Al-Razqan Hussam, Al-Mutlak Mohammed
King Khaled Eye Specialist Hospital, Riyadh, Kingdom of Saudi Arabia.
Int J Surg Case Rep. 2025 Feb;127:110855. doi: 10.1016/j.ijscr.2025.110855. Epub 2025 Jan 7.
Implantable collamer lens (ICL) is a posterior chamber phakic intraocular lens. It is usually indicated for high refractive error correction that cannot be treated by laser vision correction due to physical limitations.
39 years old male with a past ocular history of keratoconus underwent astigmatic keratotomy followed by crosslinking in both eyes a couple of years later due to signs of corneal ectasia progression.
Astigmatic keratotomy is highly unpredictable in keratoconus patients as it might induce progressive irregular astigmatism. After confirming the stability of refraction and corneal topographic reading for the past couple of years. We insert EVO visian V4c ICL 13.2 manufactured by STAAR surgical company under topical anesthesia sequentially to both eyes.
Our case depicts the successful use of ICL in ectatic cornea post-astigmatic keratotomy with an excellent outcome. Further study with large case series and long follow-up is recommended to evaluate the efficacy and safety profile.
可植入式胶原晶状体（ICL）是一种后房型有晶状体眼人工晶状体。它通常用于因身体限制无法通过激光视力矫正治疗的高度屈光不正矫正。
一名39岁男性，既往有圆锥角膜病史，曾接受散光性角膜切开术，几年后因角膜扩张进展迹象双眼又接受了交联手术。
散光性角膜切开术在圆锥角膜患者中具有高度不可预测性，因为它可能会导致进行性不规则散光。在确认过去几年屈光和角膜地形图读数稳定后，我们在表面麻醉下依次为双眼植入了STAAR外科公司生产的EVO Visian V4c ICL 13.2。
我们的病例描述了ICL在散光性角膜切开术后扩张角膜中的成功应用，效果极佳。建议进行更大病例系列和长期随访的进一步研究，以评估其疗效和安全性。
