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Department of Ophthalmology, Goethe University Frankfurt, Germany.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>From 241 eyes that underwent ICL implantation, we included 45 eyes with a mean age at surgery of 33\u00a0years\u2009\u00b1\u20096 (18\u201348\u00a0years), with a 5\u00a0years follow-up. CDVA improved from 0.05logMAR\u2009\u00b1\u20090.15 CDVA preoperatively to \u2009\u2212\u20090.00\u2009\u00b1\u20090,07 at 5\u00a0years and did not change significantly from 3 to 5\u00a0years\u2019 time (<jats:italic>p<\/jats:italic>\u2009=\u20090.266). The mean spherical equivalent (SE) improved from -10.13D\u2009\u00b1\u20093.39 to \u2009\u2212\u20090.45D\u2009\u00b1\u20090.69. The change in endothelial cell count showed a mean decrease of 1.9% per year throughout the follow-up. Safety and efficacy index were 1.16 and 0.78, respectively. Cataract formation was seen in 2 of 241 eyes (0.8%), but in none of the 45 eyes that finished the 5-year follow-up.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Our data show a good intermediate and long-term stability, efficiency, and safety of ICL V4c phakic lenses in myopic eyes comparable to other known literature.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s10792-023-02896-8","type":"journal-article","created":{"date-parts":[[2023,11,7]],"date-time":"2023-11-07T18:02:12Z","timestamp":1699380132000},"page":"4933-4943","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Five-year follow-up of a posterior chamber phakic intraocular lens with a central hole for correction of myopia"],"prefix":"10.1007","volume":"43","author":[{"given":"Christoph","family":"Lwowski","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karel","family":"Van Keer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tim","family":"Ruscher","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luisa","family":"Van Keer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehdi","family":"Shajari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Kohnen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,11,7]]},"reference":[{"key":"2896_CR1","doi-asserted-by":"publisher","first-page":"5579","DOI":"10.1167\/iovs.12-10106","volume":"53","author":"S-K Jung","year":"2012","unstructured":"Jung S-K, Lee JH, Kakizaki H, Jee D (2012) Prevalence of myopia and its association with body stature and educational level in 19-year-old male conscripts in seoul. 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Lwowski: Lecture fees from Abbott\/J&J. M. Shajari: Zeiss, Staar, Oculus. K.v.Keer: Research for D.O.R.C. Consultant for Recordati, Zeiss. T. Kohnen: Consultant and Research for Alcon\/Novartis, J&J, Lensgen, Oculentis, Oculus, Presbia, Schwind, Zeiss. Consultant for Allergan, Bausch & Lomb, Geuder, Med Update, Santen, Staar, Thieme, Ziemer. All other authors have no financial interests to disclose.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}