الفهرس | Only 14 pages are availabe for public view |
Abstract Summary 106 The treatment of cataract in patients implanted with posterior chamber phakic IOLs is not difficult. Explantation of the ICL is easily performed through the same incision. Phacoemulsification and posterior chamber IOL implantation can be done in a routine fashion. Patients who receive posterior chamber phakic IOLs are more likely to develop glaucoma than those with anterior chamber lens. Several mechanisms are available for increased intraocular pressure in these patients. In general, phakic IOL surgery leads to a slight and transient increase of the IOP during the first months after surgery and then the IOP returns to preoperative baseline. Although endothelial cell loss is a major concern with anterior chamber IOLs, it does not seem to represent such an important problem with posterior chamber phakic IOLs. The ICL proved to be comparable or, in some cases, superior to the corneal refractive procedures.The ICL offers the moderate to highly myopic patient a viable alternative to corneal laser refractive surgery. The implantable contact lens offers an alternative approach to the management of pseudophakic anisometropia that avoids some of the risks associated with IOL exchange and corneal refractive surgery. |