Instituto de Oftalmobiología Aplicada (IOBA), Universidad de Valladolid, Valladolid, España; Red Temática de Investigación Colaborativa en Oftalmología (OftaRed), Instituto de Salud Carlos III, Madrid, España.
Instituto de Oftalmobiología Aplicada (IOBA), Universidad de Valladolid, Valladolid, España.
Arch Soc Esp Oftalmol (Engl Ed). 2020 Apr;95(4):178-187. doi: 10.1016/j.oftal.2020.02.001. Epub 2020 Mar 7.
Phakic intraocular lenses (pIOL) are recommended when counselling refractive surgery candidates presenting with high ametropia or ocular surface and/or corneal conditions that contraindicate corneal refractive surgery. This review aims to present the state-of-the-art regarding pIOL models currently available in Europe, addressing their newer indications and recent design innovations. These include, in the case of posterior chamber pIOLs, the addition of a central hole to improve aqueous humour circulation, the availability of larger optical zones, and multifocal optics for the compensation of presbyopia. The review also highlights their good safety and efficacy results, as well as the role of patient education to ensure adequate outcomes in the medium-long term. The indications of pIOLs in special situations, as well as bi-lensectomy, a procedure that most pIOL patients may eventually require as they age and develop cataracts, are also addressed.
有高度屈光不正或眼表和/或角膜状况不适合角膜屈光手术的屈光手术候选者，建议使用有晶状体眼人工晶状体 (pIOL)。本综述旨在介绍目前在欧洲可获得的 pIOL 模型的最新技术，包括其新的适应证和最近的设计创新。对于后房型 pIOL，这包括增加中央孔以改善房水循环，提供更大的光学区以及多焦点光学以补偿远视。该综述还强调了它们良好的安全性和有效性结果，以及患者教育在确保中长期适当结果方面的作用。还讨论了 pIOL 在特殊情况下的适应证，以及双晶状体切除术，随着年龄增长和白内障的发展，大多数 pIOL 患者最终可能需要进行该手术。
