Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2020, Vol. 34 ›› Issue (2): 36-41.doi: 10.6040/j.issn.1673-3770.1.2020.008

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Lens vault changes and associated factors after implantation of implantable collamer lenses with central flow

WAN Bo1,2, LI Donghui1, LUO Yan1, LI Ying1   

  1. 1. Department of Ophthalmology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730, China;
    2. Beijing Luhe Hospital, Capital University of Medical Sciences, Beijing 101149, China
  • Published:2020-04-07

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Abstract: Objective To investigate the changes to the lens vault(LV)and anterior chamber structures after implantation of implantable collamer lenses(ICL)with central flow in patients with myopia. The relationship between LV and its associated factors, both preoperatively and postoperatively, will also be analyzed. Methods One hundred and forty eyes of 72 patients who underwent ICL implantations were enrolled between January 2015 and January 2017. Visual acuity, intraocular pressure(IOP), corneal endothelial cell count(ECD), refractive outcomes, LV, and other anterior chamber structures were evaluated and compared after 1 week, 1 month, 3 months and 1 year, postoperatively. We analyzed the relationship between LV and other anterior chamber structures. Results After 1 year, 73% of eyes had gained 1 or more lines of corrected distance visual acuity, progressively fewer eyes had gained an uncorrected distance visual acuity above 20/20, more than 63% were within±0.5 D of the prospective mean refractive spherical equivalent(MRSE), and more than 86% were within±0.1 D of the prospective MRSE. There were no significant differences in MRSE, IOP, and ECD, postoperatively(p>0.05). No complications occurred during the postoperative time. There were no significant LV differences at 1 month and 3 months postoperatively. Meanwhile, LV had decreased significantly in the first postoperative year and was negatively correlated with age, keratometric power, 500 μm angle open distance, 500 μm trabecular iris space area, and the anterior chamber angle. LV was positively correlated with the white-to-white distance, angle-to-angle distance, anterior chamber depth, axial length, and ICL length. Axial length and ICL length were independent factors of LV. Conclusion Implantations of phakic ICL with center flow are safe, effective, and predictable in correcting myopia. LV decreased significantly at 1 year postoperatively, which correlated with multiple factors, both preoperatively and postoperatively.

Key words: Myopia, Implantations of implantable collamer lens with central flow, Lens vault, Anterior chamber structures, Optical coherence tomography of anterior segment

CLC Number: 

