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A phakic intraocular lens (PIOL) is an intraocular lens that is implanted surgically into the eye to correct refractive errors without removing the natural lens (also known as "phakos", hence the term). Intraocular lenses that are implanted into eyes after the eye's natural lens has been removed during cataract surgery are known as pseudophakic.
The intraocular lens did not find widespread acceptance in cataract surgery until the 1970s, when further developments in lens design and surgical techniques had come about. As of 2021, approximately four million cataract procedures take place annually in the U.S. and nearly 28 million worldwide, a large proportion in India.
Cataract surgery has a long history in Europe, Asia, and Africa. It is one of the most common and successful surgical procedures in worldwide use, thanks to improvements in techniques for cataract removal and developments in intraocular lens (IOL) replacement technology, in implantation techniques, and in IOL design, construction, and selection ...
In the 1970s he developed the surgical technique he is most famous for, the radial keratotomy, to change the shape of the cornea and cure myopia. [2] In 1986, Fyodorov designed the first posterior chamber phakic IOL in the "collar-button" or "mushroom" configuration and manufactured the pIOL from silicone.
Phakic intraocular lens implantation inside the eye can also be used to change refractive errors. The newest type of intervention is a type of PIOL called the implantable collamer lens which uses a biocompatible flexible lens which can be inserted in the eye via a 3 mm incision. The ICL is used to correct myopia ranging from −0.5 to −18 ...
These lenses are called angle-supported because the footplates of the lens rest in the irido-corneal angle. Current [when?] models of angle-supported phakic IOLs include: Acrysof AC, Phakic 6, Kelman-Duet, I-Care, ZSAL-4, Vivarte and NuVita. Neither have FDA approval yet.
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