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. 2021 Dec 30;42(3):37-46.
doi: 10.2478/prilozi-2021-0033.

First Experiences with Implantation of Phakic Lenses in Correction of Myopia in R. N. Macedonia

Biljana Kostovska  1 , Jasmina Pluncevikj Gligoroska  2 , Fanka Gilevska  1 , Zlatko Arnaudovski  1 , Nikica Gabric  3
Affiliations
Free article

First Experiences with Implantation of Phakic Lenses in Correction of Myopia in R. N. Macedonia

Biljana Kostovska et al. Pril (Makedon Akad Nauk Umet Odd Med Nauki). .
Free article

Abstract

Objective: Analysis of visual acuity parameters in patients with moderate to high myopia and myopic astigmatism 1 year after treatment with phakic intraocular lenses. Material and methods: This was a retrospective study on 35 patients (52 eyes) with moderate to high myopia who were implanted with the Visian V4c phakic implantable Collamer lens (Staar Surgical, Nidau, Switzerland). Examined parameters were: uncorrected distance visual acuity (UDVA) and best corrected visual acuity (CDVA), manifest and cycloplegic refraction, intraocular pressure, and endothelial cell count. The investigated parameters were measured preoperatively, 1, 3, 6 and 12 months postoperatively. Results: In 17 patients, phakic lenses were implanted binocularly and in 18 patients monocularly. Preoperatively 34.62% of patients had CDVA from 0.9 to 1.0. One year after the surgery 48.08% of patients had UDVA from 0.9 to 1.0. Preoperatively 80.77% of patients had diopter range from -6.00 Dsph to -10.00 Dsph. At 1 year postoperatively 78.85% of patients were within 0.00 Dsph to -1.00 Dsph. Preoperatively, in patients with astigmatism -4 Dcyl to -2 Dcyl dominated, as opposed to significant improvement postoperatively when 94.23% had astigmatism ranging from -1.0 Dcyl to 0 Dcyl. Conclusion: The implantation of phakic lenses demonstrated a successful postoperative outcome in the treatment of myopia and myopic astigmatism. Visual acuity and refraction show a gradual and significant improvement in visual function parameters within 1 year of lens implantation.

Keywords: astigmatism; diopter; lenses; myopia; visual acuity.

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