-563-0200Email cornea2020@me.comPurpose: To report the outcomes of sequential posterior chamber phakic intraocular lens (PC-pIOL) with corneal refractive surgery in conventional (PC-pIOL prior to refractive surgery) and reverse (refractive surgery prior to PC-pIOL) bioptics for treating high myopic astigmatism.Setting: Tertiary refractive center, Draper, Utah, USA.Design: Retrospective case series.Methods: Medical records of patients who underwent planned bioptics were reviewed. Surgery involved PC-pIOL placement using an implantable collamer lens (ICL) with preceding or subsequent LASIK or PRK. Pre- and postoperative manifest spherical equivalent (SEQ), visual acuity, and PC-pIOL vault were analyzed.Results: Of the 51 eyes present at 12 months postoperatively, 49 eyes (96%) achieved target SEQ within ± 1.00 D and an identical amount achieved refractive astigmatism ≤ 1.00 D. Post-bioptics eyes achieved a postoperative UDVA equal to or better than preoperative CDVA in 45 eyes (88%). Efficacy and safety indices were 1.08 ± 0.20 (41 eyes) and 1.13 ± 0.22 (44 eyes) for conventional bioptics and 0.99 ± 0.42 (7 eyes) and 1.15 ± 0.38 (7 eyes) for reverse bioptics eyes at 12 months. The maximum PC-pIOL vault of conventional bioptics eyes (27 eyes) within 6 months before and after LASIK/PRK was 385 ± 159 μm and 377 ± 135 μm, respectively (P = 0.71).Conclusion: Bioptics for high myopic astigmatism was safe and effective. Reverse bioptics, although not as traditional, could provide similar results. Additionally, the PC-pIOL vault does not appear to be affected by LASIK/PRK.Keywords: bioptics, LASIK, PRK, posterior chamber phakic IOL, high myopic astigmatism, visual outcomesMoshirfar MThomson RJWest WB JnrMcCabe SESant TMShmunes MHRonquillo YCHoopes PCDove Medical Pressarticlebiopticslasikprkposterior chamber phakic iolhigh myopic astigmatismvisual outcomesOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 14, Pp 4337-4346 (2020)
institution DOAJ
collection DOAJ
language EN
topic bioptics
lasik
prk
posterior chamber phakic iol
high myopic astigmatism
visual outcomes
Ophthalmology
RE1-994
spellingShingle bioptics
lasik
prk
posterior chamber phakic iol
high myopic astigmatism
visual outcomes
Ophthalmology
RE1-994
Moshirfar M
Thomson RJ
West WB Jnr
McCabe SE
Sant TM
Shmunes MH
Ronquillo YC
Hoopes PC
Visual Outcomes After Sequential Posterior Chamber Phakic IOL with Corneal Refractive Surgery (Bioptics) for the Treatment of Myopic Astigmatism
description Majid Moshirfar,1– 3 Robert J Thomson,4 William B West Jnr,5 Shannon E McCabe,1,6 Thomas M Sant,5 Margaret H Shmunes,7 Yasmyne C Ronquillo,1 Phillip C Hoopes1 1Hoopes Vision Research Center, Hoopes Vision, Draper, UT, USA; 2John A. Moran Eye Center, Department of Ophthalmology and Visual Sciences, University of Utah School of Medicine, Salt Lake City, UT, USA; 3Utah Lions Eye Bank, Murray, UT, USA; 4McGovern Medical School at the University of Texas Health Science Center at Houston, Houston, TX, USA; 5University of Utah School of Medicine, Salt Lake City, UT, USA; 6Mission Hills Eye Center, Pleasant Hill, CA, USA; 7Burrell College of Osteopathic Medicine, Las Cruses, NM, USACorrespondence: Majid MoshirfarMD Hoopes Vision Research Center, Hoopes Vision, Draper, UT 84020, USATel +1 801-568-0200Fax +1 801-563-0200Email cornea2020@me.comPurpose: To report the outcomes of sequential posterior chamber phakic intraocular lens (PC-pIOL) with corneal refractive surgery in conventional (PC-pIOL prior to refractive surgery) and reverse (refractive surgery prior to PC-pIOL) bioptics for treating high myopic astigmatism.Setting: Tertiary refractive center, Draper, Utah, USA.Design: Retrospective case series.Methods: Medical records