Inflammatory response in the anterior chamber after implantation of an angle-supported lens in phakic myopic eyes

Purpose. to evaluate the inflammatory reaction after implantation of an angle-supported foldable acrylic anterior chamber iol for myopia correction over time. methods. adult individuals seeking vision correction with stable myopia >7.0 d were included. exclusion criteria are anterior chamber depth <2.8 mm,insufficient endothelial cell density,other preexisting ocular conditions,and prior eye surgery. laser flare photometry and slitlamp examination were performed before and up to 1 year after implantation of an acrysof cachet iol (alcon laboratories,forth worth,tx,usa). postoperative treatment comprised antibiotic eye-drops for 5 days and nonsteroidal anti-inflammatory eye-drops (nsaids) for 4 weeks. results. average laser flare values of 15 consecutive eyes of 15 patients were 8.3±9.7 preoperatively and 19.0±24.2 (1 day),24.0±27.5 (1 week),17.6±13.4 (1 month),14.9±15.4 (3 months),and 10.0±7.0 (1 year) photon counts/ms after implantation,respectively. slitlamp examination yielded 0 or 1+ cells (sun classification) in every one eye throughout the follow-up period. conclusion. results indicate a low maximum inflammatory response and a quick recovery to a long-term safe level. the use of nsaids seems sufficient in routine cases,thus avoiding potential drawbacks of using corticoids. © 2014 suphi taneri et al.