Intraocular Pressure after Implantation of the Visian Implantable Collamer Lens With CentraFLOW Without Iridotomy

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• 作者：Alej ; ro Higueras-Esteban ; Am ; a Ortiz-Gomariz ; Ram¨®n Guti¨¦rrez-Ortega ; C¨¦sar Villa-Collar ; Juan P. Abad-Montes ; Paulo Fern ; es ; Jos¨¦ M. Gonz¨¢lez-M¨¦ijome
• 刊名：American Journal of Ophthalmology
• 出版年：2013
• 出版时间：October, 2013
• 年：2013
• 卷：156
• 期：4
• 页码：800-805.e1
• 全文大小：931 K

文摘

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Purpose

To compare the intraocular pressure (IOP) values during a 3-month period after implantation of the new Visian Implantable Collamer Lens (ICL; STAAR Surgical Company, Nidau, Switzerland) V4c design with CentraFLOW technology without iridotomy using a standard procedure followed by implantation of the conventional ICL V4b model.

Design

Retrospective cohort study.

Methods

This study included 17 eyes implanted with the ICL V4b model and 18 eyes implanted with the ICL V4c model. The mean preoperative spherical equivalent refractions were??7.48 ¡À 5.00 diopters and??8.66 ¡À 4.2 diopters, respectively. We compared the best-corrected distance visual acuity before surgery with the uncorrected distance visual acuity after surgery. The intraocular pressure (IOP) was measured 1?week, 1?month, and 3?months after surgery. The central vault at 3?months was measured using optical coherence tomography.

Results

Three months after surgery, the mean uncorrected distance visual acuities were??0.09 ¡À 0.12 logarithm of the minimal angle of resolution units with the V4b and??0.07 ¡À 0.11 logarithm of the minimal angle of resolution units with the V4c. The mean distances between the ICL and the anterior crystalline lens surface were 557 ¡À 224?¦Ìm and 528 ¡À 268?¦Ìm for the V4b and V4c, respectively (P?= .73). After 1?week and 1?month, the mean IOPs were 13.7 and 13.3?mm Hg and 14.7 and 15.1?mm Hg, respectively. There were no significant differences in IOP within or between groups during the follow-up period (P > .05, for all comparisons).

Conclusions

The new ICL with the CentraFLOW design seems to provide similar results as its predecessors for the correction of moderate to high myopia and maintenance of safe IOP levels without iridotomy.