H6 - health effect clinical code: 4581 - cell loss, decentration, pigment dispersion, trabulectomy, choroidal neovascularization, macular hole, claim#: (b)(4).
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An article published titled "phakic intraocular lenses: an overview" has a section that reports data about a study of an overview of 1000+ eyes for staar surgical icl's.During this study it notes patient adverse events varied from significant opacities, cell loss, subluxation needing an exchange, incorrect sizing needing an exchange, retinal detachment, rotation with reposition, asymptomatic anterior cataract, choroidal neovascularization, macular hole, central pigment atrophy, increased iop requiring treatment, iritis, additional laser refractive correction, glare and halos, lens explantation due to decentration and acute glaucoma, pigment dispersion requiring trabeculectomy, small vault due to incorrect haptic placement in the sulcus.The article concludes with noting phakic iol implantation in highly myopic patients is associated with excellent visual and refractive outcomes shortly after surgery.Due to age related and morphometric changes, visual and refractive outcomes might change over time.The exact mechanisms causing this are yet unknown and require additional research to formulate definitive recommendations.Until then, surgeons implanting poils in highly myopic patients should inform their patients of the possibility that their refractive error might change slightly over time.As shown by the large variability in the reported data, there are still large variations in the assessment and description of complications occurring in patients with poils.
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