Surgical Options for the Refractive Correction of Keratoconus: Myth or Reality

Table 1

Summary of visual and refractive outcomes of the anterior chamber phakic intraocular lens implantation in keratoconic eyes.

Author/year	Level of evidence [13]	pIOL	Eyes (n)	KC stage	Follow-up (months)	Mean change from preoperative to last follow-up visit				Predictability SE		Complications
						UDVA	CDVA	Sphere (D)	Cylinder (D)	Within ±0.5 D (%)	Within ±1.00 D (%)
Leccisotti and Fields [27]	IV	Angle supported	12	I to II	16.5 (range 12 to 24)	—	0.14 (decimal)	12.4	0.33	67	100	pIOL rotation (8.3%); Pupil ovalization (25%)
Budo et al. [28]	IV	Artisan toric	6	—	6	—	0.2 (decimal)	11.3	2.42	20	66.67	—
Moshirfar et al. [29]	IV	Verisyse	2	—	5 and 2	0.58 (decimal)	0.08 (decimal)	13.4	0.62	0	50	—
Venter [30]	IV	Artisan	18	—	From 6 to 12	—	0.20 (decimal)	4.67	3.93	61.1	83.3	Keratoconus progression (5.56%)
Sedaghat et al. [31]	IV	Artisan	16	—	14.2 (range 6 to 28)	0.71 (decimal)	0.14 (decimal)	12.47	0.87	33.33	53.33	—
Kato et al. [32]	IV	Artisan/Artiflex	36	—	12	1.32 (logMAR)	—	—	1.82	63.6	83.6	—