{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T01:26:04Z","timestamp":1783905964275,"version":"3.55.0"},"reference-count":31,"publisher":"Walter de Gruyter GmbH","issue":"3","license":[{"start":{"date-parts":[[2021,12,1]],"date-time":"2021-12-01T00:00:00Z","timestamp":1638316800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,12,31]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    <jats:bold>Objective:<\/jats:bold>\n                    Analysis of visual acuity parameters in patients with moderate to high myopia and myopic astigmatism 1 year after treatment with phakic intraocular lenses.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Material and methods:<\/jats:bold>\n                    This was a retrospective study on 35 patients (52 eyes) with moderate to high myopia who were implanted with the Visian V4c phakic implantable Collamer lens (Staar Surgical, Nidau, Switzerland). Examined parameters were: uncorrected distance visual acuity (UDVA) and best corrected visual acuity (CDVA), manifest and cycloplegic refraction, intraocular pressure, and endothelial cell count. The investigated parameters were measured preoperatively, 1, 3, 6 and 12 months postoperatively.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Results:<\/jats:bold>\n                    In 17 patients, phakic lenses were implanted binocularly and in 18 patients monocularly. Preoperatively 34.62% of patients had CDVA from 0.9 to 1.0. One year after the surgery 48.08% of patients had UDVA from 0.9 to 1.0. Preoperatively 80.77% of patients had diopter range from -6.00 Dsph to -10.00 Dsph. At 1 year postoperatively 78.85% of patients were within 0.00 Dsph to -1.00 Dsph. Preoperatively, in patients with astigmatism -4 Dcyl to -2 Dcyl dominated, as opposed to significant improvement postoperatively when 94.23% had astigmatism ranging from -1.0 Dcyl to 0 Dcyl.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusion:<\/jats:bold>\n                    The implantation of phakic lenses demonstrated a successful postoperative outcome in the treatment of myopia and myopic astigmatism. Visual acuity and refraction show a gradual and significant improvement in visual function parameters within 1 year of lens implantation.\n                  <\/jats:p>","DOI":"10.2478\/prilozi-2021-0033","type":"journal-article","created":{"date-parts":[[2022,1,15]],"date-time":"2022-01-15T10:58:34Z","timestamp":1642244314000},"page":"37-46","source":"Crossref","is-referenced-by-count":0,"title":["First Experiences with Implantation of Phakic Lenses in Correction of Myopia in R. N. Macedonia"],"prefix":"10.2478","volume":"42","author":[{"given":"Biljana","family":"Kostovska","sequence":"first","affiliation":[{"name":"Sistina ophthalmology \u2013 Specialized ophthalmology hospital , Skopje , RN Macedonia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jasmina Pluncevikj","family":"Gligoroska","sequence":"additional","affiliation":[{"name":"Medical Faculty, Institute of Physiology , UKIM , Skopje , RN Macedonia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fanka","family":"Gilevska","sequence":"additional","affiliation":[{"name":"Sistina ophthalmology \u2013 Specialized ophthalmology hospital , Skopje , RN Macedonia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zlatko","family":"Arnaudovski","sequence":"additional","affiliation":[{"name":"Sistina ophthalmology \u2013 Specialized ophthalmology hospital , Skopje , RN