Department of Ophthalmology, Goethe-University, Frankfurt am Main, Germany.
J Cataract Refract Surg. 2010 Dec;36(12):2168-94. doi: 10.1016/j.jcrs.2010.10.007.
The second part of a review of phakic intraocular lenses (pIOLs) addresses results and complications with current pIOL models. Phakic IOLs demonstrate reversibility, high optical quality, potential gain in visual acuity in myopic patients due to retinal magnification; correction is not limited by corneal thickness or topography. With proper anatomical conditions, pIOLs also show good results in hyperopic patients. Toric pIOL designs enable spherocylindrical correction. Complications are rare and primarily related to pIOL position and type. The main complications of angle-supported anterior chamber pIOLs are glare and halos, pupil ovalization, and corneal endothelial cell loss; of iris-fixated anterior chamber pIOLs, chronic subclinical inflammation, corneal endothelial cell loss, and dislocation or pupillary block glaucoma; and of posterior chamber pIOLs, anterior subcapsular cataract formation, pigment dispersion, and luxation or pupillary block glaucoma. No causative relationship between pIOL implantation (of any pIOL type) and retinal detachment has been established.
第二部分综述了有晶状体眼人工晶状体（pIOL）的结果和并发症，主要涉及当前 pIOL 模型的结果和并发症。有晶状体眼人工晶状体具有可逆性，光学质量高，在近视患者中由于视网膜放大作用可能提高视力；矫正不受角膜厚度或表面形态的限制。在适当的解剖条件下，pIOL 在远视患者中也有良好的效果。散光型 pIOL 设计可实现球柱面矫正。并发症罕见，主要与 pIOL 位置和类型有关。房角支撑型前房 pIOL 的主要并发症是眩光和光晕、瞳孔变形和角膜内皮细胞丢失；虹膜固定型前房 pIOL 的主要并发症是慢性亚临床炎症、角膜内皮细胞丢失和脱位或瞳孔阻滞性青光眼；后房型 pIOL 的主要并发症是前囊下白内障形成、色素播散和脱位或瞳孔阻滞性青光眼。尚未确定 pIOL 植入（任何 pIOL 类型）与视网膜脱离之间存在因果关系。
