Reverse Pupillary Block After Retinal Detachment Surgery in an Eye with Toric Implantable Collamer Lens

Mansoori, Tarannum; Agraharam, Satish Gooty

doi:10.1007/s10792-018-0848-8

Cited by 5 publications

(5 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

Section: Discussionsupporting

confidence: 94%

“…We know from our experiments that CLR is negatively correlated with the postoperative vault, which is consistent with previous studies [ 18 , 23 , 24 ]. The authors reported that the mean CLR of the low vault group (< 100 μm) was higher than that of the high vault group (> 750 μm) [ 23 ]. Wang et al [ 25 ] found that the correlation coefficient between CLR and the 1-year postoperative vault was − 0.509, which was close to the correlation coefficient ( − 0.505) between CLR and the 6-month postoperative vault in this study.…”

Section: Discussionsupporting

confidence: 94%

See 1 more Smart Citation

The Distribution of Crystalline Lens Rise in High Myopia Population and Its Influence on Vault After Implanting Intraocular Collamer Lens

Zhou,

Zhao,

Jiao

et al. 2024

Ophthalmol Ther

View full text Add to dashboard Cite

Introduction As a result of the insufficient ocular anatomical parameters used to customize implantable collamer lens (ICL), many patients still cannot achieve a suitable vault after ICL implantation surgery. This study analyzed the characteristics of a new anatomical parameter crystalline lens rise (CLR) in a population with high myopia and explored the influence of CLR on the vault after ICL implantation. Methods Patients (298 eyes) with high myopia who underwent ICL implantation were enrolled to study CLR characteristics. Postoperatively, patients (159 eyes) were divided into five groups according to the value of CLR (A, CLR ≤ − 150; B, − 150 < CLR ≤ 0; C, 0 < CLR < 150; D, 150 ≤ CLR < 300; E, CLR ≥ 300 μm), and to investigate the correlation between CLR and vault. Results In the 298 eyes, the CLR had a normal distribution ( P = 0.35) and the mean CLR was 67.93 ± 150.66 μm. Ninety-nine eyes (33.22%) had a CLR ≤ 0 μm, of which 20 eyes (6.71%) had a CLR ≤ − 150 μm; 199 eyes (66.78%) had a CLR > 0 μm, of which 20 eyes (6.71%) had a CLR ≥ 300 μm. In 159 eyes, the CLR was negatively correlated with the vault at 1 day ( R = − 0.497, P < 0.001), 3 months ( R = − 0.505, P < 0.001), and 6 months ( R = − 0.505, P < 0.001) postoperatively. At 6 months, the vault of group A was statistically significantly different compared to groups B–E (all P < 0.05), and that of group E was statistically significantly different compared to groups A–D (all P < 0.001). The remaining groups did not show statistically significant differences (all P > 0.05). Conclusion The CLR had a normal distribution in the high myopia population, and 13.42% of the CLR values were extreme (CLR ≤ − 150 μm or CLR ≥ 300 μm). A larger ICL diameter than that recommended by the manufacturer should be considered when the CLR is ≥ 300 μm and a smaller ICL diameter should be considered when the CLR is ≤ − 150 μm.

show abstract

Section: Discussionsupporting

confidence: 94%

Section: Discussionsupporting

confidence: 94%

The Distribution of Crystalline Lens Rise in High Myopia Population and Its Influence on Vault After Implanting Intraocular Collamer Lens

Zhou,

Zhao,

Jiao

et al. 2024

Ophthalmol Ther

View full text Add to dashboard Cite

show abstract

“…At present, the central hole ICL can reduce the incidence of pupillary block, eliminates the need for laser peripheral iridectomy preoperatively and obtains satisfactory IOP after surgery [146][147][148][149][150][151]. In particular, Gonzalez-Lopez [152], Mansoori T [153], Isha G [154] and Frost A et al [155] had all reported pupillary block glaucoma secondary to central hole obstruction after ICL implantation, which may be related to viscoelastic residue, iris pigmentation, increase in inflammatory factors in aqueous humor and so on. The longest occurrence was 5 years after ICL implantation.…”

