A Leccisotti1. 1. Ophthalmic Surgery Unit, Casa di Cura Rugani, Siena, Italy. leccisotti@libero.it
Abstract
PURPOSE: To assess efficacy and safety of angle-supported phakic intraocular lenses (PIOL) implanted after scleral buckling for retinal detachment. SETTING: Private practice in Siena, Italy. METHODS: Retrospective, noncomparative consecutive case series. Inclusion criteria for retrospective evaluation were previous uncomplicated external retinal detachment surgery (scleral buckling), and a complete follow-up superior to 3 years from PIOL implantation. RESULTS: Nine eyes of seven patients were included. Mean time interval between retinal detachment surgery and PIOL implantation was 3.2 years +/- 4.5 (range 1 to 15). Mean spherical equivalent (SE) before PIOL implantation was -16.36 D +/- 3.98; range: -11.75 to -23. PIOL surgery was uneventful in all cases. Mean SE after PIOL implantation was -0.99+/-0.51 (95% confidence interval for the mean: -0.59 to -1.39). Mean follow-up after PIOL implantation was 4.2 years +/- 0.8 (range 3 to 5). Complications were pupil ovalization (inferior to 1 mm) in two eyes, and worsening of floaters in both eyes of one patient. No recurrences of retinal detachment were observed. CONCLUSIONS: In selected eyes with no anterior chamber abnormalities, the implantation of angle supported PIOL after scleral buckling for retinal detachment is associated with good refractive results and minor complications.
PURPOSE: To assess efficacy and safety of angle-supported phakic intraocular lenses (PIOL) implanted after scleral buckling for retinal detachment. SETTING: Private practice in Siena, Italy. METHODS: Retrospective, noncomparative consecutive case series. Inclusion criteria for retrospective evaluation were previous uncomplicated external retinal detachment surgery (scleral buckling), and a complete follow-up superior to 3 years from PIOL implantation. RESULTS: Nine eyes of seven patients were included. Mean time interval between retinal detachment surgery and PIOL implantation was 3.2 years +/- 4.5 (range 1 to 15). Mean spherical equivalent (SE) before PIOL implantation was -16.36 D +/- 3.98; range: -11.75 to -23. PIOL surgery was uneventful in all cases. Mean SE after PIOL implantation was -0.99+/-0.51 (95% confidence interval for the mean: -0.59 to -1.39). Mean follow-up after PIOL implantation was 4.2 years +/- 0.8 (range 3 to 5). Complications were pupil ovalization (inferior to 1 mm) in two eyes, and worsening of floaters in both eyes of one patient. No recurrences of retinal detachment were observed. CONCLUSIONS: In selected eyes with no anterior chamber abnormalities, the implantation of angle supported PIOL after scleral buckling for retinal detachment is associated with good refractive results and minor complications.