Incidence of cataract following implantation of a posterior-chamber phakic lens ICL (Implantable Collamer Lens) - long-term results.

医学 眼科 人工晶状体 视力 散光 白内障手术 光学 物理
作者
Hana Kočová,E Vlková,Lenka Michalcová,Natália Rybárová,Oldřich Motyka
出处
期刊:PubMed 卷期号:73 (3): 87-93 被引量:23
链接
标识
摘要

To evaluate late postoperative complications, especially cataract occurrence, its morphological type and factors affecting its development in patients implanted with ICL (Implantable Collamer Lens).We analysed the results of ICL implantation in 34 patients (type ICM V4 for myopia, ICH V3 for hyperopia, TICM V4 for astigmatism) in our department between 1998 and 2013. The cohort comprised 62 eyes (40 myopic and 22 hyperopic). Seven eyes with a toric ICL implanted were included in these groups according to spherical equivalent (SE). The average follow-up period was 10.5 ± 3.5 years. We examined uncorrected and best-corrected visual acuity (UCVA and BCVA), SE, ICL vaulting (using anterior segment OCT) and occurrence of late postoperative complications, especially cataract formation in 2 groups of patients - myopes and hyperopes.Among the most common late postoperative complications were pigment dispersion syndrome in 27 eyes, 43.5% (12 myopic eyes and 15 hyperopic eyes) and cataract formation. Lens opacities, including opacities without loss of BCVA, were observed in 18 eyes (29%). Opacities affecting visual acuity were observed in 10 eyes (16.1%). Cataract significantly affecting visual acuity occurred in 7 eyes, i.e. 11.3% (5 myopic eyes and 2 hyperopic eyes). In these eyes, ICL removal and cataract surgery with implantation of posterior chamber intraocular lens (PC IOL) was performed. The most common morphological type of cataract were anterior subcapsular opacities (83.3%), the average time of onset was 3.4 ± 1.9 years after ICL implantation. We did not prove a statistically significant association either between cataract occurrence and age at the time of surgery, or between cataract occurrence and higher preoperative spherical equivalent. We did not prove a significant association between cataract occurrence and low vault, however in 7 eyes after cataract surgery and ICL removal we do not know the vault values. In one eye uveitis with cystoid macular oedema was observed, in two highly myopic eyes repeated ICL dislocation and cataract occurred. In both of these cases the ICL was removed.According to our experience, implantation of ICL in moderate and high ametropia was relatively safe upon assessing the long-term outcomes. Among the most common complications were pigment dispersion syndrome and anterior subcapsular cataract formation. Cataract can be managed effectively surgically with good refractive outcomes without loss of BCVA. However, loss of accommodation after cataract surgery and risk of vitreoretinal complications must be considered.Key words: ICL (Implantable Collamer Lens), posterior chamber phakic intraocular lens, refractive surgery, cataract occurrence.

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
失眠的夜梦完成签到,获得积分10
2秒前
谓风完成签到,获得积分10
3秒前
恋雅颖月应助乐观的寻绿采纳,获得10
3秒前
Shrine完成签到,获得积分10
3秒前
英姑应助紫色奶萨采纳,获得10
5秒前
6秒前
7秒前
希望天下0贩的0应助Jay采纳,获得10
8秒前
8秒前
爆米花应助zewangguo采纳,获得10
9秒前
斯文败类应助loong采纳,获得10
10秒前
深情安青应助Xin采纳,获得10
11秒前
和花花发布了新的文献求助10
11秒前
摩卡完成签到,获得积分10
12秒前
13秒前
14秒前
端庄毛巾完成签到,获得积分10
14秒前
15秒前
15秒前
15秒前
张雯思发布了新的文献求助10
17秒前
ding应助Nugget采纳,获得10
17秒前
幸福大白发布了新的文献求助30
20秒前
wdy111举报ZZZ求助涉嫌违规
21秒前
zewangguo发布了新的文献求助10
21秒前
22秒前
高大的冰双完成签到,获得积分10
23秒前
25秒前
987完成签到 ,获得积分10
26秒前
loong完成签到,获得积分10
26秒前
紫色奶萨发布了新的文献求助10
27秒前
zewangguo完成签到,获得积分10
27秒前
28秒前
如意手链完成签到,获得积分10
29秒前
DongWei95发布了新的文献求助30
30秒前
锦诗完成签到,获得积分10
31秒前
isojso发布了新的文献求助10
32秒前
33秒前
科研通AI2S应助科研通管家采纳,获得10
37秒前
共享精神应助科研通管家采纳,获得10
37秒前
高分求助中
A new approach to the extrapolation of accelerated life test data 1000
ACSM’s Guidelines for Exercise Testing and Prescription, 12th edition 500
‘Unruly’ Children: Historical Fieldnotes and Learning Morality in a Taiwan Village (New Departures in Anthropology) 400
Indomethacinのヒトにおける経皮吸収 400
Phylogenetic study of the order Polydesmida (Myriapoda: Diplopoda) 370
基于可调谐半导体激光吸收光谱技术泄漏气体检测系统的研究 350
Robot-supported joining of reinforcement textiles with one-sided sewing heads 320
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 3989406
求助须知:如何正确求助?哪些是违规求助? 3531522
关于积分的说明 11254187
捐赠科研通 3270174
什么是DOI,文献DOI怎么找? 1804901
邀请新用户注册赠送积分活动 882105
科研通“疑难数据库(出版商)”最低求助积分说明 809174