Inflammatory Response in the Anterior Chamber after Implantation of an Angle-Supported Lens in Phakic Myopic Eyes

Abstract EN

Purpose.

To evaluate the inflammatory reaction after implantation of an angle-supported foldable acrylic anterior chamber IOL for myopia correction over time.

Methods.

Adult individuals seeking vision correction with stable myopia >7.0 D were included.

Exclusion criteria are anterior chamber depth <2.8 mm, insufficient endothelial cell density, other preexisting ocular conditions, and prior eye surgery.

Laser flare photometry and slitlamp examination were performed before and up to 1 year after implantation of an AcrySof Cachet IOL (Alcon Laboratories, Forth Worth, TX, USA).

Postoperative treatment comprised antibiotic eye-drops for 5 days and nonsteroidal anti-inflammatory eye-drops (NSAIDs) for 4 weeks.

Results.

Average laser flare values of 15 consecutive eyes of 15 patients were 8.3±9.7 preoperatively and 19.0±24.2 (1 day), 24.0±27.5 (1 week), 17.6±13.4 (1 month), 14.9±15.4 (3 months), and 10.0±7.0 (1 year) photon counts/ms after implantation, respectively.

Slitlamp examination yielded 0 or 1+ cells (SUN classification) in every one eye throughout the follow-up period.

Conclusion.

Results indicate a low maximum inflammatory response and a quick recovery to a long-term safe level.

The use of NSAIDs seems sufficient in routine cases, thus avoiding potential drawbacks of using corticoids.