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Review
. 2020 Dec;68(12):2779-2796.
doi: 10.4103/ijo.IJO_2995_20.

Phakic intraocular lenses: An overview

Soraya M R Jonker  1 , Tos T J M Berendschot  1 , Isabelle E Y Saelens  2 , Noël J C Bauer  3 , Rudy M M A Nuijts  3
Affiliations
Review

Phakic intraocular lenses: An overview

Soraya M R Jonker et al. Indian J Ophthalmol. 2020 Dec.

Abstract

Phakic intraocular lenses (pIOLs) are a common solution for the surgical correction of high myopia and myopia in thin corneas. Global trends result in increasing rates of patients with high myopia which will result in increased rates of pIOL implantation. Three types of lenses can be distinguished: anterior chamber angle-supported, anterior chamber iris-fixated, and posterior chamber phakic IOLs. The efficacy of phakic intraocular lenses is generally very good, but pIOLs have undergone many changes over the years to improve the safety profile and decrease pIOL-related complications such as endothelial cell loss, corneal decompensation and cataract formation. This article describes the efficacy and safety profiles of the most recent pIOLs, as well as suggests gaps of knowledge that are deserve additional research to optimize the results of pIOLs.

Keywords: High Myopia; Phakic Intraocular Lens; Refractive Surgery.

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Conflict of interest statement

None

Figures

Figure 1
Figure 1
Surgical correction of refractive errors using laser refractive correction (top), phakic intraocular lens implantation (center), refractive lens exchange (bottom)
Figure 2
Figure 2
Three different phakic intraocular lenses: angle supported (left), iris-fixated (center), posterior chamber (right)
See this image and copyright information in PMC

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