Review Article
Surgical Options for the Refractive Correction of Keratoconus: Myth or Reality
Table 1
Summary of visual and refractive outcomes of the anterior chamber phakic intraocular lens implantation in keratoconic eyes.
| Author/year | Level of evidence [13] | pIOL | Eyes (n) | KC stage | Follow-up (months) | Mean change from preoperative to last follow-up visit | Predictability SE | Complications | UDVA | CDVA | Sphere (D) | Cylinder (D) | Within ±0.5 D (%) | Within ±1.00 D (%) |
| Leccisotti and Fields [27] | IV | Angle supported | 12 | I to II | 16.5 (range 12 to 24) | — | 0.14 (decimal) | 12.4 | 0.33 | 67 | 100 | pIOL rotation (8.3%) Pupil ovalization (25%) | Budo et al. [28] | IV | Artisan toric | 6 | — | 6 | — | 0.2 (decimal) | 11.3 | 2.42 | 20 | 66.67 | — | Moshirfar et al. [29] | IV | Verisyse | 2 | — | 5 and 2 | 0.58 (decimal) | 0.08 (decimal) | 13.4 | 0.62 | 0 | 50 | — | Venter [30] | IV | Artisan | 18 | — | From 6 to 12 | — | 0.20 (decimal) | 4.67 | 3.93 | 61.1 | 83.3 | Keratoconus progression (5.56%) | Sedaghat et al. [31] | IV | Artisan | 16 | — | 14.2 (range 6 to 28) | 0.71 (decimal) | 0.14 (decimal) | 12.47 | 0.87 | 33.33 | 53.33 | — | Kato et al. [32] | IV | Artisan/Artiflex | 36 | — | 12 | 1.32 (logMAR) | — | — | 1.82 | 63.6 | 83.6 | — |
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