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Visual Outcomes and Complications of Spherical Intraocular Collamer Lens Implantation (ICL), One Year Follow up | ||
| Medical Journal of Babylon | ||
| Article 1, Volume 10, Issue 2, 2013, Pages 479-490 | ||
| Authors | ||
| Hassenien S.Shuber; Faraidoon Fatih; Hussain Ali Al Hamami | ||
| Abstract | ||
| Aim: This is a Prospective nonrandomized clinical study designed to assess the safety and efficacy of the Implantable collamer Lens (ICL) to treat moderate to high myopia. Material and Methods: It included fifty eyes from 31 patients with between -5.50 and -21.0 diopters (D) of myopia without or with astigmatism up to -2.0 diopters. The Main Outcome Measures were Uncorrected visual acuity (UCVA), refraction, best spectacle-corrected visual acuity (BCVA),IOP, adverse events, operative and postoperative complications, subjective satisfaction, and symptoms. Results: Twelve months postoperatively 54.0% of patients had a visual acuity of 6/12 or better, and 84.0 % had an uncorrected visual acuity of 6/18 or better. Patients averaged a 1.31 line improvement in UCVA and 86.0% were within 0.00 to -1.00 D. Only one case (2%) lost more than 2 lines of BCVA. Gains of 2 or more lines of BCVA occurred in 18 cases (36.0%) at 1 year after ICL surgery. Late onset surgically induced anterior subcapsular (AS) opacities were seen in 2 cases (4.0%);and one eye developed traumatic dislocation of ICL at 9 months postoperatively which was repositioned without any visual compromise; iritis developed in one eye (2%) which was first observed at 1 month of the surgery; one of cases had clinically and cosmetically insignificant pupil ovalisation postoperatively. Early postoperative IOP rise (more than 21mmHg) seen only in 3 eyes (6%). Patient satisfaction (very/extremely satisfied) was reported by 96.0% of subjects on the subjective questionnaire. Conclusions: The results support the safety, efficacy, and predictability of ICL implantation to treat moderate to high myopia. | ||
| Keywords | ||
| Intraocular collamer lens; Spherical; Myopia; Astigmatism | ||
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