Ophthalmology Research


Achieving Target Refraction After Phakic Visian ICL

Rawan M. Al Hedaithy, Anoud F. Al Saati, Tahani A. Al Qahtani, Sultan E. Al Zaaidi.

Purpose: To study the experience of phakic Visian Implantable Collamer lens (ICL) in single center.

Methods: Retrospective chart review of patients with myopia ranging from -3.25 to -21.00 D, who underwent ICL implantation, during the period between February 2010 to August 2016 in Prince Sultan Military Medical City (PSMMC) in Riyadh and completed at least 3 months of follow up.

Results: Total of 50 eyes of 29 patients who underwent implantation of Visian ICL phakic lenses were included. Twenty-two patients were female (75.9%) and 7 were male (24.1%) with mean age ± standard deviation (SD) 28.59 ± 5.82 (range 20 – 43 years). The results showed significant improvement in spherical equivalent (SE), between preoperative and postoperative sphere, cylinder, and BCVA (P < 0.001). Preoperatively the mean SE was -10.35 ± 3.52D (range -4.00 to -22.50D) and postoperatively -0.41 ± 0.86D (range +0.50 to -3.75D). Preoperative LogMAR BCVA was 0.07 ± 0.13 and postoperative was 0.01 ± 0.04. There was no significant difference in intraocular pressure (IOP) between preoperative (mean=14.18 ± 1.94 mmHg) and postoperative (mean = 15.13 ± 5.57), (P = 0.499). The vault of ICL was low in 3 eyes, high in 5 eyes, and good in 42 eyes. One eye had elevation of IOP postoperatively required ICL explanation and other complication occurred related to the ICL or the surgery.

Conclusion: ICL implantation is an effective surgical option for correction of moderate to high myopia. Further studies are needed for its long-term effect and safety.

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