Clinical Ophthalmology (Oct 2024)
One-Year Results of a Posterior Chamber Toric Phakic Intraocular Lens Implantation in Patients with Keratoconus
Abstract
Kepa Balparda,1– 3 Mariana Escobar Giraldo,4 Yeliana M Valencia Gómez,5 Isabela Franco Sánchez,6 Tatiana Herrera Chalarca2 1Department of Cornea and Refractive Surgery, Clínica de Oftalmología Sandiego, Medellín, Colombia; 2Department of Clinical Research, Black Mammoth Surgical, Medellín, Colombia; 3Private Practice, Medellín, Colombia; 4Department of Ophthalmology, Universidad Pontificia Bolivariana, Medellín, Colombia; 5Department of Ophthalmology, Pontificia Universidad Javeriana, Cali, Colombia; 6School of Medicine, Universidad Pontificia Bolivariana, Medellín, ColombiaCorrespondence: Kepa Balparda, Email [email protected]: To determine clinical and refractive results after the implantation of EyeCryl Phakic Toric intraocular lens in patients with stable keratoconus.Methods: The study included all patients diagnosed with keratoconus who underwent implantation of an EyeCryl Phakic Toric intraocular lens (Biotech Healthcare Holding; Ahmedabad, India) in at least one eye and had a follow-up of at least 12 months. Visual and refractive data were collected for all patients, along with corneal tomography measurements using Pentacam, and vault measurement using optical coherence tomography. This retrospective study was conducted at a high-volume private refractive surgery center in Medellín, Colombia.Results: A total of 83 eyes from 47 patients were included in the study. The majority (71.1%) were female, with a mean age of 31.2 ± 5.1 years. After 12 months of follow-up post-surgery, the spherical equivalent improved significantly from – 8.19 ± 4.04 D to – 0.06 ± 0.48 D (p < 0.001). Furthermore, 77% of eyes had a post-surgical spherical equivalent within ± 0.50 D, while 92% had residual astigmatism ≤ 0.50 D. Twelve months after surgery, mean manifest astigmatism was – 0.28 ± 0.27 D. Uncorrected visual acuity also showed improvement, from 1.11 ± 0.35 LogMAR to 0.14 ± 0.11 LogMAR. Moreover, 52.4% of eyes demonstrated an improvement of at least one line in best-corrected visual acuity. Notably, no intraoperative or postoperative complications were observed in the study population.Conclusion: The implantation of EyeCryl Phakic Toric intraocular lenses represents a highly effective and safe option for correcting refractive errors in patients with a history of keratoconus. Refractive accuracy is excellent, and a significant proportion of patients experienced an improvement in their best-corrected vision by at least one line.Keywords: keratoconus, lens implantation, intraocular, refractive error
