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A CAKE 21 SUPPLEMENT
February 2024 cakemagazine.org
Building Proficiency with Phakic IOLs Patient selection, preoperative assessment, lens selection and effective placement techniques
M
yopia, commonly known as near-sightedness, is a common cause of refractive error, which impacts a significant proportion of the global adult population. Characterized by the inability to clearly see distant objects, moderate-to-severe myopia not only affects visual acuity but also has broader implications for an individual’s quality of life. The management of moderate (–3.0 to –6.0 D) myopia has evolved substantially over the past few decades, driven by advancements in technology. Treatment modalities range from conventional methods
like eyeglasses and contact lenses to more advanced surgical interventions such as laser in-situ keratomileusis (LASIK), photorefractive keratectomy (PRK), laser-assisted lenticule extraction (LALEX) and phakic intraocular lenses (IOLs), including Implantable Collamer® Lenses (ICLs). Each of these treatments offers advantages and limitations, necessitating a personalized approach based on the patient’s specific needs, lifestyle and the degree of refractive error. A consensus group of eleven refractive surgeons and specialists used a combination of an online
survey, online face-to-face interviews and written feedback to provide this guidance on the use of phakic IOLs, with particular consideration of: • optimal patient identification • lens power calculation and size selection • surgical best practice • postoperative care • patient expectations, involvement and education