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Implantable Collamer Lens to treat high myopia: efficiency and safety
Author(s) -
Charpentier S.,
Graber M.,
Rambaud C.,
Monin J.,
Berguiga M.,
Delbarre M.,
Sendon D.,
Marechal M.,
Timsit A.,
FroussartMaille F.
Publication year - 2016
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.2016.0673
Subject(s) - phakic intraocular lens , medicine , ophthalmology , visual acuity , intraocular pressure , endophthalmitis , surgery , refractive error
Purpose To report the efficiency and safety of Posterior Phakic Lens ICL (Implantable Collamer Lens), implantation for treating high myopia. Methods This retrospective observational monocentric study included 23 eyes of 12 patients who underwent consecutive V4 model ICL implantations between January the 1st 2015 and december 31th 2015. The lenses power were between 7.25 and 18.75 (D) Main outcomes mesures were uncorrected and corrected distance visual acuities, refraction for the evaluation of efficiency, endothelial cell count, intraocular pressure and pupillary diameter. Anatomical results were reported by anterior chamber OCT, biometrics and ICL vault. Results At 3 months post operatively, uncorrected distance visual acuity improved from 0.05 to 0.9 ± 0.1 (Monoyer scale) (p < 0.001). The mean spherical equivalent decreased from – 9.4 ± 3.4 (D) to −0.6 ± 1.9 (D) after surgery. The mean post operative vault was 660 ± 280 μ m. There was no significant difference in endothelial count (p = 0.06), intraocular pressure (p = 0.22), pupillary diameter (p = 0.10) and anterior chamber angle depth (p < 0.001) pre and post operatevely. Furthermore, 100% of patients were satisfied and would recommended ICL implantation, despite of 40% of them reported halos and night vision problems. Conclusions This study indicates that ICL implantation provides refraction safety and efficiency to treat high myopia ineligible for lasik. Patients have to be throughly selected and well informed of possible complications before surgery.