ESCRS - PO1235 - Reasons For Long-Term Loss Of Follow-Up In Myopia Patients After Posterior Chamber Intraocular Lens Implantation Surgery In China

Reasons For Long-Term Loss Of Follow-Up In Myopia Patients After Posterior Chamber Intraocular Lens Implantation Surgery In China

Published 2024 - 42nd Congress of the ESCRS

Reference: PO1235 | Type: Free paper | DOI: 10.82333/cpy7-cx88

Authors: Yuexi Chen* 1 , Zheng Wang 2 , Qizhi Zhou 3

1Refractive,Guangzhou Aier Eye hospital,GUANZHOU,China;Refractive,Chongqing Ophthalmology Hospital,chongqing,China, 2Refractive,Guangzhou Aier Eye Hospital,GUANZHOU,China, 3Refractive,Chongqing Ophthalmology Hospital,chongqing,China

Purpose

To investigate the reasons for long-term loss of follow-up in myopia patients after implantable collamer lens (ICL) surgery in China. Then to further understand the long-term safety after this operation.

Setting

The long-term safety of ICL surgery has gained increasing significance in the field of medicine as physicians seek to understand not only objective metrics of treatment but also the patient experience and complications. However, especially in the long term, we cannot obtain the examination data of patients after surgery, nor can we understand it in detail. In this study, we seek to examine the factors of this problem in a large population of patients undergoing ICL surgery in the long term.

Methods

A multicenter cross-sectional study. Patients from 3 sites (Chongqing, Wuhan, and Changsha Aier Eye Hospitals) with complete 5-year or more follow-up were selected and underwent ICL surgery from December 2009 to December 2014.

By dialing the telephone number to contact the patient to back to the hospital for reexamination, ask about the patient's visual symptoms, understand the patient's willingness for follow-up, and collect complications after surgery.

Results

A total of 1156 cases (2292 eyes) were operated in the three hospitals five years ago, of which 387 (33.5%) cases were invalid phone numbers, 287 (24.8%) were unable to connect, and 482 (41.7%) were able to be connected to. Among all patients, only 43 (3.7%) insisted on regular follow-ups; 116(23.8%) did not know about regular follow-ups. Among all got connected, 98 patients (20%) felt good eyesight and were unwilling to follow up, 47(9.7%) said they were too busy to come, 14(2.9%) in remote places were inconvenient, and 6(1.2%) were worried about the high cost. The follow-up rate of the two hospitals with special instruction and education for patients was higher than the other. About 32 eyes (1.4%) appeared complications.

Conclusions

Most patients felt good visual quality was the main reason for long-term loss of follow-up. The surgeon's education on regular follow-up helped improve the return visit rate. Since there were few complications, it could be inferred that the ICL demonstrated high safety.