Review Article

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

Table 2

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

Author/yearLevel of evidence [13]pIOLEyes (n)KC stageFollow-up (months)Mean change from preoperative to last follow-up visitPredictability SEComplications
UDVACDVASphere (D)Cylinder (D)Within ±0.5 D (%)Within ±1.00 D (%)

Alfonso et al. [33]IVICL25120.05 (decimal)8.60.7184100No
Kamiya et al. [34]IVToric ICL230.79 (decimal0.4 (decimal)9.13.2550100No
Alfonso et al. [35]IVToric ICL30I and II120.66 (decimal)0.07 (decimal)3.623.0793.3100No
Kamiya et al. [36]IVToric ICL27I and II61.6 (logMAR)0.04 (logMAR)2.478596No
Kurian et al. [37]IVICL and toric ICL10I to III60.52 (decimal)0.11 (decimal)5.202.153070
Hashemian et al. [38]IVToric ICL22I to III60.22 (decimal)3.81.5468.290.9No
Kamiya et al. [39]IVToric ICL21I and II361.52 (logMAR)0.05 (logMAR)2.596786No