  • R772.2
[1] Sun J, Zhou JB, Zhao PQ, et al. High prevalence of myopia and high myopia in 5060 Chinese university students in Shanghai[J]. Invest Ophthalmol Vis Sci, 2012, 53(12): 7504-7509. doi:10.1167/iovs.11-8343.
[2] Alfonso JF, Fernández-Vega-Cueto L, Alfonso-Bartolozzi B, et al. Five-year follow-up of correction of myopia: posterior chamber phakic intraocular Lens with a central port design[J]. J Refract Surg, 2019, 35(3): 169-176. doi:10.3928/1081597X-20190118-01.
[3] 中华医学会眼科学分会眼视光学组. 中国有晶状体眼后房型人工晶状体植入术专家共识(2019年)[J]. 中华眼科杂志, 2019, 55(9): 652-657. doi:10.3760/cma.j.issn.0412-4081.2019.09.005.
[4] Yan ZP, Miao HM, Zhao F, et al. Two-year outcomes of visian implantable collamer Lens with a central hole for correcting high myopia[J]. J Ophthalmol, 2018, 2018: 8678352. doi:10.1155/2018/8678352.
[5] Lisa C, Naveiras M, Alfonso-Bartolozzi B, et al. Posterior chamber collagen copolymer phakic intraocular Lens with a central hole to correct myopia: One-year follow-up[J]. J Cataract Refract Surg, 2015, 41(6): 1153-1159. doi:10.1016/j.jcrs.2014.10.030.
[6] 李茜, 郦舒伊, 徐雯. 人工晶体反装1例诊断与治疗[J]. 山东大学耳鼻喉眼学报, 2017, 31(4): 40-42. doi:10.6040/j.issn.1673-3770.1.2017.023. LI Xi, LI Shuyi, XU Wen. Diagnosis and treatment of reverse implantable collamer Lens orientation: a case report[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2017, 31(4): 40-42. doi:10.6040/j.issn.1673-3770.1.2017.023.
[7] Alfonso JF, Fernández-Vega-Cueto L, Alfonso-Bartolozzi B, et al. Five-year follow-up of correction of myopia: posterior chamber phakic intraocular Lens with a central port design[J]. J Refract Surg, 2019, 35(3): 169-176. doi:10.3928/1081597X-20190118-01.
[8] Higueras-Esteban A, Ortiz-Gomariz A, Gutiérrez-Ortega R, et al. Intraocular pressure after implantation of the visian implantable collamer Lens with CentraFLOW without iridotomy[J]. Am J Ophthalmol, 2013, 156(4): 800-805. doi:10.1016/j.ajo.2013.05.018.
[9] Shimizu K, Kamiya K, Igarashi A, et al. Long-term comparison of posterior chamber phakic intraocular Lens with and without a central hole(hole ICL and conventional ICL)implantation for moderate to high myopia and myopic astigmatism[J]. Medicine, 2016, 95(14): e3270. doi:10.1097/md.0000000000003270.
[10] Eissa SA, Sadek SH, El-Deeb MW. Anterior chamber angle evaluation following phakic posterior chamber collamer Lens with CentraFLOW and its correlation with ICL vault and intraocular pressure[J]. J Ophthalmol, 2016, 2016: 1383289. doi:10.1155/2016/1383289.
[11] Sachdev G, Ramamurthy D. Long-term safety of posterior chamber implantable phakic contact Lens for the correction of myopia[J]. Clin Ophthalmol, 2019, 13: 137-142. doi:10.2147/OPTH.S185304.
[12] Kamiya K, Shimizu K, Komatsu M. Factors affecting vaulting after implantable collamer Lens implantation[J]. J Refract Surg, 2009, 25(3): 259-264. doi:10.3928/1081597X-20090301-04.
[13] Gonvers M, Bornet C, Othenin-Girard P. Implantable contact Lens for moderate to high myopia: relationship of vaulting to cataract formation[J]. J Cataract Refract Surg, 2003, 29(5): 918-924. doi:10.1016/s0886-3350(03)00065-8.
[14] Dougherty PJ, Rivera RP, Schneider D, et al. Improving accuracy of phakic intraocular Lens sizing using high-frequency ultrasound biomicroscopy[J]. J Cataract Refract Surg, 2011, 37(1): 13-18. doi:10.1016/j.jcrs.2010.07.014.
[15] Kawamorita T, Shimizu K, Shoji N. Effect of hole size on fluid dynamics of a posterior-chamber phakic intraocular Lens with a central perforation by using computational fluid dynamics[J]. Albrecht Von Graefes Arch Fur Klinische Und Exp Ophthalmol, 2016, 254(4): 739-744. doi:10.1007/s00417-016-3304-3.
[16] Huang JH, Savini G, Su BB, et al. Comparison of keratometry and white-to-white measurements obtained by Lenstar with those obtained by autokeratometry and corneal topography[J]. Cont Lens Anterior Eye, 2015, 38(5): 363-367. doi:10.1016/j.clae.2015.04.003.
