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Phakic IOL procedures are being used on severely nearsighted patients who may not be candidates for the more common laser procedures such as PRK, Epi-LASIK, and LASIK. Phakic IOL is the procedure of choice for high myopia.
The word "phakic" refers to an eye that has not undergone cataract surgery and that still has its natural internal crystalline lens. In contrast to cataract surgery, in which the abnormal clouded crystalline lens of the eye is removed, in the Phakic IOL procedure an intra-ocular lens is placed inside the eye but the clear crystalline lens is not removed. Because the natural crystalline lens remains intact, the patient is able to retain any pre-existing focusing ability. Depending upon which of the three currently available phakic IOLs is used, the IOL may be place in front of the iris or between the crystalline lens and the iris.
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