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Three-year follow-up of subjective vault following myopic implantable collamer lens implantation

  • Refractive Surgery
  • Published:
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Abstract

Purpose

To evaluate changes of subjective vault during a period of 36 months after implantation of phakic posterior chamber implantable collamer lens (ICL) for myopia correction.

Methods

Nine hundred and sixty four myopic eyes of 531 patients, 353 females (66.5%) and 178 (33.5%) males, who received a Visian ICL (model V4, Staar Surgical Inc.) implantation were included in the study. Subjective vault classified in five levels (0, 1, 2, 3 and 4) was assessed at each of the follow-up visits by a trained ophthalmologist during a period of 36 months.

Results

Mean vault decreased from 2.30 ± 0.87 immediately after surgery to 2.10 ± 0.92 at 12 months and to 2.06 ± 1.05 at 36 months. For patients presenting vault 2, 3, and 4 post-operatively, there was a decrease with time, with changes becoming statistically significant (p < 0.05) after the 3-month follow-up visit. The few eyes developing anterior subcapsular cataract (ASC) were older, had a tendency to vault 2 or lower post-operative, shallower anterior chamber depth and smaller ICL size. Eyes with acute increase in intraocular pressure (IOP) were significantly more myopic, had smaller white-to-white diameter and had larger photopic pupil diameters.

Conclusions

Decrease in subjective vault after ICL implantation became statistically significant after the third month postoperatively. Several patients and lens-related factors have been identified as potential predictors of ASC or acute increase in IOP. A tight follow-up during the critical post-operative period should be considered in those particular cases.

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References

  1. Sanders DR, Doney K, Poco M (2004) United States Food and Drug Administration clinical trial of the Implantable Collamer Lens (ICL) for moderate to high myopia: three-year follow-up. Ophthalmology 111:1683–1692

    Article  PubMed  Google Scholar 

  2. Pesando PM, Ghiringhello MP, Di MG, Fanton G (2007) Posterior chamber phakic intraocular lens (ICL) for hyperopia: ten-year follow-up. J Cataract Refract Surg 33:1579–1584

    Article  PubMed  Google Scholar 

  3. Uusitalo RJ, Aine E, Sen NH, Laatikainen L (2002) Implantable contact lens for high myopia. J Cataract Refract Surg 28:29–36

    Article  PubMed  Google Scholar 

  4. Sanders DR, Vukich JA, Doney K, Gaston M (2003) U.S. Food and Drug Administration clinical trial of the Implantable Contact Lens for moderate to high myopia. Ophthalmology 110:255–266

    Article  PubMed  Google Scholar 

  5. Pineda-Fernandez A, Jaramillo J, Vargas J, Jaramillo M, Jaramillo J, Galindez A (2004) Phakic posterior chamber intraocular lens for high myopia. J Cataract Refract Surg 30:2277–2283

    Article  PubMed  Google Scholar 

  6. Alfonso JF, Palacios A, Montes-Mico R (2008) Myopic phakic STAAR collamer posterior chamber intraocular lenses for keratoconus. J Refract Surg 24:867–874

    PubMed  Google Scholar 

  7. Alfonso JF, Lisa C, Abdelhamid A, Montes-Mico R, Poo-Lopez A, Ferrer-Blasco T (2009) Posterior chamber phakic intraocular lenses after penetrating keratoplasty. J Cataract Refract Surg 35:1166–1173

    Article  PubMed  Google Scholar 

  8. Jimenez-Alfaro I, Benitez-del-Castillo JM, Garcia-Feijoo J, Gil de Bernabe JG, Serrano de La Iglesia JM (2001) Safety of posterior chamber phakic intraocular lenses for the correction of high myopia: anterior segment changes after posterior chamber phakic intraocular lens implantation. Ophthalmology 108:90–99

    Article  CAS  PubMed  Google Scholar 

  9. Lackner B, Pieh S, Schmidinger G, Simader C, Franz C, Dejaco-Ruhswurm I, Skorpik C (2004) Long-term results of implantation of phakic posterior chamber intraocular lenses. J Cataract Refract Surg 30:2269–2276

    Article  PubMed  Google Scholar 

  10. Gonvers M, Bornet C, Othenin-Girard P (2003) Implantable contact lens for moderate to high myopia: relationship of vaulting to cataract formation. J Cataract Refract Surg 29:918–924

    Article  PubMed  Google Scholar 

  11. Sanders DR (2008) Anterior subcapsular opacities and cataracts 5 years after surgery in the visian implantable collamer lens FDA trial. J Refract Surg 24:566–570

    PubMed  Google Scholar 

  12. Chun YS, Park IK, Lee HI, Lee JH, Kim JC (2006) Iris and trabecular meshwork pigment changes after posterior chamber phakic intraocular lens implantation. J Cataract Refract Surg 32:1452–1458

    Article  PubMed  Google Scholar 

  13. Bylsma SS, Zalta AH, Foley E, Osher RH (2002) Phakic posterior chamber intraocular lens pupillary block. J Cataract Refract Surg 28:2222–2228

    Article  PubMed  Google Scholar 

  14. Bloomenstein MR, Dulaney DD, Barnet RW, Perkins SA (2002) Posterior chamber phakic intraocular lens for moderate myopia and hyperopia. Optometry 73:435–446

