Outcome after treatment of ametropia with implantable contact lenses

Lackner, Birgit; Pieh, Stefan; Schmidinger, Gerald; Hanselmayer, Georg; Dejaco-Ruhswurm, Irene; Funovics, Martin; Skorpik, Christian

doi:10.1016/s0161-6420(03)00830-3

Cited by 119 publications

(76 citation statements)

References 35 publications

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“…[1][2][3][4][5][6][7][8][9] This surgical procedure may have advantages over laser in situ keratomileusis (LASIK) because it is not only highly predictable but also reversible. It may also have advantages over refractive lens exchange because the crystalline lens, which plays a major role in accommodative function, especially in younger patients, remains untouched.…”

Section: Introductionmentioning

confidence: 99%

Clinical outcomes and patient satisfaction after Visian Implantable Collamer Lens removal and phacoemulsification with intraocular lens implantation in eyes with induced cataract

Kamiya

Shimizu

Igarashi

et al. 2009

Eye

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Purpose To assess the clinical outcomes and patient satisfaction after simultaneous Implantable Collamer Lens (ICL) removal and phacoemulsification with intraocular lens (IOL) implantation in ICL-implanted eyes with developing cataracts. Methods We retrospectively reviewed the clinical charts of 10 eyes of eight patients who developed significant cataract after ICL implantation. Patient age was 47.2 ± 5.9 (mean ± SD) years (range, 37-57 years). We determined visual acuity (log MAR), manifest refraction, endothelial cell density, and subjective satisfaction with visual outcomes measured using a visual analogue scale, that ranged from 0 (very dissatisfied) to 10 (very satisfied), before and 3 months after cataract surgery. Results Log MAR best spectacle-corrected visual acuity was significantly improved from 0.19±0.30 preoperatively to À0.06±0.07 postoperatively (P ¼ 0.007, Wilcoxon signedrank test). Eight (80%) and nine (90%) of the 10 eyes were within 0.5 D (diopter) and 1.0 D of the targeted correction, respectively. The endothelial cell density was 2584.9 ± 266.2 cells/mm 2 preoperatively, and 2340.1±269.7 cells/mm 2 postoperatively. The overall satisfaction with visual outcomes was scored 1.8±1.1 (range: 0-3) preoperatively, and 7.9±1.4 (range: 6-10) postoperatively. No vision-threatening complications were seen throughout the follow-up period. Conclusions Simultaneous ICL removal and phacoemulsification with IOL implantation was safe and effective with predictable refractive results, and thus yielded a high level of patient satisfaction with ICL-induced cataract treatment.

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Section: Introductionmentioning

confidence: 99%

Clinical outcomes and patient satisfaction after Visian Implantable Collamer Lens removal and phacoemulsification with intraocular lens implantation in eyes with induced cataract

Kamiya

Shimizu

Igarashi

et al. 2009

Eye

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“…[1][2][3][4][5][6][7][8][9][10] This surgical procedure may have advantages over laser in situ keratomileusis (LASIK) because it is safer and more effective, and provides highly predictable and stable results, especially in the correction of high myopia. Moreover, the lens is removable and replaceable with another ICL, whereas, with LASIK, this cannot be done even when unexpected refractive outcomes occur after surgery.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of pupil diameter after posterior chamber phakic intraocular lens implantation

Kamiya

Shimizu

Igarashi

et al. 2009

Eye

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Purpose To observe the changes of pupil size over time after Visian Implantable Collamer Lens (ICL) implantation. Patients and methods We retrospectively examined 30 eyes of 23 consecutive patients undergoing ICL implantation. We measured the entrance and real pupil diameters using a Hartmann-Shack aberrometer (KR-9000, Topcon, Tokyo, Japan) before and 1 day, 1 week, and 1, 3, 6, and 12 months after surgery. We also investigated its relationship with the amount of vaulting using slit-lamp microscopy 1 year postoperatively. Results The entrance pupil diameters were 6.24 ± 0.66 (mean ± standard deviation) mm preoperatively, and 5.53 ± 0.69, 6.18 ± 0.61, 6.21±0.80, 6.29±0.74, 6.23±0.76, and 6.40±0.70 mm, 1 day, 1 week, and 1, 3, 6, and 12 months postoperatively, respectively; and the respective real pupil diameters were 5.44 ± 0.55 mm preoperatively, and 4.95 ± 0.60, 5.53 ± 0.52, 5.55 ± 0.69, 5.63 ± 0.64, 5.57 ± 0.64, and 5.72 ± 0.60 mm, 1 day, 1 week, and 1, 3, 6, and 12 months postoperatively. Pupil diameters and the amount of vaulting were not significantly associated (Pearson correlation coefficient r ¼ 0.14, P ¼ 0.45 for entrance pupil, r ¼ 0.13, P ¼ 0.49 for real pupil). Conclusions Both pupil diameters decreased transiently 1 day after ICL implantation, but soon recovered to the preoperative level, indicating that intraoperative mechanical irritation of the uveal tissue and the early postoperative inflammatory response may induce transient decreases in pupil diameter, and that this surgical technique alone with appropriate ICL size selection probably induces no significant pupil diameter change.

