Type of Surgery

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Last updated: 06/18/2009

Aftercare

Immediately after phakic IOL placement, the area should be thoroughly cleaned and sterilized to prevent infection. The corners of the eye should be cleaned with sterile swabs (done by the physician). Your surgeon may recommend that protective...

goggles be worn during the day and a protective shield be worn at night. It is important to keep any non-sterile fluid, such as bath or shower water, from entering the eye until it is healed. Patients can resume all activities of vision immediately—there are no restrictions on reading of watching television.
 
Phakic intranocular lens implantation requires several follow up appointments in the days following the procedure. Most surgeons will recommend examinations on each of the first three days after surgery and one at a week. During these visits the eye doctor will perform special examinations and visual acuity tests as well as look for signs of infection and to follow the healing process.
 
All patients with phakic IOLs should return for follow up care at one and six months and then every year after that. Unfortunately since patients have such dramatically improved vision with an IOL device that many patients do not return for long term follow up appointments. This is unfortunate because several changes may be taking place in the eye that do not necessarily affect vision, but that can have long term negative consequences. It is important to mention your phakic IOL surgery to every eye doctor that you visit as a patient.
 
Patients are strongly cautioned not to rub their eyes, ever. The structures that support the phakic lens within the eye are sensitive and hard rubbing can disturb the lens placement and cause damage to the surrounding eye. In fact, with IOL lenses that are placed near the outside of the eye, even blinking over the period of years can lead to a thinning of the eye that covers the phakic IOL. These outcomes reinforce the need for yearly follow-up appointments.


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Other Information

Approximately 56% of all patients achieve results of 20/20 or better and over 90% achieve 20/40 or better (which is good enough to drive without corrective lenses in most regions).1 Those with moderate to high myopia (greater than 7 diopters) have a lesser chance of achieving that result. As technique and technology improve, the results continue to improve.


From: Eye Surgery Education Council

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