Long-term follow-up of hydrogel intracorneal lenses in 2 aphakic eyes.
We report the outcome of hydrogel intracorneal lens implantation in 2 patients. The lenses were implanted at approximately 50% depth in the cornea to correct high hyperopic refractive errors of 10.5 diopters (D) and 14.0 D, respectively. Both patients were contact lens intolerant and not suitable for intraocular lens implantation. Surgery was performed in 1988, and the patients were followed until early 2010. The patients showed good tolerance for the intracorneal lenses, but both developed opacities around the implant, leading to reduced visual acuity in 1 patient. Long-term patient monitoring is essential since corneal opacities can develop after many years. Removing the implant is not necessary as the lens can easily be rinsed by lifting the corneal cap.
Department of Ophthalmology, Erasmus MC, Rotterdam, The Netherlands. isabelle-saelens@hotmail.com
Isabelle E Y
IE
Saelens
Isabel
I
Bleyen
Toine
T
Hillenaar
Alberta A
AA
Thiadens
Willem H Houdijn
WH
Beekhuis
Lies
L
Remeijer
Gabriel
G
Van Rij
D000328:Adult; D001036:Aphakia, Postcataract / Q000601:surgery*; D003318:Corneal Opacity / Q000209:etiology*; D003319:Corneal Stroma / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D020136:Hydrogel, Polyethylene Glycol Dimethacrylate; D006956:Hyperopia / Q000601:surgery*; D007909:Lenses / Q000009:adverse effects*; D008297:Male; D018613:Microscopy, Confocal; D019919:Prosthesis Implantation; D014786:Vision Disorders / Q000209:etiology; D014792:Visual Acuity
D020136:Hydrogel, Polyethylene Glycol Dimethacrylate