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“…Lediglich höheres Patientenalter, weibliches Geschlecht und kontralaterale Eintrübung konnten als unabhängige signifikante Risikofaktoren für Linsentrübungen gefunden werden, wie in einer Studie beschrieben wird [10].…”

Section: Diskussionunclassified

“…An der Universitätsaugenklinik Wien wurde im September 1993 bei höherer Ametropie mit der Implantation solcher Kunstlinsen unter Erhalt der kristallinen Linse begonnen [10,18,19,20].…”

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Langzeitergebnisse bei Implantation phaker Hinterkammerlinsen zur Korrektur hoher Fehlsichtigkeit

Skorpik

Lackner-Funovics

Dejaco-Ruhswurm

et al. 2002

Spektrum Augeheilkd

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Zusammenfassung. An der Universitätsaugenklinik in Wien werden seit 1993 additive Hinterkammerlinsen der Firma STAAR Surgical implantiert. Die Linsen werden als ICL (Intraokulare Kontaktlinse) bezeichnet. In die vorliegenden Untersuchungsergebnisse gehen 99 Augen von 58 Patienten ein. Die meisten Augen (89) waren höhergradig myop, der Rest hyperop. Die ICL-Modelle wurden im Beobachtungszeitraum mehrmals geändert, sodass keine einheitlichen Daten vorliegen. Die Anfangsergebnisse waren hervorragend, insbesonders bei hoher Myopie konnte durch die Operation die Lebensqualität sehr verbessert werden. Während des Beobachtungszeitraumes kam es zu keinem pathologischen Endothelzellverlust, der Augendruck blieb im Normbereich, es kam zu keinem Pigmentdispersionsglaukom. Als Komplikation traten aber im späteren Verlauf bei 25,5% Trübungen der kristallinen Linse auf. In 14,1% waren die subkapsularen vorderen Linsentrübungen progredient, und in 8,1% musste wegen ausgeprägter Visusverschlechterung eine Kataraktoperation mit Hinterkammerlinsenimplantation durchgeführt werden. Bisher sind die Ursachen dafür noch nicht eindeutig geklärt. Neue verbesserte ICL-Modelle, wie das Modell V4, mit stärkerer Wölbung soll den Abstand zwischen ICL und kristalliner Linse vergrößern und dadurch das Kataraktrisiko verringern. In Zukunft wird es auch notwendig sein, den Sulcus ciliaris-Durchmesser exakt zu vermessen, um eine gute Anpassung der Kunstlinse an das betroffene Auge zu ermög-lichen. Dadurch sollten intermittierende oder ständige Berüh-rungen zwischen kristalliner Linse und ICL vermieden werden können. Bisher fehlen noch Langzeitergebnisse mit den neuen, verbesserten Linsenmodellen. Da auch beim zuletzt verwendeten Modell V4 Linsentrübungen nicht ausgeschlossen werden können, kann die Verwendung noch nicht uneingeschränkt empfohlen werden. Schlüsselwörter: Ametropie, phake Hinterkammerlinse, ICL, Katarakt.Long-term results after implantation of phakic posterior chamber lenses to correct high ametropia Summary. Since 1993 we already have implanted 99 ICLs. The ICL-models changed during the follow-up period. Most of the eyes (89) were myopic, the rest were hyperopic. The early postoperative results were excellent, especially the high myopic patients achieved a significant increase in quality of life. No pathological endothelial cell loss could be found, intraocular pressure remained normal and no pigment dispersion glaucoma was observed. During the later follow-up we observed in 25.5% opacifications of the crystalline lens. In 14.1% they were progredient. In 8.1% a cataract operation with ICL implantation had to be performed. The reason for this complication is the aim of investigations. New ICL designs with more vaulting (V4) should improve long-term tolerance. In the near future it should be possible to measure the exact diameter of the ciliary sulcus area, because a permanent or temporary touch between ICL and crystalline lens, due to improper sizing, possibly contributes to cataract formation. As long as the cataract problem still...

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Outcome after treatment of ametropia with implantable contact lenses

Cited by 119 publications

References 35 publications

Clinical outcomes and patient satisfaction after Visian Implantable Collamer Lens removal and phacoemulsification with intraocular lens implantation in eyes with induced cataract

Clinical outcomes and patient satisfaction after Visian Implantable Collamer Lens removal and phacoemulsification with intraocular lens implantation in eyes with induced cataract

Evaluation of pupil diameter after posterior chamber phakic intraocular lens implantation

Langzeitergebnisse bei Implantation phaker Hinterkammerlinsen zur Korrektur hoher Fehlsichtigkeit

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