Controversies, consensuses and guidelines on posterior chamber phakic intraocular lens for the correction of myopia and myopic astigmatism in healthy phakic eyes by the Academy of Asia-Pacific Professors of Ophthalmology (AAPPO) and the Asia-Pacific Myopia Society (APMS)

Phakic Intraocular Lens (pIOL) has been studied for correction of high myopia and myopic astigmatism long before the advent of laser refractive surgery. It offers excellent visual and refractive outcomes, but the inherited risk of intraocular surgery cannot be overlooked. The posterior chamber pIOL...

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Published inAsia-Pacific journal of ophthalmology (Philadelphia, Pa.) Vol. 14; no. 4; p. 100222
Main Authors Lai, Kenny H.W., Wang, Xiao Ying, Wan, Kelvin H., Barsam, Allon, Barnes, Scott D., Chiu, Alison L.S., Cummings, Arthur B., Eldanasoury, Alaa M., Huang, Guofu, Kamiya, Kazutaka, Leyssens, Barbara, Li, Shi-Ming, Packer, Mark, Stevens, Julian, Yoo, Tae Keun, Yeo, Lynn, Zhan, Xingkai, Lam, Dennis S.C., Zhou, Xingtao
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.07.2025
Subjects
Academies and Institutes
Asia
Astigmatism - physiopathology
Astigmatism - surgery
Consensus
Humans
Implantable collamer lens
Lens Implantation, Intraocular - methods
Myopia
Myopia - physiopathology
Myopia - surgery
Ophthalmology
Ophthalmology - organization & administration
Phakic Intraocular Lenses
Posterior chamber phakic intraocular lens
Refraction, Ocular - physiology
Societies, Medical
Visual Acuity
Asia
Consensus
Posterior chamber phakic intraocular lens
Implantable collamer lens
Myopia
Online AccessGet full text
ISSN2162-0989
2162-0989
DOI10.1016/j.apjo.2025.100222

