Comparison of two Phakic Intraocular Lens, Artiflex versus Implantable Contact Lens, for Correction of High Myopia

Abstract

Background: Refractive eye are the most common people eye complaints and there are different ways to refractive correction. In this study we compare the effect of two phakic intraocular lenses, Artiflex versus Implantable Contact Lens (ICL). Methods: In a prospective clinical trial study, 40 eyes of 20 patients who came to ophthalmology clinic to correct their refractive error were examined. In 20 eyes artiflex was inserted randomly and in the other 20 eyes, ICL was inserted. After 6 months uncorrected visual acuity (UCVA), best corrected visual acuity (BCVA), contrast sensitivity, intraocular pressure (IOP), specular microscopy and anterior uveitis was assessed in both groups. Finding: In this study, there is no statistical difference between UCVA, BCVA, IOP, cataract incidence, contrast sensitivity, specular microscopy 6 months after surgery in both groups. 40% of eyes in Artiflex group developed anterior chamber reaction 6 months post-operatively but no patient in ICL group. So there is obvious difference in the rate of anterior chamber reaction between these two groups. Conclusion: These two lenses have similar outcomes except in the incidence rate of anterior chamber reaction that is greater in the artiflex group. So these two lenses are safe with predictable outcome in treating high myopia.

Keywords

• Myopia
• Phakic intraocular lens