Intraocular Implantable Collamer Lens with a Central Hole Implantation: Safety, Efficacy, and Patient Outcomes

Wannapanich, Trakanta; Kasetsuwan, Ngamjit; Reinprayoon, Usanee

doi:10.2147/opth.s379856

Cited by 16 publications

(16 citation statements)

References 98 publications

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“…The V4c ICL model used in our research incorporates a central port in the lens design allowing the ow of aqueous humor. The consistent intraocular pressure indicates that having a central hole in the ICL may help regulate IOP without the necessity of peripheral iridotomy 12 .…”

Section: Discussionmentioning

confidence: 91%

Implantable Collamer Posterior Chamber Intraocular Lenses: Effectiveness, Safety and Perioperative problems in a sample of Lebanese population

Ghoch,

Romanos,

Hallit

et al. 2024

Preprint

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Background: The Implantable Collamer Lens (ICL) has gained recognition in refractive surgery for its stability and ability to achieve reversible refractive outcomes. Aim: Our study seeks to assess the safety and efficacy of the ICL with a central hole for vision correction procedures within the Lebanese population. Through this investigation, we aim to enhance our understanding of ICLs and their applicability in refractive surgeries, thus contributing valuable insights to the existing body of knowledge in this field. Methods: We conducted a prospective cohort study spanning two years. The study included 116 eyes of 58 patients who underwent surgical implantation of the Visian ICL V4c model. The participants were patients aged between 20 and 45 years, with a stable history of refraction and a medical history of myopia ranging from −2.00 to −20.0 diopters (D) and cylinder up to 3 D. Refractive outcomes, intraocular pressure, and corneal endothelial cell were evaluated one year and two years post operatively. Results: During the two years of follow-up, we observed a significant decrease in the UDVA (uncorrected distance visual acuity), CDVA (corrected distance visual acuity), SPH (sphere), CYL (cylinder), and SPH EQ (sphere equivalent). However, there was no variation in the IOP (intraocular pressure) recorded, and the ECC (endothelial cell count) remained stable during the first year following the surgery, but decreased slightly during the second year. Furthermore, we found that an increase in the anterior chamber depth value is associated with a decrease in ECC loss. Importantly, no complications were noted during the two years of postoperative follow-up. Conclusion: The implantation of the ICL is a safe and effective treatment for myopic astigmatism, improving visual acuity without complications.

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Section: Discussionmentioning

confidence: 91%

Implantable Collamer Posterior Chamber Intraocular Lenses: Effectiveness, Safety and Perioperative problems in a sample of Lebanese population

Ghoch,

Romanos,

Hallit

et al. 2024

Preprint

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“…Old age (> 40 years), high myopia (< −12.0D), and low vault (< 230 μm) are risk factors for cataract progression ( 27 ). In long-term follow-up studies of patients with central-hole ICLs over 5 years, the incidence of anterior subcapsular cataracts was 0.53%, whereas that of nuclear cataracts was 0.08% ( 28 ). Notably, nuclear cataract occurrence is associated with age and not influenced by ICL implantation ( 18 ).…”

Section: Discussionmentioning

confidence: 99%

Bibliometric and visualized analysis of posterior chamber phakic intraocular lens research between 2003 and 2023

Ning,

Zhang,

Liang

et al. 2024

Front. Med.

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IntroductionMyopia is causing a major public health concern, with its prevalence increasing globally. This study aimed to discuss posterior chamber phakic intraocular lens (pIOL) research publication trends and hotspots over the past 20 years.MethodsBibliometric analysis was performed using the Web Science Core Collection to investigate posterior-chamber pIOL research publication trends. The extracted records were analyzed, and a knowledge map was built using VOSviewer v.1.6.20. The analysis included visualizing the annual publication count, countries/regions distribution, international and institutional collaborations, author productivity, and journal contribution, in addition to identifying knowledge bases and hotspots. Burst keywords were extracted using CiteSpace v.6.1.R.ResultsIn total, 791 articles on posterior chamber pIOLs published between 2003 and 2023 were retrieved. China had the highest number of publications, whereas Japanese papers received the most citations. Fudan University had the highest number of publications, with articles from Kitasato University having the highest number of citations. Regarding individual research, Xingtao Zhou has published the most significant number of articles, and Shimizu Kimiya had the highest number of citations. The top productive/influential journal was ‘Journal of Cataract & Refractive Surgery’. The top cited references primarily focused on reporting the clinical outcomes of implantable collamer lens (ICL) for individuals with moderate to high myopia. The keywords primarily formed four clusters: posterior chamber pIOL clinical outcomes for myopic astigmatism correction, posterior chamber pIOL implantation complications, ICL size selection and postoperative vault predictions, and postoperative visual quality following posterior chamber pIOL implantation.ConclusionThis study presents the first bibliometric analysis of research trends in posterior chamber pIOL over the past two decades. We investigated the current state and emerging trends of global collaboration and research focal points in this field, offering fresh insights and guidance for researchers.

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“…A separate investigation compared the visual outcomes after SMILE and ICL V4c surgeries for moderate myopia, presenting 1-year results to provide insights into the visual outcomes of these two procedures. By assessing the visual outcomes of SMILE and ICL V4c surgeries specifically for moderate myopia, this study aimed to offer valuable insights into their comparative efficacy and safety [ 43 ]. Furthermore, a comparative study scrutinized the indications and outcomes of surgery for high myopia, explicitly focusing on the STAAR ICL and LASIK.…”

Section: Reviewmentioning

confidence: 99%

Comparative Analysis of Visual Outcomes and Complications in Intraocular Collamer Lens, Small-Incision Lenticule Extraction, and Laser-Assisted In Situ Keratomileusis Surgeries: A Comprehensive Review

Swaminathan,

Daigavane

2024

Cureus

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This review provides a comparative analysis of visual outcomes and complications associated with three prominent refractive surgical techniques: intraocular collamer lens (ICL) implantation, small-incision lenticule extraction (SMILE), and laser-assisted in situ keratomileusis (LASIK). Refractive surgeries aim to correct myopia, hyperopia, and astigmatism, offering patients an alternative to corrective lenses. The review highlights the importance of comparing these procedures to guide clinical decision-making effectively. Each technique is described, emphasizing its unique advantages and considerations. While LASIK remains widely favored for its rapid visual recovery and high patient satisfaction, ICL is suitable for patients with higher refractive errors or corneal irregularities. Although relatively newer, SMILE shows promise with potential benefits such as corneal biomechanical stability and a reduced risk of dry eye syndrome. However, each procedure carries its distinct complications, reinforcing the need for personalized patient care and informed decision-making. Understanding these techniques' relative efficacy and safety profiles is essential for optimizing outcomes and enhancing patient satisfaction. Continued advancements in technology and surgical techniques promise further improvements in refractive surgery outcomes, underscoring the importance of ongoing research and innovation.

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Intraocular Implantable Collamer Lens with a Central Hole Implantation: Safety, Efficacy, and Patient Outcomes

Cited by 16 publications

References 98 publications

Implantable Collamer Posterior Chamber Intraocular Lenses: Effectiveness, Safety and Perioperative problems in a sample of Lebanese population

Implantable Collamer Posterior Chamber Intraocular Lenses: Effectiveness, Safety and Perioperative problems in a sample of Lebanese population

Bibliometric and visualized analysis of posterior chamber phakic intraocular lens research between 2003 and 2023

Comparative Analysis of Visual Outcomes and Complications in Intraocular Collamer Lens, Small-Incision Lenticule Extraction, and Laser-Assisted In Situ Keratomileusis Surgeries: A Comprehensive Review

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