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Table 2 Refractive lens extraction in myopia

From: Refractive lens exchange in modern practice: when and when not to do it?

Author,year No. of eyes/patients Mean preoperative SE(D)/axial length(mm) Preoperative VA Postoperative VA Postoperative refractive error Follow-up-time Retinal detachment rate
Arne, 2004 CLE versus pIOL [11] 36/18 RLE 41/21 pIOL SE: -16.7 RLE -13.6 pIOL
AL: 28.43
N/R At 1 year: pIOL -78% better than preop
RLE - 83.3% better than preop
-1.88 ± 0.83 D RLE
-1.06 ± 0.78 D pIOL
47.65 months 2/77 eyes (2.59%) only in CLE group
Emarah, El-Helw, 2010 [12] 28/16 RLE 27/15 ICL SE: -17.54 RLE -16.45 ICL
AL: N/R
CDVA 0.39- RLE group
CDVA 0.51- ICL group
RLE group: CDVA 0.61,
71.4% postop UCVA better thanpreop CDVA
ICL group: CDVA 0.79,
51.8% postop UDVA better than preop CDVA
SE: -0.99 ± 0.88 D-RLE
-0.63 ± 0.86 D-ICL
RLE: 82% in goal refraction
ICL: 77% in goal refraction both groups 100% within ±2.00 D of goal refraction
17.1 months none
Gabric, Dekaris et al., 2002 [14] 72/34 N/R CDVA 0.5 in 72% of eyes 4 years after surgery: UDVA ≥0.5 in 58.3% BCVA ≥0.5 in 83.3% 70.8% - emmetropia 86.5% within ± 1.0 D of goal refraction 95.8% within ± 2.0 D of goal refraction 48 months 1 eye (0.72%)
Horgan et al., 2005 [15] 62/37 RLE -13.7/29.3 CDVA ≥0.5 in 52% eyes Mean UCVA 0.3 -1.09 ± 1.34 D >10 years 2/62 eyes (3.2%)
Ravalico et al., 2003 [18] 388/273, RLE/cataract extraction -15.95/29.79 CDVA 0.20 CDVA 0.50 SE -2.00 ± 1.62 D 47.16 months 1 eye (0.26%)
Fernandez- Vega et al., 2003 [13] 190/107, RLE -17.84/26.0 CDVA 0.37 83.7% - better than preop
12.6% - equal to preop 3.7% - worse than preop
Mean -1.22 D 41% -within ± 1.00 D of emmetropia 79% - within ± 2.00 D of emmetropia 4.78 years 2.10%
Guell et al., 2003 [28] 44/30, RLE or initial lens opacification -15.77/N/R CDVA ≥0.5 in 63.2% of patients CDVA ≥0.5 in 82.9% Mean -1.05 D
52.7% within ± 1.00 D of emmetropia 94.1% within ± 2.00 D of emmetropia
31.45 months none
  1. SE: spherical equivalent, RLE: refractive lens extraction, VA: visual acuity, UDVA: uncorrected distance visual acuity, CDVA: corrected distance visual acuity, BCVA: best corrected visual acuity, ICL: implantable collamer lens, pIOL: phakic intraocular lens, N/R: not reported.