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Impressum
Subcapsular opacification in implantable contactlenses(ICLTM)
Lackner B., Pieh S., Dejaco-Ruhswurm I., Schmidinger G., Hanselmayer G., Skorpik C.
Universitätsklinik für Augenheilkunde und Optometrie, Währinger Gürtel 18- 20, A - 1090 Wien
Purpose: To evaluate the anterior subcapsular opacification after
implantation of implantable contact lenses (ICLs) in phakic eyes.
Methods: 75 phakic eyes of 45 patients (aged 18.7 to 60.6 years)
received implantable Staar contact lenses (41 myopic patients, n=68; 5
hyperopic patients, n=10). Eight different ICL designs were used in this
series. Best corrected visual acuity was assessed preoperatively and 3
months, 6 months and after the first postoperative year . Incidence of
lens opacification was recorded.
Results: Preoperative spherical aequivalent was - 15.96 ±
5.29 D for myopic eyes and + 7.88 ± 1.53 D for hyperopic eyes.
BCVA was Snellen 0.53 ± 0.27 preoperatively, 0.64 after 1 month,
0.68 after 3 months, 0.68 after 6 months and 0.70 after 1 year. The incidence
of cataract formation occurred after 1 month in 8 of 75 eyes, after 3
months in 12 of 75 eyes, after 6 months in 17 of 75 eyes and after 1 year
in 20 of 61 eyes. In 8 cases (13.1%) cataract surgery, ICL explantation
and IOL implantation had to be performed.
Conclusion: The potential risk of cataract formation after ICL
implantaion must be part of indictaion for treatment of myopia.