Copenhagen 2016 Registration Programme Exhibitor Information Virtual Exhibition Satellite Meetings Glaucoma Day 2016 Hotel Star Alliance

10 - 14 Sept. 2016, Bella Center, Copenhagen, Denmark

This Meeting has been awarded 27 CME credits


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Improved decision-making to select the optimum lens size in the second eye based upon the vault value achieved by the first eye during bilateral phakic intraocular collamer lens surgery

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Session Details

Session Title: Presented Poster Session: Phakic IOLs II

Session Date/Time: Monday 12/09/2016 | 09:30-11:00

Paper Time: 10:30

Venue: Poster Village: Pod 2

First Author: : F.Gonzalez-Lopez SPAIN

Co Author(s): :    B. Mompean   R. Bilbao-Calabuig           

Abstract Details


to assess the results of the vault distance and the decision-making regarding the size selection of the fellow eye lens in a serie of patients operated bilaterally by myopic phakic collamer intraocular lens (pIOL) implants.


Clínica Baviera, Instituto Oftalmológico Europeo. Spain


The study sample included 269 patients that underwent bilateral insertion of a myopic pIOL (Visian ICL model V4c) from January 2012 to July 2015. Bilaterally implanted patients had an interval of at least 2 days between first and second eye procedure so to assess the vault distance. Vault value in the first eye was regarded in the decision-making of the pIOL size choice for the second eye. Vault was measured subjectively and/or objectively by anterior optical coherence tomography (OCT).


Thirty-eight patients (14.12%) with bilateral pIOL surgery were implanted a different size lens between eyes. In 15 patients (39.47%) a smaller size pIOL was implanted, decreasing the mean vault in 511 ± 202 microns, whereas 23 patients (60.53%) received one size larger, increasing the mean vault in 251 ± 180 microns. In all cases a vault value closer to the desired was obtained, compared to the fellow eyes. In 5 first eyes the pIOL was successfully rotated to the vertical 90º meridian to reduce the vault value. No eyes needed to be explanted due to inadequate sizing.


patients undergoing bilateral myopic collamer pIOL implantation may have improved outcomes of the vault value in the fellow eyes by modifying the pIOL size based on vault measurement results achieved by the first operating eyes.

Financial Disclosure:


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