Abstract
Surgical correction of high myopia is indicated in a limited number of cases. Techniques include (epi)keratophakia, keratomileusis and implantation of a negative-power IOL. The iris claw lens, fixed to the midperiphery of the iris, has proved its safety in aphakic eyes. The model has been adapted by giving it a vault in order to make it suitable for implantation in high myopic phakic eyes. The implantation technique and short-term results of patients operated by Worst are presented.
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References
Apple DJ, Brems RN, Park RB, Kavka-van Norman D, Hansen SO, Tetz MR, Richards SC, Letchinger SD. Anterior chamber lenses, Part I: Complications and pathology and a review of design. J Cataract Refract Surg 1987; 13: 157–174.
Apple DJ, Hansen SO, Richards SC, Ellis GW, Kavka-van Norman D, Tetz MR, Pfeffer BR, Park RB, Crandall AS, Olson RJ: Anterior chamber lenses, Part II: A laboratory study. J Cataract Refract Surg 1987; 13: 175–189.
Barraquer J. Anterior chamber plastic lenses: Results and conclusions from five years' experience. Trans Ophthalmol Soc UK 1959; 79: 393–424.
Beekhuis WH, McCarey BE, Waring GO, van Rij G. Hydrogel keratophakia: a microkeratome dissection in the monkey model. Br J Ophthalmol 1986; 70: 192–198.
Drews C. The Barraquer experience with intraocular lenses. Ophthalmology 1982; 89: 386–393.
Fechner PU. Die Irisklauen-Linse. Klin Mbl Augenheilk 1987; 191: 26–29.
Fechner PU. Kunstlinse zur Korrektur des phaken kurzsichtigen Auges. Die Kontaktlinse 1989; 1: 22–23.
Fechner PU, van der Heijde GL, Worst JGF. Intraokulare Linse zur Myopiekorrektion des phaken Auges. Klin Mbl Augenheilk 1988; 193: 29–33.
Fechner PU, van der Heijde GL, Worst JGF. The correction of myopia by lens implantation into phakic eyes. Am J Ophthalmol 1989; 107: 659–663.
Fechner PU, Worst JGF. A new concave intraocular lens for the correction of myopia. Eur J Implant Ref Surg 1989; 1: 41–43.
van der Heijde GL: Some optical aspects of implantation of an IOL in a myopic eye. Eur J Implant Ref Surg 1989; 1: 245–248.
van der Heijde GL, Fechner PU, Worst JGF. Optische Konsequenzen der Implantation einer negativen Intraokularlinse bei myopen Patienten. Klin Mbl Augenheilk 1988; 193: 99–102.
McCarey BE, van Rij G, Beekhuis WH, Waring GO. Hydrogel keratophakia: A freehand pocket dissection in the monkey model. Br J Ophthalmol 1986; 70: 187–191.
Nordlohne ME: The intraocular implant lens: Development and results. The Hague: W. Junk Publishers, 1975.
Singh D. Correspondence on the iris claw lens. Eur J Implant Ref Surg 1989; 1: 285, 286.
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Worst, J.G.F., Van Der Veen, G. & Los, L.I. Refractive surgery for high myopia. Doc Ophthalmol 75, 335–341 (1990). https://doi.org/10.1007/BF00164848
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DOI: https://doi.org/10.1007/BF00164848