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Abstract Phakic Intraocular Lens (pIOL) has been studied for correction of high myopia and myopic astigmatism long before the advent of laser refractive surgery. It offers excellent visual and refractive outcomes, but the inherited risk of intraocular surgery cannot be overlooked. The posterior chamber pIOL (PC-pIOL), designed to be placed in the ciliary sulcus, may offer additional advantages compared to its anterior chamber counterparts. Given the complexity of sulcus anatomy and individual variations, controversies exist regarding perioperative management, implant selection, and operative techniques, necessitating standardisation. Given the emergence of novel approaches and long-term clinical data, a panel comprising 19 international experts from 9 countries/territories was formed by the Academy of Asia-Pacific Professors of Ophthalmology (AAPPO) and the Asia-Pacific Myopia Society (APMS). The panel critically reviewed the subject and synthesised 58 consensus statements that aim to provide evidence-based, real-world practice recommendations for optimal outcomes in PC-pIOL surgery.
AbstractList Phakic Intraocular Lens (pIOL) has been studied for correction of high myopia and myopic astigmatism long before the advent of laser refractive surgery. It offers excellent visual and refractive outcomes, but the inherited risk of intraocular surgery cannot be overlooked. The posterior chamber pIOL (PC-pIOL), designed to be placed in the ciliary sulcus, may offer additional advantages compared to its anterior chamber counterparts. Given the complexity of sulcus anatomy and individual variations, controversies exist regarding perioperative management, implant selection, and operative techniques, necessitating standardisation. Given the emergence of novel approaches and long-term clinical data, a panel comprising 19 international experts from 9 countries/territories was formed by the Academy of Asia-Pacific Professors of Ophthalmology (AAPPO) and the Asia-Pacific Myopia Society (APMS). The panel critically reviewed the subject and synthesised 58 consensus statements that aim to provide evidence-based, real-world practice recommendations for optimal outcomes in PC-pIOL surgery.
AbstractPhakic Intraocular Lens (pIOL) has been studied for correction of high myopia and myopic astigmatism long before the advent of laser refractive surgery. It offers excellent visual and refractive outcomes, but the inherited risk of intraocular surgery cannot be overlooked. The posterior chamber pIOL (PC-pIOL), designed to be placed in the ciliary sulcus, may offer additional advantages compared to its anterior chamber counterparts. Given the complexity of sulcus anatomy and individual variations, controversies exist regarding perioperative management, implant selection, and operative techniques, necessitating standardisation. Given the emergence of novel approaches and long-term clinical data, a panel comprising 19 international experts from 9 countries/territories was formed by the Academy of Asia-Pacific Professors of Ophthalmology (AAPPO) and the Asia-Pacific Myopia Society (APMS). The panel critically reviewed the subject and synthesised 58 consensus statements that aim to provide evidence-based, real-world practice recommendations for optimal outcomes in PC-pIOL surgery.
ArticleNumber 100222
Author Kamiya, Kazutaka
Wang, Xiao Ying
Packer, Mark
Yoo, Tae Keun
Stevens, Julian
Chiu, Alison L.S.
Cummings, Arthur B.
Leyssens, Barbara
Barsam, Allon
Zhan, Xingkai
Huang, Guofu
Barnes, Scott D.
Li, Shi-Ming
Wan, Kelvin H.
Yeo, Lynn
Lai, Kenny H.W.
Zhou, Xingtao
Eldanasoury, Alaa M.
Lam, Dennis S.C.
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– sequence: 3
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  organization: Wellington Eye Clinic, Dublin, Ireland
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  surname: Eldanasoury
  fullname: Eldanasoury, Alaa M.
  organization: Magrabi Eye & Ear Center, Abu Dhabi, United Arab Emirates
– sequence: 9
  givenname: Guofu
  surname: Huang
  fullname: Huang, Guofu
  organization: State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, Guangdong, China
– sequence: 10
  givenname: Kazutaka
  surname: Kamiya
  fullname: Kamiya, Kazutaka
  organization: Visual Physiology, School of Allied Health Sciences, Kitasato University, Sagamihara, Japan
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  organization: FYEO clinics, the Netherlands
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  givenname: Shi-Ming
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  fullname: Li, Shi-Ming
  organization: Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing Ophthalmology & Visual Science Key Lab, Beijing, China
– sequence: 13
  givenname: Mark
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  fullname: Packer, Mark
  organization: Packer Research Associates, Boulder, CO, US
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  givenname: Julian
  surname: Stevens
  fullname: Stevens, Julian
  organization: Regent Eye Hospital, London, United Kingdom
– sequence: 15
  givenname: Tae Keun
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  orcidid: 0000-0002-3465-1579
  surname: Zhou
  fullname: Zhou, Xingtao
  email: doctzhouxingtao@163.com
  organization: Eye Institute and Department of Ophthalmology, Eye and ENT Hospital of Fudan University, Shanghai, China
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Issue 4
Keywords Consensus
Posterior chamber phakic intraocular lens
Implantable collamer lens
Myopia
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Snippet Phakic Intraocular Lens (pIOL) has been studied for correction of high myopia and myopic astigmatism long before the advent of laser refractive surgery. It...
AbstractPhakic Intraocular Lens (pIOL) has been studied for correction of high myopia and myopic astigmatism long before the advent of laser refractive...
SourceID pubmed
crossref
elsevier
SourceType Index Database
Publisher
StartPage 100222
SubjectTerms Academies and Institutes
Asia
Astigmatism - physiopathology
Astigmatism - surgery
Consensus
Humans
Implantable collamer lens
Lens Implantation, Intraocular - methods
Myopia
Myopia - physiopathology
Myopia - surgery
Ophthalmology
Ophthalmology - organization & administration
Phakic Intraocular Lenses
Posterior chamber phakic intraocular lens
Refraction, Ocular - physiology
Societies, Medical
Visual Acuity
Title Controversies, consensuses and guidelines on posterior chamber phakic intraocular lens for the correction of myopia and myopic astigmatism in healthy phakic eyes by the Academy of Asia-Pacific Professors of Ophthalmology (AAPPO) and the Asia-Pacific Myopia Society (APMS)
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https://dx.doi.org/10.1016/j.apjo.2025.100222
https://www.ncbi.nlm.nih.gov/pubmed/40588076
Volume 14
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