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

Previous Articles     Next Articles

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

RichHTML

40

PDF (PC)

1148

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.
[1] DAI ChengOverview,LI BinzhongGuidance. Advances in multifocal soft corneal contact lens research [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(5): 100-105.
[2] ZHANG Taoran, WANG Wei, LI Mingming, HUANG Yingxiang. Subfoveal choroidal thickness changes following intravitreal ranibizumab treatment in choroidal neovascularization due to pathological myopia [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(2): 68-71.
[3] PENG Jiao, ZHONG Dingjuan, CHEN Jiao, ZUO Jun, WANG Hua. The effect of the relationship between the diameter of the optical zone and the diameter of the dark pupil on the visual quality of patients with different degrees of myopia after SMILE [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(2): 100-107.
[4] LI Ying. Importance of standardized methods in corneal refractive surgery and the prevention of complications [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(6): 1-6.
[5] ZHANG Ying, LEI Yulin, MA Zhixing, YANG Xinghua, ZHANG Jing, HOU Jie. Early clinical observation of corneal densitometry after SMILE combined with rapid corneal cross-linking [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(6): 52-58.
[6] LIU Yi, YU Mingkun, SUN Wei, SHAO Zhen, HU Yuanyuan, BI Hongsheng. The effectiveness and safety of orthokeratology on controlling myopia of children: a meta-analysis [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(6): 92-100.
[7] RAN Hongyun, JIANG Keke，,ZHANG Jie. Analysis of underlying factors of refractive errors in infants with retinopathy of prematurity [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(5): 118-124.
[8] YUE Pengcheng, DU Qiuxuan, KONG Ling, QIAO Zhentao. A controlled Study of the accommodative parameters of eyes with uncorrected myopic anisometropia [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(4): 76-80.
[9] LIU Ling,ZHANG Meixia. Drug therapy for myopia [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(4): 123-128.
[10] Pathologic myopia(PM)is a major cause of vision loss worldwide, particularly in Asian countries. Choroidal neovascularization(CNV)is a severe complication of PM, which can cause macular disorders, leading to central scotoma, metamorphopsia, visual field loss, and finally blindness if not treated. The advents of optical coherence topography(OCT), OCT angiography, and fundus fluorescein angiography are helpful in diagnosing CNV due to PM, which can show the position and size of CNV, whether active or passive. For the treatment, photodynamic and anti-vascular endothelial growth factor(anti-VEGF)therapies are widely applied. In recent years, administering the intravitreal anti-VEGF injection has become the first-line treatment for CNV secondary to PM. Many clinical studies have indicated that intravitreal anti-VEGF injections affect antagonizing neovascularization and reduce macular edema, thereby contributing to visual improvements and better long-term outcomes. This article provides an overview of the current diagnosis and treatment options for myopic CNV.. Diagnosis and treatment of choroidal neovascularization in pathologic myopia [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2020, 34(5): 157-162.
[11] LI Ying, JIANG Yang. A discussion on the choice of surgical methods for correction of myopia [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2020, 34(2): 1-6.
[12] Xuanqi WANG. Research advances on vault and relevant factors after implantable collamer lens implantation [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2020, 34(2): 72-78.
[13] Danfeng ZHANG. Changes in the ocular biometric parameters before and after cycloplegia in juveniles with different degrees of myopia [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(5): 121-124.
[14] SONG Sen, LI Ying, DING Xin, JIN Yumei. Early visual acuity recovery and related factors in myopic patients after small incision lenticule extraction [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(4): 77-79.
[15] XU Jingjing, GUO Haike. Analysis of the effects of implantable contact lens and femtosecond laser small incision lenticule extraction for high myopia on ocular surface. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(4): 18-20.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
[1] . [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2006, 20(2): 116 -118 .
[2] ZHOU Zi-ning,JIN Guo-wei . [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2006, 20(5): 462 -465 .
[3] ZHOU Bin,LI Bin . Endoscopic sinus surgery for 75 patients with chronic sinusitis and nasal polyps[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2006, 20(1): 24 -26 .
[4] XU Sainan,YANG Lei . Apoptosis of epithelial cells in nasal polyps promoted by erythromycin[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2006, 20(1): 27 -29 .
[5] . [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2006, 20(1): 94 -95 .
[6] LIU Lian-he . Treatment of deep neck abscess in 37 cases[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(2): 180 -181 .
[7] . [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 200 -203 .
[8] QIAO Yi,NI Guan-sen,CHEN Wen-wen . Effect of H-UPPP and nasal operations on obstructive sleep apnea syndrome in 38 cases
[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 206 -208 .
[9] WANG Xiao-feng,LIN Chang,CHENG Jin-mei . Expression of ABAD in inner ears and its clinical significance in different age mice[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 207 -211 .
[10] FAN Qi-jun,HUANG Zhi-wu,MEI Ling,XIAO Bo-kui . Expression of the heat shock protein 27 in rat cochlea induced by sodium salicylate injection by the FQ-PCR technique[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 212 -214 .
Website Copyright: Editorial Office of Journal of Otolaryngology and Ophthalmology of Shandong University
Address: No.27 Shanda South Road, Jinan, Shandong, China. Post code: 250100 Tel: +86-0531-88366912 Email: ebhxb@sdu.edu.cn Supported by Beijing Magtech Co.Ltd