10258 眼中导致可植入 Collamer 透镜植入后重新定位或置换的因素。

Factors leading to realignment or exchange after implantable collamer lens implantation in 10 258 eyes.

机构信息

From the Department of Ophthalmology and Optometry, Eye and ENT Hospital, Fudan University, Shanghai, China (Wei, Li, Aruma, Yang, Wang, Yao, Zhou); NHC Key Laboratory of Myopia, Fudan University, Shanghai, China (Wei, Li, Aruma, Yang, Wang, Yao, Zhou); Shanghai Research Center of Ophthalmology and Optometry, Shanghai, China (Wei, Li, Aruma, Yang, Wang, Yao, Zhou); FreeVis LASIK Zentrum, Medical Faculty Mannheim of the University of Heidelberg, Mannheim, Germany (Knorz); Department of Biostatistics, School of Public Health, and The Key Laboratory of Public Health Safety of Ministry of Education, Fudan University, Shanghai, China (Yu); Kresge Eye Institute/Department of Ophthalmology, Wayne State University, Detroit, Michigan (Choi).

出版信息

J Cataract Refract Surg. 2022 Oct 1;48(10):1190-1196. doi: 10.1097/j.jcrs.0000000000000950. Epub 2022 Mar 30.

DOI:10.1097/j.jcrs.0000000000000950

PMID:35351844

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9514736/

Abstract

PURPOSE

To evaluate the incidence, causes, and outcomes of implantable collamer lens (ICL) realignment or exchange after implantation of the EVO-ICL.

SETTING

Eye and ENT Hospital of Fudan University, China.

DESIGN

Retrospective study.

METHODS

The study included 10 258 consecutive eyes after ICL implantation. Preoperative refractive and biometric measurements were compared between eyes with and without realignment or exchange. For eyes with ICL realignment or exchange, visual and biometric outcomes were also compared before and after ICL realignment or exchange.

RESULTS

The overall incidence of ICL realignment or exchange was 0.21% 22 eyes. 12 eyes (0.12%) underwent ICL realignment by axis rotation (10 eyes) or ICL exchange (2 eyes) due to toric ICL (TICL) misalignment. After realignment, uncorrected distance visual acuity improved, and residual cylinder decreased from -1.75 ± 0.48 diopters (D) to -0.87 ± 0.59 D ( P = .01). 10 eyes (0.10%) underwent vertical rotation of ICL (3 eyes) or ICL exchange (7 eyes) due to excessive vault. After either vertical rotation or ICL exchange, vault decreased significantly ( P < .05).

CONCLUSIONS

The incidence of ICL realignment or exchange after ICL implantation is low. TICL misalignment and excessive vault are 2 main causes. Implant exchange may be performed for excessive vault or misalignment with an insufficient vault. In addition, vertical rotation of an ICL may be a less invasive method to treat excessive vault in certain cases.

摘要

目的

评估 EVO-ICL 植入后可折叠式人工晶状体（ICL）的重新定位或更换的发生率、原因和结果。

设置

中国复旦大学眼耳鼻喉科医院。

设计

回顾性研究。

方法

该研究纳入了 10258 例连续接受 ICL 植入的患者。比较了需要重新定位或更换的眼睛与不需要重新定位或更换的眼睛之间的术前屈光和生物测量数据。对于需要 ICL 重新定位或更换的眼睛，还比较了 ICL 重新定位或更换前后的视力和生物测量结果。

结果

总的 ICL 重新定位或更换发生率为 0.21%（22 只眼）。12 只眼（0.12%）因 TICL （散光型 ICL）定位不良而行 ICL 重新定位（10 只眼）或 ICL 更换（2 只眼）。重新定位后，未矫正远视力提高，残余散光从-1.75±0.48 屈光度（D）降至-0.87±0.59 D（P=0.01）。10 只眼（0.10%）因 ICL （3 只眼）或 ICL 过度拱顶而发生垂直旋转或 ICL 更换（7 只眼）。无论是垂直旋转还是 ICL 更换后，拱顶都明显降低（P<0.05）。