    PubMed  Google Scholar 

  15. Baikoff G, Lutun E, Wei J, Ferraz C (2004) Contact between 3 phakic intraocular lens models and the crystalline lens: an anterior chamber optical coherence tomography study. J Cataract Refract Surg 30:2007–2012

    Article  PubMed  Google Scholar 

  16. Baumeister M, Buhren J, Kohnen T (2004) Position of angle-supported, iris-fixated, and ciliary sulcus-implanted myopic phakic intraocular lenses evaluated by Scheimpflug photography. Am J Ophthalmol 138:723–731

    Article  PubMed  Google Scholar 

  17. Kamiya K, Shimizu K, Komatsu M (2009) Factors affecting vaulting after implantable collamer lens implantation. J Refract Surg 25:259–264

    Article  PubMed  Google Scholar 

  18. Sarikkola AU, Sen HN, Uusitalo RJ, Laatikainen L (2005) Traumatic cataract and other adverse events with the implantable contact lens. J Cataract Refract Surg 31:511–524

    Article  PubMed  Google Scholar 

  19. Dubbelman M, van der Heijde GL, Weeber HA, Vrensen GF (2003) Changes in the internal structure of the human crystalline lens with age and accommodation. Vision Res 43:2363–2375

    Article  CAS  PubMed  Google Scholar 

  20. Petternel V, Koppl CM, jaco-Ruhswurm I, Findl O, Skorpik C, Drexler W (2004) Effect of accommodation and pupil size on the movement of a posterior chamber lens in the phakic eye. Ophthalmology 111:325–331

    Article  PubMed  Google Scholar 

  21. Alfonso JF, Lisa C, Palacios A, Fernandes P, Gonzalez-Meijome JM, Montes-Mico R (2009) Objective vs subjective vault measurement after myopic implantable collamer lens implantation. Am J Ophthalmol 147:978–983

    Article  PubMed  Google Scholar 

  22. Elies D, Coret A, Puig J, Rombouts A (2004) Protocolos en el implante de lentes fáquicas tipo ICL. Annals d´Oftalmologia 12(1):30–34

    Google Scholar 

  23. Zaldivar R, Oscherow S, Piezzi V (2003) Bioptics: Our personal experience. In: Probst LE (ed) LASIK: Advances, Controversies and Customs. Slack Inc., Thorofare New Jersey, 249–257

    Google Scholar 

  24. Choi KH, Chung SE, Chung TY, Chung ES (2007) Ultrasound biomicroscopy for determining visian implantable contact lens length in phakic IOL implantation. J Refract Surg 23:362–367

    PubMed  Google Scholar 

  25. Kamiya K, Shimizu K, Kawamorita T (2009) Changes in vaulting and the effect on refraction after phakic posterior chamber intraocular lens implantation. J Cataract Refract Surg 35:1582–1586

    Article  PubMed  Google Scholar 

  26. Lege BA, Haigis W, Neuhann TF, Bauer MH (2006) Age-related behavior of posterior chamber lenses in myopic phakic eyes during accommodation measured by anterior segment partial coherence interferometry. J Cataract Refract Surg 32:999–1006

    Article  PubMed  Google Scholar 

  27. Sanders DR, Vukich JA (2002) Incidence of lens opacities and clinically significant cataracts with the implantable contact lens: comparison of two lens designs. J Refract Surg 18:673–682

    PubMed  Google Scholar 

  28. Chung TY, Park SC, Lee MO, Ahn K, Chung ES (2009) Changes in iridocorneal angle structure and trabecular pigmentation with STAAR implantable collamer lens during 2 years. J Refract Surg 25:251–258

    PubMed  Google Scholar 

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Authors and Affiliations

  1. Instituto Oftalmológico Fernández-Vega, Avda. Dres. Fernández-Vega 114, 33012, Oviedo, Spain

    José F. Alfonso, Carlos Lisa & A. Abdelhamid

  2. Surgery Department, School of Medicine, University of Oviedo, Oviedo, Spain

    José F. Alfonso

  3. Department of Physics (Optometry), School of Sciences, University of Minho, Minho, Portugal

    Paulo Fernandes & Jorge Jorge

  4. GIO (Grupo de Investigación en Optometría), Optics Department, University of Valencia, Valencia, Spain

    Robert Montés-Micó

Authors
  1. José F. Alfonso
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  2. Carlos Lisa
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  3. A. Abdelhamid
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  4. Paulo Fernandes
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  5. Jorge Jorge
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  6. Robert Montés-Micó
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Corresponding author

Correspondence to José F. Alfonso.

Additional information

This research was supported in part by Research Grants (Ministerio de Ciencia e Innovación, SAF2008-01114-E and SAF2009-13342) to Robert Montés-Micó and a Fundação para a Ciência e Tecnologia of Portugal through a Grant to Paulo Fernandes (#FCT-SFRH-BD-34303-2007#).

The authors have no financial interest in the products showed in this study.

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Alfonso, J.F., Lisa, C., Abdelhamid, A. et al. Three-year follow-up of subjective vault following myopic implantable collamer lens implantation. Graefes Arch Clin Exp Ophthalmol 248, 1827–1835 (2010). https://doi.org/10.1007/s00417-010-1322-0

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  • DOI: https://doi.org/10.1007/s00417-010-1322-0

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