Phakic intraocular lenses: Recent advances and innovations

Arch Soc Esp Oftalmol (Engl Ed). 2020 Apr;95(4):178-187. doi: 10.1016/j.oftal.2020.02.001. Epub 2020 Mar 7.
[Article in English, Spanish]


Phakic intraocular lenses (pIOL) are recommended when counselling refractive surgery candidates presenting with high ametropia or ocular surface and/or corneal conditions that contraindicate corneal refractive surgery. This review aims to present the state-of-the-art regarding pIOL models currently available in Europe, addressing their newer indications and recent design innovations. These include, in the case of posterior chamber pIOLs, the addition of a central hole to improve aqueous humour circulation, the availability of larger optical zones, and multifocal optics for the compensation of presbyopia. The review also highlights their good safety and efficacy results, as well as the role of patient education to ensure adequate outcomes in the medium-long term. The indications of pIOLs in special situations, as well as bi-lensectomy, a procedure that most pIOL patients may eventually require as they age and develop cataracts, are also addressed.

Keywords: Bi-lensectomy; Bilensectomía; Hipermetropía; Hyperopia; Keratoconus; Lentes intraoculares fáquicas; Miopía; Myopia; Phakic intraocular lenses; Presbicia; Presbyopia; Queratocono.

Publication types

  • Review

MeSH terms

  • Europe
  • Humans
  • Lens Implantation, Intraocular / methods
  • Multifocal Intraocular Lenses
  • Patient Education as Topic
  • Phakic Intraocular Lenses / supply & distribution
  • Phakic Intraocular Lenses / trends*
  • Presbyopia / rehabilitation
  • Prosthesis Design*
  • Refractive Errors / rehabilitation*
  • Safety