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International Ophthalmology

Published in:

01-12-2018 | Case Report

Vertical implantable collamer lens (ICL) rotation for the management of high vault due to lens oversizing

Authors: Francesco Matarazzo, Alexander Clifford Day, Luis Fernandez-Vega Cueto, Vincenzo Maurino

Published in: International Ophthalmology | Issue 6/2018

Abstract

Purpose

To describe the good outcome of implantable collamer lens (ICL) rotation to reduce post-operative vault.

Methods

Retrospective analysis of case report. A 43-year-old woman had V4c EVO + myopic non-toric ICL implantation and post-operatively she presented with anisocoria and high vault. She underwent surgery to rotate the ICL 90 degrees to a vertical orientation.

Results

We achieved a reduction in the vault from 1020 to 486 μm after vertical ICL rotation. Satisfactory refractive outcome and optimal vault were achieved and maintained during the period of follow-up.

Conclusion

Optimal ICL sizing is important as too high vault/clearance is associated with problems such as angle closure glaucoma, pupil dilatation and anisocoria and too low vault/clearance to increased risk of cataract formation. Non-toric ICL rotation can be a simple surgical technique to deal with oversized lenses thus avoiding ICL exchange.

Sanders DR, Doney K, Poco M, ICL in Treatment of Myopia Study Group (2004) United States food and drug administration clinical trial of the implantable collamer lens (ICL) for moderate to high myopia: 3-year follow-up. Ophthalmology 111(9):1683–1692. https://doi.org/10.1016/j.ophtha.2004.03.026 CrossRefPubMed

Packer M (2016) Meta-analysis and review: effectiveness, safety, and central port design of the intraocular collamer lens. Clin Ophthalmol 9(10):1059–1077. https://doi.org/10.2147/OPTH.S111620 CrossRef

AlSabaani NA, Behrens A, Jastanieah S, Al Malki S, Al Jindan M, Al Motowa S (2016) Causes of phakic implantable collamer lens explantation/exchange at king Khaled eye specialist hospital. Middle East Afr J Ophthalmol 23(4):293–295. https://doi.org/10.4103/0974-9233.194076 CrossRefPubMedPubMedCentral

Reinstein DZ, Archer TJ, Silverman RH, Rondeau MJ, Coleman DJ (2009) Correlation of anterior chamber angle and ciliary sulcus diameters with white-to-white corneal diameter in high myopes using Artemis VHF digital ultrasound. J Refract Surg 25(2):185–194PubMedPubMedCentral

Oh J, Shin H-H, Kim J-H, Kim H-M, Song J-S (2007) Direct measurement of the ciliary sulcus diameter by 35-megahertz ultrasound biomicroscopy. Ophthalmology 114(9):1685–1688. https://doi.org/10.1016/j.ophtha.2006.12.018 CrossRefPubMed

Biermann J, Bredow L, Boehringer D, Reinhard T (2011) Evaluation of ciliary sulcus diameter using ultrasound biomicroscopy in emmetropic eyes and myopic eyes. J Cataract Refract Surg 37(9):1686–1693. https://doi.org/10.1016/j.jcrs.2011.03.048 CrossRefPubMed

Sanders DR, Vukich JA, Doney K, Gaston M, Implantable Contact Lens in Treatment of Myopia Study Group (2003) U.S. Food and drug administration clinical trial of the implantable contact lens for moderate to high myopia. Ophthalmology 110(2):255–266CrossRef

Zeng Q-Y, Xie X-L, Chen Q (2015) Prevention and management of collagen copolymer phakic intraocular lens exchange: causes and surgical techniques. J Cataract Refract Surg 41(3):576–584. https://doi.org/10.1016/j.jcrs.2014.06.036 CrossRefPubMed

Gao J, Liao RF, Li N (2013) Ciliary sulcus diameters at different anterior chamber depths in highly myopic eyes. J Cataract Refract Surg 39(7):1011–1016. https://doi.org/10.1016/j.jcrs.2013.01.040 CrossRefPubMed

Title: Vertical implantable collamer lens (ICL) rotation for the management of high vault due to lens oversizing
Authors: Francesco Matarazzo
Alexander Clifford Day
Luis Fernandez-Vega Cueto
Vincenzo Maurino
Publication date: 01-12-2018
Publisher: Springer Netherlands
Published in: International Ophthalmology / Issue 6/2018
Print ISSN: 0165-5701
Electronic ISSN: 1573-2630
DOI: https://doi.org/10.1007/s10792-017-0757-2

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Vertical implantable collamer lens (ICL) rotation for the management of high vault due to lens oversizing

Abstract

Purpose

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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