CLINICAL STUDY OF POSTERIOR CHAMBER PHAKIC IOL PLACEMENT IN MYOPIC PATIENTS
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2017, Vol 4, Issue 17
Abstract
BACKGROUND The aim of this study was to determine the safety and efficacy of posterior chamber phakic IOL in Myopic patients. MATERIALS AND METHODS This prospective interventional study included 50 eyes of 50 patients with myopia. Patients of age more than 18 yrs. Stable refraction, Myopia, Mild to Moderate keratoconus and absence of any ocular pathology and any history of ocular surgeries were included in this study. Prior to starting treatment certain parameters like visual acuity, AC depth, Iridocorneal Angle Aperture, Endothelial cell count, Central corneal thickness and IOP were considered. Intervention- Implantation of the phakic IOL. Main outcome Measures- Uncorrected Visual Acuity (UCVA), best spectacle corrected visual acuity (BSCVA), AS OCT AC depthbetween endothelium and phakic IOL, IOP and Endothelial cell count were recorded. RESULTS Postoperative examinations conducted at day 1, day 3, after 1 week, 1 month and after 3 months .out of 50 patients, 4 patients had striate keratopathy, 2 patients had shallow ac during immediate post-operative period. During the postoperative follow up 10 patients had BCVA of 6/9-6/6 (20%), 14 patients had 6/9-6/12 (28%), 24 patients had 6/12-6/24(48%) and remaining 2 patients had <6/24 which was better than their preoperative uncorrected visual acuity. CONCLUSION Based on this prospective clinical study and on comparison with other clinical studies posterior chamber phakic IOL corrective procedures are safe and effective for treatment of myopia. It also shows that it can provide sharp and clear vision in 96% of our study population. It does not induce dry eye syndrome as in other refractive surgeries. Short term complications like endothelial damage, angle closure glaucoma, iritis, anterior capsule injury/lens changes were not encountered during our study. But still long term follow up is required to confirm long term safety of the implant.
Authors and Affiliations
Ashok Kumar P, Ananda Babu M, Radha Priyadharshini R, Sudarvizhi A
Keywords
Related Articles
- EP ID EP214944
- DOI 10.18410/jebmh/2017/187
- Views 91
- Downloads 0
COMMUNITY-BASED CROSS-SECTIONAL ASSESSMENT OF DEPRESSION AMONG GERIATRIC POPULATION
BACKGROUND As the life expectancy is increasing, the geriatric population in the world are also increasing. Older people face many physical and mental health challenges which need to be recognized. Over 20% of adults age...
CARCINOMA PROSTATE HISTOPATHOLOGY IN NEEDLE BIOPSIES INCLUDING REVISED GLEASON’S GRADING AND ROLE OF IMMUNOHISTOCHEMICAL MARKERS
BACKGROUND Adenocarcinoma of prostate is the most common form of cancer in men accounting for 29% of cancers in developed nations and the incidence of prostatic cancer is 6.4% in males of Trivandrum District. MATERIALS A...
PATIENTS DEMOGRAPHICS AND PREDISPOSING FACTORS FOR AMOEBIC LIVER ABSCESS
BACKGROUND Amoebiasis is a common disease in the tropics presenting with dysentery, due to the bad hygiene, contamination of foods and water by Entamoeba histolytica. Very rarely amoebic dysentery may complicate and form...
ESTIMATION OF VITAMIN D LEVELS IN CHRONIC OBSTRUCTIVE PULMONARY DISEASE PATIENTS
BACKGROUND Vitamin D deficiency and osteoporosis is a common extra pulmonary manifestation in COPD patients. Evidence suggests that the prevalence of osteoporosis in patients with COPD is high and potentially important w...
FOREIGN BODY GRANULOMA OF CONJUNCTIVA AFTER THORN INJURY: A CASE REPORT
As foreign body wounds of the eye are very common, many ocular injuries are caused by thorns, fragments of wood or husks of grains, which are retained in eye initiating granulomatous reaction, very commonly seen in rural...