Phakic intraocular lens (IOL) surgery is an innovative procedure designed to correct refractive vision errors, offering an alternative to traditional laser eye surgery. While this surgery has helped many individuals achieve clearer vision, like any surgical procedure, it comes with potential side effects. Understanding these side effects is crucial for anyone considering this option.

1. Visual Disturbances
After undergoing phakic IOL surgery, some patients may experience visual disturbances such as glare, halos, or starbursts around lights, particularly at night. These effects can be temporary but may persist in some cases.

2. Intraocular Pressure Changes
One of the more serious side effects is an increase in intraocular pressure (IOP), which can lead to glaucoma if not monitored properly. It's essential to have regular follow-ups with your ophthalmologist post-surgery to check for any changes in pressure.

3. Risk of Cataracts
Phakic IOLs can increase the risk of developing cataracts in some individuals. While these lenses are designed to be placed in front of the natural lens, their presence can sometimes accelerate the formation of cataracts, necessitating further surgical intervention.

4. Infection or Inflammation
As with any surgical procedure, there is a risk of infection or inflammation in the eye. Patients are typically prescribed antibiotic eye drops post-surgery to minimize this risk. However, it’s critical to watch for symptoms such as redness or excessive tearing.

5. Lens Dislocation
In rare cases, the phakic IOL can become dislocated, leading to vision problems and requiring surgical intervention to reposition or replace the lens.

6. Need for Glasses or Contact Lenses
While many patients achieve 20/20 vision or better following the surgery, some may still require glasses or contact lenses for optimal vision, particularly for certain activities such as reading or driving at night.

7. Corneal Endothelial Cell Damage
The endothelial cells in the cornea play a vital role in maintaining clear vision. Phakic IOL implantation may lead to cell loss, which can affect corneal health and vision quality over time. Regular monitoring is essential to assess corneal health post-surgery.

8. Dry Eye Syndrome
Some patients may experience dry eye symptoms after surgery. This condition can result from various factors during and after the procedure. Artificial tears or other treatments may be recommended to alleviate dryness.

While phakic IOL surgery often provides excellent outcomes for vision correction, it is essential to discuss potential risks and side effects thoroughly with a qualified eye care professional. Each patient's experience can vary, and comprehensive pre-operative assessments and follow-up care are key to ensuring a successful and safe transition to clearer vision.