Fifteen-year follow-up after anterior chamber phakic intraocular lens implantation in one and LASIK in the fellow eye.
OBJECTIVE
To report a patient fifteen years after anterior chamber phakic intraocular lens (AC-PIOL) implantation in one and laser in situ keratomileusis (LASIK) in the fellow eye.


METHODS
Case report.


RESULTS
A 56-year-old male underwent AC-PIOL implantation in one eye and LASIK in the fellow eye fifteen years ago. Preoperative uncorrected visual acuity (UCVA) was finger count in both eyes. Preoperative best spectacle-corrected visual acuity (BSCVA) was 20/25 (-16.75 -0.50 x 40) in the LASIK eye and 20/32 (-24.50 -0.50 x 90) in the AC-PIOL eye. Fifteen years postoperatively, UCVA was finger count in the LASIK eye and 20/200 in the AC-PIOL eye, while BSCVA was 20/32 and 20/25, respectively. Endothelial cell density (ECD) was 2020+/-47 in the LASIK eye and 945+/-22 in the AC-PIOL eye.


CONCLUSIONS
Both procedures had similar visual outcomes. Furthermore, lower ECD was found in the AC-PIOL eye in comparison to the LASIK eye.
Kymionis
George D
GD
Institute of Vision and Optics, Faculty of Medicine, University of Crete, Crete, Greece. kymionis@med.uoc.gr
Grentzelos
Michael A
MA
Kalyvianaki
Maria I
MI
Detorakis
Efstathios T
ET
Kounis
George A
GA
Tsilimbaris
Miltiadis K
MK
Pallikaris
Ioannis G
IG
D000867:Anterior Chamber / Q000601:surgery*; D002452:Cell Count; D042783:Endothelial Cells / Q000166:cytology; D004728:Endothelium, Corneal / Q000166:cytology; D005500:Follow-Up Studies; D006801:Humans; D020731:Keratomileusis, Laser In Situ; D019654:Lens Implantation, Intraocular; D008297:Male; D008875:Middle Aged; D009216:Myopia / Q000601:surgery*; D017060:Patient Satisfaction; D054120:Phakic Intraocular Lenses; D014792:Visual Acuity