Three-haptic intraocular lens for myopia: early results.
OBJECTIVE
To report the intraoperative experience and early postoperative results of implantation of an intraocular lens (IOL) developed specifically for myopic eyes.


METHODS
Wolverhampton Eye Infirmary, Wolverhampton, United Kingdom.


METHODS
This retrospective study evaluated consecutive highly myopic eyes having implantation of a Bigbag IOL from November 2003 to December 2007. Before IOL placement, a 2.8 mm clear corneal incision was created and phacoemulsification performed. The IOL was implanted using the dedicated folder and injector supplied by the manufacturer.


RESULTS
The study evaluated 67 eyes (48 patients) with a mean follow-up of 8.5 months (range 0.75 to 31 months). Intraoperative complications were IOL haptic damage from the injector system (3 eyes; 4.5%) and posterior capsule tear (1 eye; 1.5%). Postoperative complications were posterior capsule opacification (29 eyes; 43%), retinal detachment (1 eye; 1.5%), and iritis (1 eye; 1.5%). The postoperative corrected distance visual acuity was 0.10 logMAR or better in 24 eyes (35.8%) and 0.18 to 0.48 logMAR in 32 eyes (47.8%). Forty-three eyes (64.2%) were within +/-1.00 diopter of the intended refractive outcome.


CONCLUSIONS
Preliminary results indicate that this 3-haptic IOL is safe and appropriate for use in highly myopic patients having cataract surgery.


BACKGROUND
No author has a financial or proprietary interest in any material or method mentioned.
Khan
Imran J
IJ
Wolverhampton Eye Infirmary, New Cross Hospital, Wolverhampton, United Kingdom. drijk@doctors.org.uk
Abbott
Joseph
J
Bhatnager
Ajay J
AJ
Price
Nicholas J
NJ
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D007431:Intraoperative Complications; D019654:Lens Implantation, Intraocular; D007910:Lenses, Intraocular; D008297:Male; D008875:Middle Aged; D009216:Myopia / Q000503:physiopathology / Q000601:surgery*; D018918:Phacoemulsification; D011183:Postoperative Complications; D011474:Prosthesis Design; D012029:Refraction, Ocular / Q000502:physiology; D012189:Retrospective Studies; D016896:Treatment Outcome; D014792:Visual Acuity / Q000502:physiology