Type presentatie | Oral presentation |
Titel | Implantable Phakic Contact Lens (IPCL): A Systematic Review |
Doel | To assess the visual outcome and safety of the (diffractive) Implantable Phakic Contact Lens (IPCL). Comparative data to the Implantable Collamer Lens (ICL) will be provided when possible. The IPCL is a new posterior chamber phakic intra-ocular lens (pIOL) which is less expensive, has more sizing options and is injected through a smaller corneal incision. For presbyopia correction, the diffractive IPCL is currently the only pIOL available. |
Methodes | A systematic literature search was performed and lectures on international conferences were screened for additional data. Only original studies were considered. |
Resultaten | This review includes 25 articles and 2 lectures. IPCL implantation showed a reliable visual outcome with an efficacy index of 1,06. The average post-operative UDVA (0,22 logMAR) is worse compared to the ICL (UDVA -0,01 logMAR) but can be attributed mainly to the suboptimal average pre-operative CDVA (0,23 logMAR). Diffractive IPCL implantation in a presbyopic population (average 48 years) proved to have a good visual acuity for both far (UDVA 0,06 logMAR) and near (UNVA 0,04 logMAR) with little visual side effects. IPCL implantation shows to be safe with a safety index of 1,23 and a postoperative CDVA (0,11 logMAR) clearly higher than the pre-operative CDVA. Cataract was found in 0,67% of IPCL V2.0 cases and endothelial cell loss was found to be 3,1% 12 months after surgery. No cases of acute glaucoma or retinal detachment after IPCL V2.0 implantation were described. |
Conclusie | The (diffractive) IPCL is a promising new pIOL. Current data shows overall good results but interpretation is hampered by the suboptimal pre-operative CDVA leading to worse UDVA postoperative compared to ICL. Further research is needed to draw a more definitive conclusion. |
Belangenverstrengeling | Nee |
Naam | VAN HOE |
Initialen | W |
Instituut | UZ Leuven |
Naam | TERMOTE |
Initialen | K |
Instituut | VUB |
Naam | DELBEKE |
Initialen | H |
Instituut | UZ Leuven |