Folie 1

1
International Vision Correction Research Centre
E-mailangela.ehmer_at_med.uni-heidelbergd.de
www.lasik-uni-hd.de
Evaluation of phakic irisfixated intraocular
lenses with Zeiss Visante OCT
A. Ehmer, C. Foerster, M.P. Holzer, G.U. Auffarth
The authors have no financial interests in any of
the products mentioned.
Dept. of Ophthalmology Ruprecht-Karls-University
Heidelberg Acting-chairman G. U. Auffarth, MD
2
Purpose, Methods Patients

• Methods
• Phakic irisfixated IOLs (Verisyse, AMO) were
  implanted to correct ametropia (Figure 1)
• Lens position in the anterior chamber was
  measured with Zeiss Visante OCT (Figure 2)
• ACD was measured with Zeiss IOL Master (Figure 3)
  and Oculus Pentacam HR (Figure 4)
• Data were collected 4 to 26 months postoperatively

Purpose Visualisation and detection of lens
position of phakic intraocular lenses in the
anterior chamber of the human eye.
Patients 24 eyes of 12 patients, mean age of 38.1
5.9 years
Figure 1
Figure 3
Figure 2
Figure 4
3
Results I
Figure 5 shows the pIOL in the anterior chamber.
The distance from pIOL to corneal endothelium
magnified in Figure 6 and pIOL to cristalline
lens in Figure 7.
Figure 7
Figure 6
Figure 5
A high correlation between the preoperative
anterior chamber depth and the distance of the
phakic IOL to corneal endothelium (r 0.83) was
found (figure 8). The deeper the anterior
chamber the greater the distance between cornea
and phakic IOL.
Figure 8
4
Results II
Figure 10
Figure 9

• The mean distance between the phakic IOL and the
  endothelium of the cornea was 2.21 0.31 mm
  (figure 9)
• The mean distance between the natural crystalline
  lens to the phakic IOL was 0.80 0.18 mm (figure
  10)
• High correlation was found between target
  refraction and refraction three months
  postoperatively (R 0.98) (figure11)

Figure 11
5
Conclusion
The Zeiss Visante OCT is suitable to demonstrate
IOL position in the anterior chamber of the eye.
The data analysed showed a confident implantation
without impairing the corneal endothelium over a
26 months follow up period.

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