Endothelial Changes after Angle Supported Anterior Chamber Phakic IOL S

Purpose: To evaluate the endothelial changes after im-plantation of the Safety Flex Phakic 6™ angle supported anterior chamber phakic IOL.Design: Noncomparative case series.Participants: 42 eyes (28 myopes and 14 hyperopes ).Methodology: Specular microscopy was done preoperative and after implantation of the IOL at 1, 3, 6, 9 months and one year intervals.Main Outcome Measures: Significant endothelial cell loss (50% of the original count) is an indication for explantation.Results: The central cell loss caused by the operation is approximately 3.6%; with time, this cell loss increases to 5.7% after one year. The peripheral cell loss caused by the operation is approximately 3.42%; with time, this cell loss increases to 3.91% after one year.Conclusion: The Safety Flex Phakic 6™ was an effective and safe method for correcting myopia and hyperopia with safe and accepted endothelial cell loss after one year.