title: Long-term quality of life after posterior chamber phakic intraocular lens implantation and after wavefront-guided laser in situ keratomileusis for myopia.
abstract: OBJECTIVE
  To compare the vision-related quality of life 5 years after Implantable Collamer Lens phakic intraocular lens (pIOL) implantation and after wavefront-guided laser in situ keratomileusis (LASIK) for myopia.
  
  
  METHODS
  Department of Ophthalmology, Kitasato University, Kanagawa, Japan.
  
  
  METHODS
  Retrospective case series.
  
  
  METHODS
  Quality of life was measured with the National Eye Institute Refractive Error Quality of Life instrument in consecutive patients 5 years after pIOL implantation or wavefront-guided LASIK to correct myopia.
  
  
  RESULTS
  Phakic IOL implantation was performed in 48 patients and LASIK in 55 patients. The scores for activity limitations, symptoms, appearance, and satisfaction with correction were significantly higher in the pIOL group than in the LASIK group (P<.05, Mann-Whitney U test). No significant differences in other scores were observed between the 2 groups (P ≥.05). The scores for near vision and dependence on correction were significantly higher in the younger subgroup than in the older subgroup with both techniques.
  
  
  CONCLUSIONS
  Phakic IOL implantation may offer significant vision-related quality-of-life advantages (eg, fewer activity limitations and symptoms and better appearance and satisfaction with correction) over wavefront-guided LASIK for myopia in the long term. Moreover, refractive surgery may provide a better quality of life in younger patients.
authors.affiliation: From the Departments of Ophthalmology, University of Kitasato School of Medicine (Kobashi, Kamiya, Igarashi, Matsumura, Shimizu), Kanagawa, and Sanno Hospital (Komatsu), Tokyo, Japan. Electronic address: himon@hotmail.co.jp.
authors.forename: Hidenaga
authors.initials: H
authors.lastname: Kobashi
authors.affiliation: From the Departments of Ophthalmology, University of Kitasato School of Medicine (Kobashi, Kamiya, Igarashi, Matsumura, Shimizu), Kanagawa, and Sanno Hospital (Komatsu), Tokyo, Japan.
authors.forename: Kazutaka
authors.initials: K
authors.lastname: Kamiya
authors.affiliation: From the Departments of Ophthalmology, University of Kitasato School of Medicine (Kobashi, Kamiya, Igarashi, Matsumura, Shimizu), Kanagawa, and Sanno Hospital (Komatsu), Tokyo, Japan.
authors.forename: Akihito
authors.initials: A
authors.lastname: Igarashi
authors.affiliation: From the Departments of Ophthalmology, University of Kitasato School of Medicine (Kobashi, Kamiya, Igarashi, Matsumura, Shimizu), Kanagawa, and Sanno Hospital (Komatsu), Tokyo, Japan.
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Matsumura
authors.affiliation: From the Departments of Ophthalmology, University of Kitasato School of Medicine (Kobashi, Kamiya, Igarashi, Matsumura, Shimizu), Kanagawa, and Sanno Hospital (Komatsu), Tokyo, Japan.
authors.forename: Mari
authors.initials: M
authors.lastname: Komatsu
authors.affiliation: From the Departments of Ophthalmology, University of Kitasato School of Medicine (Kobashi, Kamiya, Igarashi, Matsumura, Shimizu), Kanagawa, and Sanno Hospital (Komatsu), Tokyo, Japan.
authors.forename: Kimiya
authors.initials: K
authors.lastname: Shimizu
mesh_terms: D057128:Aberrometry; D000203:Activities of Daily Living; D000293:Adolescent; D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D020731:Keratomileusis, Laser In Situ / Q000379:methods*; D054018:Lasers, Excimer / Q000627:therapeutic use*; D019654:Lens Implantation, Intraocular; D008297:Male; D008875:Middle Aged; D009216:Myopia / Q000601:surgery*; D054120:Phakic Intraocular Lenses; D011788:Quality of Life / Q000523:psychology*; D012029:Refraction, Ocular / Q000502:physiology; D012189:Retrospective Studies; D018434:Sickness Impact Profile; D014792:Visual Acuity / Q000502:physiology; D055815:Young Adult