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Ophthalmic Technology Assessment

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Phakic Intraocular Lens Implantation for the Correction of Myopia

A Report by the American Academy of Ophthalmology

Ophthalmic Technology Assessment Committee Refractive Management/Intervention Panel: David Huang, MD, PhD; Steven C. Schallhorn, MD; Alan Sugar, MD, MS; Ayad A. Farjo, MD; Parag A. Majmudar, MD; William B. Trattler, MD; David J. Tanzer, MD

Published in Ophthalmology, November 2009, Vol. 116, 2244-2258
  • Evidence-based summary of safety and outcomes for pIOL implantation
  • UCVA ≥20/40 in 84% in FDA trials of iris-fixated pIOLs
  • UCVA ≥20/40 in 81% in FDA trials of posterior chamber pIOLs
  • Reported complications and safety concerns:
    • Endothelial cell loss
    • Cataract formation
    • Secondary glaucoma
    • Iris atrophy
    • Traumatic dislocation
  • Evidence supports phakic IOL implantation as a safe and effective treatment for myopia and astigmatism
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