Posterior chamber silicone phakic intraocular lens.
BACKGROUND
We investigated the efficacy, safety, and stability of correction achieved with a silicone posterior chamber intraocular lens used to correct high myopia in phakic eyes.


METHODS
A silicone posterior chamber plate-style intraocular lens (Chiron, Adatomed) was implanted in 38 consecutive phakic eyes with high myopia (-7.00 to -28.00 diopters (D) over a period of 21 months. Follow-up ranged from 3 to 24 months.


RESULTS
Three months after surgery, refractions in 27 eyes (71%) ranged from -1.00 to +1.00 D and remained stable thereafter. Spectacle-corrected visual acuity improved at least two lines in 24 eyes (63%), and none was lost in any eye. Patient satisfaction was high (92%). The few complications that occurred were mostly related to imperfections in the surgical technique rather than lack of biocompatibility of the lens. No cataract or other vision-threatening complication was present at the end of the study.


CONCLUSIONS
This silicone posterior chamber plate-style intraocular lens provides a reasonably predictable, safe, and stable means of correcting high myopia.
Marinho
A
A
Hospital Santo António, University of Porto, Portugal.
Neves
M C
MC
Pinto
M C
MC
Vaz
F
F
D000328:Adult; D001672:Biocompatible Materials / Q000009:adverse effects; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007910:Lenses, Intraocular / Q000009:adverse effects; D008297:Male; D009216:Myopia / Q000503:physiopathology / Q000601:surgery*; D017060:Patient Satisfaction; D011183:Postoperative Complications / Q000209:etiology; D012449:Safety; D012826:Silicone Elastomers / Q000009:adverse effects; D013997:Time Factors; D016896:Treatment Outcome; D014792:Visual Acuity / Q000502:physiology
D001672:Biocompatible Materials; D012826:Silicone Elastomers