Macedonia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikica","family":"Gabric","sequence":"additional","affiliation":[{"name":"Klinika Svjetlost , Zagreb , R. Croatia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"374","published-online":{"date-parts":[[2021,12,30]]},"reference":[{"key":"2026071211070084259_j_prilozi-2021-0033_ref_001","doi-asserted-by":"crossref","unstructured":"1. Kohnen T, Strenger A, Klaproth OK. Basic knowledge of refractive surgery. Deutsches Arzteblatt International, 2008; 105: 163\u2013172.10.3238\/arztebl.2008.0163269674419633786","DOI":"10.3238\/arztebl.2008.0163"},{"key":"2026071211070084259_j_prilozi-2021-0033_ref_002","doi-asserted-by":"crossref","unstructured":"2. Niu L, Miao H, Han T, et al. Visual outcomes of Visian ICL implantation for high myopia in patients with shallow anterior chamber depth. BMC Ophthalmology (2019) 19:121.10.1186\/s12886-019-1132-z654211831142292","DOI":"10.1186\/s12886-019-1132-z"},{"key":"2026071211070084259_j_prilozi-2021-0033_ref_003","unstructured":"3. Oakley CL, Nigro MA, Vote BJ. Fifty-year follow-up and Strampelli anterior chamber intraocular lens. 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Ophthalmologe.2007;104(8):719\u2013726.10.1007\/s00347-007-1580-317665202"},{"key":"2026071211070084259_j_prilozi-2021-0033_ref_006","doi-asserted-by":"crossref","unstructured":"6. Huang D, Schallhorn SC, Sugar A, et al. Phakic Intraocular Lens Implantation for the Correction of Myopia. A Report by the American Academy of Ophthalmology. Ophthalmology. 2009;116(11):2244\u20132258.10.1016\/j.ophtha.2009.08.01819883852","DOI":"10.1016\/j.ophtha.2009.08.018"},{"key":"2026071211070084259_j_prilozi-2021-0033_ref_007","doi-asserted-by":"crossref","unstructured":"7. Fern\u00e1ndez-Vega-Cueto L, Lisa C, Esteve-Taboada JJ, Mont\u00e9s-Mic\u00f3 R, Alfonso JF. Implantable collamer lens with central hole: 3-year follow-up. Clin Ophthalmol. 2018; 12: 2015-2029 https:\/\/doi.org\/10.2147\/OPTH.S17157610.2147\/OPTH.S171576618820830349185","DOI":"10.2147\/OPTH.S171576"},{"key":"2026071211070084259_j_prilozi-2021-0033_ref_008","doi-asserted-by":"crossref","unstructured":"8. Wang X, Zhou X. Update on treating high myopia with implantable collamer lenses. Asia Pac J Ophthalmol (Phila). 2016;5(6):445-449. doi:10.1097\/APO.000000000000023510.1097\/APO.000000000000023527898450","DOI":"10.1097\/APO.0000000000000235"},{"key":"2026071211070084259_j_prilozi-2021-0033_ref_009","doi-asserted-by":"crossref","unstructured":"9. Kobashi H, Kamiya K, Igarashi A, et al. Long-term quality of life after posterior chamber phakic intraocular lens implantation and after wavefront-guided laser in situ keratomileusis for myopia. J Cataract Refract Surg. 2014;40(12):2019\u201324.10.1016\/j.jcrs.2014.03.02825447196","DOI":"10.1016\/j.jcrs.2014.03.028"},{"key":"2026071211070084259_j_prilozi-2021-0033_ref_010","doi-asserted-by":"crossref","unstructured":"10. Liu T, Linghu S, Pan L, et al. Effects of V4c-ICL implantations on myopic patients vision-related daily activities. 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Phakic intraocular lenses for the treatment of refractive errors: an evidence-based analysis. Ont Health Technol Assess Ser. 2009;9(14):1-120. Epub 2009 Oct 1. PMID: 23074518; PMCID: PMC3377525."},{"key":"2026071211070084259_j_prilozi-2021-0033_ref_014","doi-asserted-by":"crossref","unstructured":"14. Sanders DR, Vukich JA, Doney K, Gaston M; Implantable Contact Lens in Treatment of Myopia Study Group. U.S. Food and Drug Administration clinical trial of the Implantable Contact Lens for moderate to high myopia. Ophthalmology. 