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ICL and toric ICL phakic intraocular lens for the correction of high myopia and astigmatism: 10 months results

Poster Details

First Author: I.Knezovic CROATIA

Co Author(s):    M. Belovari   H. Raguz   A. Parac              

Abstract Details


To evaluate the clinical outcomes of ICL and toric ICL implantation for the correction of high myopia and myopic astigmatism.


Knezovic Vision Group eye clinic, Zagreb, Croatia


Ten eyes underwent implantation of the posterior chamber phakic ICL with a 0.36-mm artificial central hole (Hole ICL; STAAR Surgical) for the correction of high myopia and myopic astigmatism (myopia range: -13.75 to -17.00 D, astigmatism range: -3.50 to -5,25 D). Before surgery and at 1 week, also 1, 3, 6 and 10 months after the surgery, we determined the following: UCDVA, BSCDVA, manifest refraction, intraocular pressure (IOP - including 1 day postoperatively), endothelial cell density, anterior chamber angle, anterior chamber depth and central vault of the ICL (distance between posterior surface of ICL and anterior surface of crystalline lens).


During the follow up period UCDVA reached preoperative BSCDVA in all eyes. The change in manifest refraction from one week following surgery until ten months was 0.1 ± 0.36 D. Significant rise in intraocular pressure (except transient early postoperative rise), a secondary cataract or endothelial cell loss did not occurred in any case during the period of observation. ACD, ACA and central vault were in acceptable ranges.


ICL implantation for correction of high myopia and astigmatism allow excellent refractive results, with possible gain in BSCDVA lines, throughout a ten-month observation period. This surgical approach, which does not require additional iridectomies or keratotomies, may be a good alternative to current refractive procedures for the treatment of such eyes. Longer follow-up is necessary to assess the eventually onset of late complication.

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