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Clear lens extraction with intraocular lens implantation for hyperopia
A H Kolahdouz-Isfahani1, K Rostamian, D Wallace
1Department of Ophthalmology, University of Southern California School of Medicine, Los Angeles, USA.
Journal of Refractive Surgery (Thorofare, N.J. : 1995)
|June 15, 1999
Summary
Clear lens extraction with intraocular lens (IOL) implantation is a safe and effective surgical option for correcting moderate to severe hyperopia in presbyopic patients. This procedure offers improved uncorrected visual acuity.
Area of Science:
- Ophthalmology
- Refractive Surgery
Background:
- Current surgical options for hyperopia include LASIK, phakic IOLs, and clear lens extraction (CLE) with IOL implantation.
- This study evaluates the safety and efficacy of CLE with IOL implantation for hyperopia correction.
Observation:
- The study included 18 eyes of 10 patients with moderate to severe hyperopia (mean spherical equivalent +6.17 D).
- Phacoemulsification and IOL implantation were performed, with specific formulas used for IOL power calculation based on eye characteristics.
Findings:
- Postoperative follow-up averaged 10.5 months.
- All eyes achieved uncorrected visual acuity of 20/50 or better (median 20/40).
- Two patients experienced a 2-line loss in spectacle-corrected visual acuity, but still achieved 20/30 acuity.
Implications:
- Clear lens extraction with IOL implantation is a viable and effective treatment for moderate to severe hyperopia.
- The procedure demonstrates good visual outcomes in the presbyopic age group.
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