Research progress on the safety of ICL implantation in the treatment of children with high myopia and amblyopia
10.3760/cma.j.cn115989-20220518-00228
- VernacularTitle:ICL植入术治疗儿童高度近视及弱视安全性的研究进展
- Author:
Xueyu DU
1
;
Hong YAN
;
Jian ZHANG
Author Information
1. 西安市人民医院（西安市第四医院） 陕西省眼科医院 西北大学附属人民医院，西安 710004
- Keywords:
Children;
Lenses, intraocular;
Implantable collamer lenses;
Effectiveness;
Complication
- From:
Chinese Journal of Experimental Ophthalmology
2024;42(9):866-870
- CountryChina
- Language:Chinese
-
Abstract:
Implantable collamer lenses (ICL) implantation provides a new method for the treatment of children with high myopia, anisometropia and amblyopia, who may be spectacle aversive and unsuited to contact lens wear and corneal refractive surgery.Surgery can improve children's uncorrected visual acuity, increase contrast sensitivity, promote mental health and improve quality of life.This treatment has a significant effect on amblyopia.After ICL implantation, the refractive state is highly stable, and the stability is better than small incision lenticule extraction and laser subepithelial keratomileusis.The selection of ICL size and power is critical to the success of surgery, and preoperative prediction of vault should be made in consideration of children's eye development.Perioperative anesthesia, incision method as well as type, amount and duration of postoperative medication are different from those of adults.Furthermore, common postoperative complications in children include pupillary block glaucoma, elevation of intraocular pressure, loss of corneal endothelial cells, wound leak, and traumatic dislocation of the ICL.Implantation of ICL in children is a staged treatment during the sensitive period of refractive development.After the refractive development of both eyes is stabilized, refractive errors can be corrected by other methods.This article reviews the advantages of ICL implantation in the treatment of children with high myopia and amblyopia, and focuses on ICL selection, postoperative complications and remaining problems, to provide a reference for clinical application.