2003 Feb;110(2):255-66. doi: 10.1016\/s0161-6420(02)01771-2. PMID: 12578765.10.1016\/S0161-6420(02)01771-2","DOI":"10.1016\/S0161-6420(02)01771-2"},{"key":"2026071211070084259_j_prilozi-2021-0033_ref_015","doi-asserted-by":"crossref","unstructured":"15. Sanders DR, Schneider D, Martin R, et al. Toric Implantable Collamer Lens for moderate to high myopic astigmatism. Ophthalmology. 2007;114(1):546110.1016\/j.ophtha.2006.08.04917198849","DOI":"10.1016\/j.ophtha.2006.08.049"},{"key":"2026071211070084259_j_prilozi-2021-0033_ref_016","unstructured":"16. Ghoreishi M, Preyman A, Jafarzadeh Z, et al. Visual outcomes of toric implantable collamer lens for correction of compound myopic astigmatism. Iranian J of Ophthalmology, 2013, 25(2):155\u2013162"},{"key":"2026071211070084259_j_prilozi-2021-0033_ref_017","doi-asserted-by":"crossref","unstructured":"17. Dougherty PJ, Priver T. Refractive outcomes and safety of the implantable collamer lens in young low to moderate myopes. Clinical ophthalmology. 2017, 11:273\u201327710.2147\/OPTH.S120427529881628203053","DOI":"10.2147\/OPTH.S120427"},{"key":"2026071211070084259_j_prilozi-2021-0033_ref_018","doi-asserted-by":"crossref","unstructured":"18. Alfonso JF, Fern\u00e1ndez-Vega L, Lisa C, Fernandes P, Gonz\u00e1lez-M\u00e9ijome JM, Mont\u00e9s-Mic\u00f3 R. Collagen copolymer toric posterior chamber phakic intraocular lens for myopic astigmatism, Journal of Cataract & Refractive Surgery: 2010 Jun;36(6):906\u20131610.1016\/j.jcrs.2009.11.03220494760","DOI":"10.1016\/j.jcrs.2009.11.032"},{"key":"2026071211070084259_j_prilozi-2021-0033_ref_019","doi-asserted-by":"crossref","unstructured":"19. Sachdev GS, Singh S, Ramamurthy S, et al. Comparative analysis of clinical outcomes between two types of posterior chamber phakic intraocular lenses for correction of myopia and myopic astigmatism. Indian J of Ophthalmology, 2019, 67(7):1061\u2013106510.4103\/ijo.IJO_1501_18661130931238411","DOI":"10.4103\/ijo.IJO_1501_18"},{"key":"2026071211070084259_j_prilozi-2021-0033_ref_020","doi-asserted-by":"crossref","unstructured":"20. Fern\u00e1ndez-Vega-Cueto L, Lisa C, Esteve-Taboada JJ, Mont\u00e9s-Mic\u00f3 R, Alfonso JF. Implantable collamer lens with central hole: 3-year follow-up. Clin Ophthalmol. 2018;12:2015-2029 https:\/\/doi.org\/10.2147\/OPTH. 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Invest Ophthalmol Vis Sci. 1997;38(3): 779\u2013782"},{"key":"2026071211070084259_j_prilozi-2021-0033_ref_026","doi-asserted-by":"crossref","unstructured":"26. Moya T, Javaloy J, Mont\u00e9s-Mic\u00f3 R, et al. Implantable Collamer Lens for Myopia: Assessment 12 Years After Implantation. J Refract Surg. 2015 Aug;31(8):548\u20135610.3928\/1081597X-20150727-0526248348","DOI":"10.3928\/1081597X-20150727-05"},{"key":"2026071211070084259_j_prilozi-2021-0033_ref_027","doi-asserted-by":"crossref","unstructured":"27. Chen X, Shen Y, Xu H, et al. One-year natural course of corneal densitometry in high myopic patients after implantation of an implantable collamer lens (model V4c). BMC Ophthalmol. 2020;20(1):50.10.1186\/s12886-020-1320-x701762632050942","DOI":"10.1186\/s12886-020-1320-x"},{"key":"2026071211070084259_j_prilozi-2021-0033_ref_028","doi-asserted-by":"crossref","unstructured":"28. Shaaban YM, Badran TAF. 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