We are making progress with a new study on IPCL lenses for the simultaneous correction of myopia and presbyopia

A study led by Miranza Clínica Pérez Silguero shows that patients maintain good vision and reduce their dependence on glasses or contact lenses two years after surgery.

Correcting myopia in people with presbyopia remains one of the greatest challenges in ophthalmic surgery. Not all patients are suitable candidates for the same solutions: certain corneal procedures or replacing the natural crystalline lens with multifocal intraocular lenses may not be the most appropriate option in every case.

In this context, so-called diffractive implantable phakic contact lenses (IPCLs) have emerged as an alternative for simultaneously correcting myopia and presbyopia while preserving the patient’s natural crystalline lens. A study conducted by Miranza Clínica Pérez Silguero provides new mid-term data and confirms that these implants maintain good visual outcomes and a favorable safety profile after two years of follow-up.

The study, entitled Real-World Two-Year Outcomes of Diffractive Implantable Phakic Contact Lenses in Presbyopic Myopes: Functional Vision, Anatomical Findings, and Environmental Context, analyzes the outcomes of patients with myopia and presbyopia who underwent bilateral implantation of IPCLs. The research was carried out by David Pérez-Silguero, Miguel Ángel Pérez-Silguero, Pablo Encinas-Pisa, María Mayoral-Álvarez, Alonso Verbo Gil, Sara Pérez-Silguero Jiménez, and Inmaculada Bernal-Blasco from Miranza Clínica Pérez Silguero.

The results show that patients maintained stable vision over time at far, intermediate, and near distances, reducing their dependence on glasses or contact lenses.

Good long-term vision and safety

One of the study’s main findings is that, two years after surgery, patients retained good visual function for their daily activities, together with proper positioning and stability of the implanted lens within the eye.

In addition, the study found no significant surgery-related complications, such as cataract formation, corneal abnormalities, or lens displacement. Patients also reported a high level of satisfaction with the visual outcomes achieved.

Real-world clinical outcomes

One of the strengths of this study is that it was conducted under routine clinical practice conditions, reflecting real-world patient experience rather than outcomes obtained exclusively in controlled research settings, according to Miranza Clínica Pérez Silguero.

The researchers also considered the environmental characteristics of the Canary Islands, including high levels of solar radiation, exposure to marine aerosols, and episodes of calima (Saharan dust), all of which may influence visual perception. Despite these conditions, patients demonstrated stable outcomes throughout the entire follow-up period.

According to the authors, these findings further support the potential of IPCLs as an effective option for patients with myopia and presbyopia who wish to reduce their dependence on glasses or contact lenses while preserving their natural crystalline lens. However, the researchers emphasize the need for additional studies involving larger patient populations and longer follow-up periods to further assess the long-term performance of these lenses.