of patients who underwent planned bioptics were reviewed. Surgery involved PC-pIOL placement using an implantable collamer lens (ICL) with preceding or subsequent LASIK or PRK. Pre- and postoperative manifest spherical equivalent (SEQ), visual acuity, and PC-pIOL vault were analyzed.Results: Of the 51 eyes present at 12 months postoperatively, 49 eyes (96%) achieved target SEQ within ± 1.00 D and an identical amount achieved refractive astigmatism ≤ 1.00 D. Post-bioptics eyes achieved a postoperative UDVA equal to or better than preoperative CDVA in 45 eyes (88%). Efficacy and safety indices were 1.08 ± 0.20 (41 eyes) and 1.13 ± 0.22 (44 eyes) for conventional bioptics and 0.99 ± 0.42 (7 eyes) and 1.15 ± 0.38 (7 eyes) for reverse bioptics eyes at 12 months. The maximum PC-pIOL vault of conventional bioptics eyes (27 eyes) within 6 months before and after LASIK/PRK was 385 ± 159 μm and 377 ± 135 μm, respectively (P = 0.71).Conclusion: Bioptics for high myopic astigmatism was safe and effective. Reverse bioptics, although not as traditional, could provide similar results. Additionally, the PC-pIOL vault does not appear to be affected by LASIK/PRK.Keywords: bioptics, LASIK, PRK, posterior chamber phakic IOL, high myopic astigmatism, visual outcomes
format article
author Moshirfar M
Thomson RJ
West WB Jnr
McCabe SE
Sant TM
Shmunes MH
Ronquillo YC
Hoopes PC
author_facet Moshirfar M
Thomson RJ
West WB Jnr
McCabe SE
Sant TM
Shmunes MH
Ronquillo YC
Hoopes PC
author_sort Moshirfar M
title Visual Outcomes After Sequential Posterior Chamber Phakic IOL with Corneal Refractive Surgery (Bioptics) for the Treatment of Myopic Astigmatism
title_short Visual Outcomes After Sequential Posterior Chamber Phakic IOL with Corneal Refractive Surgery (Bioptics) for the Treatment of Myopic Astigmatism
title_full Visual Outcomes After Sequential Posterior Chamber Phakic IOL with Corneal Refractive Surgery (Bioptics) for the Treatment of Myopic Astigmatism
title_fullStr Visual Outcomes After Sequential Posterior Chamber Phakic IOL with Corneal Refractive Surgery (Bioptics) for the Treatment of Myopic Astigmatism
title_full_unstemmed Visual Outcomes After Sequential Posterior Chamber Phakic IOL with Corneal Refractive Surgery (Bioptics) for the Treatment of Myopic Astigmatism
title_sort visual outcomes after sequential posterior chamber phakic iol with corneal refractive surgery (bioptics) for the treatment of myopic astigmatism
publisher Dove Medical Press
publishDate 2020
url https://doaj.org/article/ef4d2e36902c44bbaa982bf9ff1ecee7
work_keys_str_mv AT moshirfarm visualoutcomesaftersequentialposteriorchamberphakiciolwithcornealrefractivesurgerybiopticsforthetreatmentofmyopicastigmatism
AT thomsonrj visualoutcomesaftersequentialposteriorchamberphakiciolwithcornealrefractivesurgerybiopticsforthetreatmentofmyopicastigmatism
AT westwbjnr visualoutcomesaftersequentialposteriorchamberphakiciolwithcornealrefractivesurgerybiopticsforthetreatmentofmyopicastigmatism
AT mccabese visualoutcomesaftersequentialposteriorchamberphakiciolwithcornealrefractivesurgerybiopticsforthetreatmentofmyopicastigmatism
AT santtm visualoutcomesaftersequentialposteriorchamberphakiciolwithcornealrefractivesurgerybiopticsforthetreatmentofmyopicastigmatism
AT shmunesmh visualoutcomesaftersequentialposteriorchamberphakiciolwithcornealrefractivesurgerybiopticsforthetreatmentofmyopicastigmatism
AT ronquilloyc visualoutcomesaftersequentialposteriorchamberphakiciolwithcornealrefractivesurgerybiopticsforthetreatmentofmyopicastigmatism
AT hoopespc visualoutcomesaftersequentialposteriorchamberphakiciolwithcornealrefractivesurgerybiopticsforthetreatmentofmyopicastigmatism
_version_ 1718395318302670848

Ejemplares similares