4 YEAR FOLLOW-UP OF MYOPIC ANTERIOR-CHAMB ER IOLSES

Purpose To determine the tolerance of the corneal endothelium and of t he haemato-ocular barrier of phakic highly myopic eyes implanted with an anterior chamber I.O.L.ses. Methods Twenty-one phakic highly myopic were operated on with a Z.B.A.C.I.O.L. (manufactured by Domilens(R)) by the same surgeon from May 1989 to June 1990. Complete examination i ncluding specular microscopy have been peformed before surgery and eac h 6 months and a Laser Flare Cell Meter at 3 years was performed on 14 eyes. Results Two eyes of the same patient had to be explanted after surgery for important endothelial cell loss. The 19 others had no comp lication: no cataract, no loss of endothelial cells, no retinal detatc hment. 14 eyes examined with a Laser Cell Flare Meter had results with in normal limits. So, 19 out of 21 eyes implanted for high myopia with a Z.B.A.C.I.O.L. have excellent results 4 years after surgery. Conclu sion Regarding these results, it seems possible to use this technique again with the new designed Anterior Chamber I.O.L.. Rigorous follow-u p of all the implanted eyes is however required.