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Phakic intraocular lenses are indicated for patients with high refractive errors when the usual laser options for surgical correction (LASIK and PRK) are contraindicated. [ 1 ] [ 2 ] Phakic IOLs are designed to correct high myopia ranging from −5 to −20 D if the patient has enough anterior chamber depth (ACD) of at least 3 mm. [ 3 ]
The aphakic state is usually due to surgery to remove a cataractous lens, but post-surgical aphakia is rare nowadays because of the ubiquity of intraocular lenses. Rarely, aphakia can be post-traumatic or congenital in nature. Aphakic IOL refers to a lens implanted secondarily in an eye already aphakic from previous surgery or trauma.
Aphakia is the absence of the lens of the eye, due to surgical removal, such as in cataract surgery, a perforating wound or ulcer, or congenital anomaly. It causes a loss of ability to maintain focus (accommodation), high degree of farsightedness (), [1] and a deep anterior chamber.
The brightness of the Purkinje images can be determined using Fresnel's equation: = (′) / (′ +), where and ′ are the refractive indices before and after the reflecting surface.
In some people with very high myopia, the eye may be left aphakic, without intraocular lens implantation. [16] A related procedure is the implantation of phakic intraocular lenses in series with the natural lens to correct vision in cases of high refractive errors. [17]
The type I Kpro is available in single standard pseudophakic power or customized aphakic optic with an 8.5 mm diameter adult size or 7.0 mm diameter pediatric size back plate. The device is currently machined from medical grade polymethylmethacrylate (PMMA) in Wilmington, Massachusetts in the United States . [ 3 ]
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Patient with aphakic (without lens due to cataract surgery), or pseudophakic eye (with implanted lens after removal of natural lens) would have the injection 3.0-3.5 mm posterior to the limbus, while injection to the phakic eye (with natural lens) is done 3.5-4.0 mm posterior to the limbus. [6] An anatomical diagram showing the limbus of the eye.