Aldahan Danya, AlHilali Sara
Anterior Segment Division, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia.
Int Med Case Rep J. 2024 Dec 8;17:1009-1011. doi: 10.2147/IMCRJ.S502174. eCollection 2024.
Implantable collamer lens (ICL) could be an effective and safe treatment option for patient with keratoconus. The presence of cataract is considered a relative contraindication to the use of ICL. In this case report, we describe the outcomes of ICL implantation in an eye with keratoconus and splinter cortical cataract sparing the visual axis.
Thirty-six-year-old female patient diagnosed with keratoconus was followed in the outpatient department and sought to be independent of glasses in the right eye. Upon examination she was found to have bilateral splinter cortical cataract not involving the visual axis. She had the best spectacle corrected visual acuity of 20/30; she underwent uneventful implantation of ICL in the right eye with an uncorrected visual acuity of 20/30 post-operatively with no progression of the cataract during the follow-up period.
The patient achieved a stable uncorrected visual acuity of 20/30 with no cataract progression after 18 months. Splinter cataract remains stable over time, thus it should not be considered as a contraindication for the implantation of ICL in patients with keratoconus.
可植入式角膜接触镜（ICL）对于圆锥角膜患者可能是一种有效且安全的治疗选择。白内障的存在被认为是使用ICL的相对禁忌证。在本病例报告中，我们描述了在一只患有圆锥角膜且晶状体皮质性白内障未累及视轴的眼中植入ICL的结果。
一名36岁被诊断为圆锥角膜的女性患者在门诊接受随访，她希望右眼摆脱眼镜。检查发现她双眼患有晶状体皮质性白内障，但未累及视轴。她最佳矫正视力为20/30；右眼顺利植入ICL，术后裸眼视力为20/30，随访期间白内障未进展。
患者在18个月后获得了稳定的20/30裸眼视力，且白内障未进展。晶状体皮质性白内障随时间保持稳定，因此在圆锥角膜患者中，它不应被视为植入ICL的禁忌证。
