Inflammatory Response in the Anterior Chamber after Implantation of an Angle-Supported Lens in Phakic Myopic Eyes

Author:

Taneri Suphi1ORCID,Oehler Saskia1ORCID,Heinz Carsten1ORCID

Affiliation:

1. Center for Refractive Surgery, Eye Department, St. Francis Hospital, Hohenzollernring 57, 48145 Muenster, Germany

Abstract

Purpose. To evaluate the inflammatory reaction after implantation of an angle-supported foldable acrylic anterior chamber IOL for myopia correction over time.Methods. Adult individuals seeking vision correction with stable myopia >7.0 D were included. Exclusion criteria are anterior chamber depth <2.8 mm, insufficient endothelial cell density, other preexisting ocular conditions, and prior eye surgery. Laser flare photometry and slitlamp examination were performed before and up to 1 year after implantation of an AcrySof Cachet IOL (Alcon Laboratories, Forth Worth, TX, USA). Postoperative treatment comprised antibiotic eye-drops for 5 days and nonsteroidal anti-inflammatory eye-drops (NSAIDs) for 4 weeks.Results. Average laser flare values of 15 consecutive eyes of 15 patients were8.3±9.7preoperatively and19.0±24.2(1 day),24.0±27.5(1 week),17.6±13.4(1 month),14.9±15.4(3 months), and10.0±7.0(1 year) photon counts/ms after implantation, respectively. Slitlamp examination yielded 0 or 1+ cells (SUN classification) in every one eye throughout the follow-up period.Conclusion. Results indicate a low maximum inflammatory response and a quick recovery to a long-term safe level. The use of NSAIDs seems sufficient in routine cases, thus avoiding potential drawbacks of using corticoids.

Publisher

Hindawi Limited

Subject

Ophthalmology

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