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ICL and toric ICL phakic intraocular lens for the correction of high myopia and astigmatism: 10 months results

Poster Details

First Author: I.Knezovic CROATIA

Co Author(s):    M. Belovari   H. Raguz   A. Parac              

Abstract Details

Purpose:

To evaluate the clinical outcomes of ICL and toric ICL implantation for the correction of high myopia and myopic astigmatism.

Setting:

Knezovic Vision Group eye clinic, Zagreb, Croatia

Methods:

Ten eyes underwent implantation of the posterior chamber phakic ICL with a 0.36-mm artificial central hole (Hole ICL; STAAR Surgical) for the correction of high myopia and myopic astigmatism (myopia range: -13.75 to -17.00 D, astigmatism range: -3.50 to -5,25 D). Before surgery and at 1 week, also 1, 3, 6 and 10 months after the surgery, we determined the following: UCDVA, BSCDVA, manifest refraction, intraocular pressure (IOP - including 1 day postoperatively), endothelial cell density, anterior chamber angle, anterior chamber depth and central vault of the ICL (distance between posterior surface of ICL and anterior surface of crystalline lens).

Results:

During the follow up period UCDVA reached preoperative BSCDVA in all eyes. The change in manifest refraction from one week following surgery until ten months was 0.1 ± 0.36 D. Significant rise in intraocular pressure (except transient early postoperative rise), a secondary cataract or endothelial cell loss did not occurred in any case during the period of observation. ACD, ACA and central vault were in acceptable ranges.

Conclusions:

ICL implantation for correction of high myopia and astigmatism allow excellent refractive results, with possible gain in BSCDVA lines, throughout a ten-month observation period. This surgical approach, which does not require additional iridectomies or keratotomies, may be a good alternative to current refractive procedures for the treatment of such eyes. Longer follow-up is necessary to assess the eventually onset of late complication.

Financial Disclosure:

NONE

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