Outcomes after Implantable Contact Lens for Moderate to High Myopia.
- Author:
Yeoun Sook CHUN
1
;
Jong Ho LEE
;
Jae Myung LEE
;
Woon Bong JWA
;
Soon Jae HONG
;
Yu Hwan LEE
;
In Ki PARK
Author Information
1. Chungdam BalGeunSeSang Eye Clinic, Seoul, Korea. yschun100@hanmail.net
- Publication Type:Original Article
- Keywords:
Implantable contact lens;
Myopia;
Quality of vision
- MeSH:
Cataract;
Corneal Edema;
Follow-Up Studies;
Glare;
Glaucoma;
Humans;
Lens Subluxation;
Lenses, Intraocular*;
Myopia*;
Ocular Hypertension;
Patient Satisfaction;
Pupil;
Retinal Detachment;
Visual Acuity
- From:Journal of the Korean Ophthalmological Society
2004;45(3):480-489
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To evaluate the efficacy, safety, predictability and subjective symptoms of the implantable contact lens to treat moderate to high myopia. METHODS: A Staar Collamer posterior chamber phakic IOL was implanted in 83 eyes of 44 patients with spherical equivalent -10.10D (-3.87~-19.37D). Uncorrected visual acuity (UCVA), best corrected visual acuity (BCVA), refraction, adverse events, subjective quality of vision and satisfaction were evaluated. Mean follow-up was 4.9 months (3~9 months). RESULTS: All patients had a UCVA of 0.7 or better, and 61.4% had UCVA of 1.0 or better. Gains of 2 or more lines of BCVA occurred in 15 eyes (18.1%). Mean spherical equivalent refraction at postoperative 3 months was -0.37D (+0.25~-1.75D) and remained stable. There was no change in cylinder diopters. 81.9% of eyes were within +/-0.5D, and 97.6% were within +/-1.0D of predicted refraction. Glare and halo was observed in 5 eyes (6%) after laser iridotomy, lens flipping in 1 eye (1.2%), corneal edema in 2eyes (2.4%), drug induced ocular hypertension in 4eyes (4.8%). There was no case of cataract, glaucoma, retinal detachment, and lens dislocation. There was significant decrease of pupil diameter at postoperative 1 month and decreased pupil diameter was maintained until the last examination. Generally patient satisfaction was very good. But, some patients reported poor in the category of glare and halo. CONCLUSIONS: ICL implantation had good visual, refractive results, and stability. Long term follow-up is required to confirm the significant complications that do not occur in most patients over time.