[17] Lim DH, Lee MG, Chung ES, et al. Clinical results of posterior chamber phakic intraocular Lens implantation in eyes with low anterior chamber depth[J]. Am J Ophthalmol, 2014, 158(3): 447-454.e1. doi:10.1016/j.ajo.2014.06.005.
[18] Igarashi A, Shimizu K, Kato S, et al. Predictability of the vault after posterior chamber phakic intraocular Lens implantation using anterior segment optical coherence tomography[J]. J Cataract Refract Surg, 2019, 45(8): 1099-1104. doi:10.1016/j.jcrs.2019.02.020.
[19] 曲海燕, 张浩润, 邵文鹏, 等. 高度近视患者行ICL植入术后拱高变化的影响因素分析[J]. 国际眼科杂志, 2019, 19(3): 514-516. doi:10.3980/j.issn.1672-5123.2019.3.41. QU Haiyan, ZHANG Haorun, SHAO Wenpeng, et al. Study on influencing factors of arch height change in patients with high myopia undergoing ICL implantation[J]. International Eye Science, 2019, 19(3): 514-516. doi:10.3980/j.issn.1672-5123.2019.3.41.
[20] Qi MY, Chen Q, Zeng QY. The effect of the crystalline Lens on central vault after implantable collamer Lens implantation[J]. J Refract Surg, 2017, 33(8): 519-523. doi:10.3928/1081597X-20170602-02.
[21] Lee H, Kang DS, Ha BJ, et al. Effect of accommodation on vaulting and movement of posterior chamber phakic lenses in eyes with implantable collamer lenses[J]. Am J Ophthalmol, 2015, 160(4): 710-716.e1. doi:10.1016/j.ajo.2015.07.014.
[22] Petternel V, Köppl CM, Dejaco-Ruhswurm I, et al. Effect of accommodation and pupil size on the movement of a posterior chamber Lens in the phakic eye[J]. Ophthalmology, 2004, 111(2): 325-331. doi:10.1016/j.ophtha.2003.05.013.
[23] 徐婧, 罗岩, 林燕楠, 等. 有晶状体眼后房型人工晶状体植入术后LV的变化及相关影响因素[J]. 中华眼视光学与视觉科学杂志,2016,18(12):714-718. doi:10.3760/cma.j.issn.1674-845X.2016.12.003. XU Jing,LUO Yan,LIN Yannan,et al. Changes in the central vault after collamer lens implantation and its impact[J]. Chinese Journal of Optometry Ophthalmology and Visual Science,2016,18(12):714-718. doi:10.3760/cma.j.issn.1674-845X.2016.12.003.
[24] Lee H, Kang SY, Seo KY, et al. Dynamic vaulting changes in V4c versus V4 posterior chamber phakic lenses under differing lighting conditions[J]. Am J Ophthalmol, 2014, 158(6): 1199-1204.e1. doi:10.1016/j.ajo.2014.08.020.
[25] Du CX, Wang JH, Wang XY, et al. Ultrasound biomicroscopy of anterior segment accommodative changes with posterior chamber phakic intraocular Lens in high myopia[J]. Ophthalmology, 2012, 119(1): 99-105. doi:10.1016/j.ophtha.2011.07.001.
[26] Lu YY, Yang N, Li XD, et al. Four-year follow-up of the changes in anterior segment after phakic collamer Lens implantation[J]. Am J Ophthalmol, 2017, 178: 140-149. doi:10.1016/j.ajo.2017.03.020.
[27] 李彩红, 赵宏, 赵晓金, 等. 有晶状体眼人工晶状体植入术后前房形态观察[J]. 中华眼外伤职业眼病杂志, 2017, 39(7): 485-490. doi:10.3760/cma.j.issn.2095-1477.2017.07.002. LI Caihong, ZHAO Hong, ZHAO Xiaojin, et al. Observation on morphology of anterior chamber with Pentacam after implantation of posterior chamber phakic intraocular Lens[J]. Chinese Journal of Ocular Trauma and Occupational Eye Disease, 2017, 39(7): 485-490. doi:10.3760/cma.j.issn.2095-1477.2017.07.002.
[28] 刘磊, 栗静, 王恒, 等. 前房深度对有晶状体眼后房型人工晶状体植入术后前房形态的影响[J]. 中华眼视光学与视觉科学杂志, 2016, 18(12): 719-723. doi:10.3760/cma.j.issn.1674-845X.2016.12.004. LIU Lei, LI Jing, WANG Heng, et al. Impact of anterior chamber depth on anterior chamber angle morphology after phakic posterior chamber implantable collamer Lens implantation[J]. Chinese Journal of Optometry & Ophthalmology, 2016, 18(12): 719-723. doi:10.3760/cma.j.issn.1674-845X.2016.12.004.
[29] Wang XY, Shen Y, Du CX, et al. Observation on changes of anterior chamber and chamber angle structures after posterior chamber phakic intraocular Lens implantation by ultrasound biomicroscopy[J]. Zhonghua Yan Ke Za Zhi, 2009, 45(10): 908-912.
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