Endothelial cell loss after pIOL implantation for high myopia

摘要

Coullet et al. report 2 cases of severe endothelial cell loss 2 years after angle-supported phakic intraocular lens (pIOL) implantation. The first patient was 47 years old at the time of implantation and the second, 52 years old. Furthermore, in the second case, the preoperative endothelial cell count (ECC) was 2000 cells/mm~2, which is the lower limit for implantation with most types of pIOLs.The proportion of refractive surgery peformed by lenticular methods is increasing. The surgeon must advise the patient about the risks and benefits of preserving the crystalline lens by implanting a pIOL versus the alternative of refractive lens exchange (RLE) and placement of an IOL. In the second scenario, a further discussion ensues regarding the various IOL options with respect to pseudoaccommodation, multifocality, and adverse visual effects.