Section: Loss Of Corneal Endothelial Cells and Corneal Decompensationmentioning

confidence: 99%

Analysis of perioperative problems related to intraocular Implantable Collamer Lens (ICL) implantation

et al. 2022

View full text Add to dashboard Cite

Purpose To introduce a modified procedure of ICL implantation, to summarize the perioperative problems and their corresponding treatment after myopia correction with Implantable Collamer Lens (ICL), and to compare the difference of complications between the no-hole ICL and hole ICL. Methods We searched all articles on ICL-related perioperative problems and their corresponding treatment in Scopus, Embase, PubMed and Web of Science databases for the last 22 years. Results ICL implantation is safe, effective, stable and predictable in the correction of myopia, hyperopia and astigmatism, but can also cause a series of perioperative problems, including intraoperative and postoperative complications. Conclusion There are many kinds of complications related to ICL, but the common intraoperative and postoperative complications mainly include abnormality of arch height, abnormal position of ICL, loss of corneal endothelial cells and corneal decompensation, high intraocular pressure and secondary glaucoma, cataract and night vision symptoms. Compared with ICL without central pore, the incidence of complications such as loss of corneal endothelial cells and corneal decompensation, high intraocular pressure and secondary glaucoma and cataract was relatively lower in central hole ICL, while postoperative complications such as night vision symptoms were obvious.

show abstract

“…High intraocular pressure after ICL implantation may be caused by the following factors: pupil block due to lens diameter or thickness [18], the aqueous humor returning to the vitreous cavity [19], pigment dissemination [20], hormone correlation [21], intraoperative viscoelastic residue [22], or pre-existing openangle glaucoma [23]. There was no signi cant difference between the two groups (P > 0.05, Table 1).…”

Section: Discussionmentioning

confidence: 99%

“…3, A,B); therefore, there was no case of reduced arch height and high IOP. Mansoori et al [23] presented a case of high IOP secondary to PPV, after v4C ICL implantation was complicated by rhegmatogenous retinal detachment. The reason may be that in ammatory factors blocked the "central hole," which is similar to pupil block.…”

Section: Discussionmentioning

confidence: 99%

Effectivity of V4 and v4C implantable contact lenses in the treatment of complications after vitreoretinal surgery: A comparative study

Bai

Ruan

Zhang

et al. 2021

Preprint

View full text Add to dashboard Cite

Objective This study aims to analyze and compare the postoperative ocular parameters of two different types of implantable contact lenses (ICLs) (for retinal detachment) to provide a clinical reference for vitreoretinal surgery. Methods From March 2016 to March 2021, 24 patients (24 eyes) with rhegmatogenous retinal detachment following ICL implantation at the Eye Center of Taizhou Central Hospital were recruited. Based on the different types of ICL, they were divided into the V4 type ICL implantation group (V4 type group) and v4C type ICL implantation group (v4C type group), with 12 cases (12 eyes) in each group. Both groups were treated with pars plana vitrectomy; differences in postoperative ocular complications between the two groups were compared. Results The postoperative uncorrected and best corrected visual acuity for both groups were significantly higher than those preoperatively (P < 0.001); the same applied to the intraocular pressures (P < 0.05). Fluctuation in intraocular pressure was higher in the V4 group than in the v4C group (P < 0.05). The arch height, measured using anterior segment optical coherence tomography on the first day after operation, was lower in the V4 group than in the v4C group (P < 0.05). There was also no significant difference between the two groups before and after the operation (P > 0.05). Conclusion For patients with V4 type ICL implantation and mesh removal, stimulation of the ciliary body and the risk factors for pupil block caused by ciliary muscle spasm should be reduced as much as possible during pars plana vitrectomy. If postoperative complications such as decreased arch height and increased intraocular pressure occur, the application of compound tropicamide eye drops is an effective method to activate the pupil.

show abstract

Reverse Pupillary Block After Retinal Detachment Surgery in an Eye with Toric Implantable Collamer Lens

Cited by 5 publications

References 10 publications

The Distribution of Crystalline Lens Rise in High Myopia Population and Its Influence on Vault After Implanting Intraocular Collamer Lens

The Distribution of Crystalline Lens Rise in High Myopia Population and Its Influence on Vault After Implanting Intraocular Collamer Lens

Analysis of perioperative problems related to intraocular Implantable Collamer Lens (ICL) implantation

Effectivity of V4 and v4C implantable contact lenses in the treatment of complications after vitreoretinal surgery: A comparative study

Contact Info

Product

Resources

About