New recommendations released for specular microscopy for phakic IOLs

An American Academy of Ophthalmology task force released new recommendations and more details than currently available guidelines on the management of specular microscopy for evaluation of phakic IOLs. The task force recommended using specular microscopy preoperatively and at the 6-, 12-, 24- and 36-month postoperative intervals after implantation of a phakic IOL. Preoperatively there should be a minimum of six scans with good images, and a minimum of three scans with good images should be taken at each follow-up point. Endothelial cell loss of 25% or more from preoperative cell density may be a clinical investigation endpoint for a new phakic IOL, according to the consensus statement.