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Published in: BMC Ophthalmology 1/2018

Open Access 01-12-2018 | Research article

Refractive outcomes and optical quality after implantation of posterior chamber phakic implantable collamer lens with a central hole (ICL V4c)

Authors: Huamao Miao, Xun Chen, Mi Tian, Yingjun Chen, Xiaoying Wang, Xingtao Zhou

Published in: BMC Ophthalmology | Issue 1/2018

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Abstract

Background

To investigate refractive outcomes and optical quality after implantation of posterior chamber phakic implantable collamer lens with a central hole (ICL V4c) to correct high myopia.

Methods

Sixty seven eyes of 38 patients who underwent ICL V4c implantation were enrolled. The mean preoperative spherical equivalent (SE) was − 12.44 ± 3.15 D (range: − 6.63 to − 20.50 D). The refractive outcomes and optical quality of the eyes at postoperative 1 and 3 months were evaluated and compared.

Results

At 3 months postoperatively, the mean safety and efficacy indexes were 1.33 ± 0.22 and 1.14 ± 0.23, respectively. The mean SE was − 0.32 ± 0.52 D; no patient lost 1 or more lines of corrected distance visual acuity (CDVA), 13% remained unchanged, 45% gained 1 line and 42% gained 2 or more lines. The mean modulation transfer function cutoff frequency (MTFcutoff), Strehl in two dimensions ratio, and objective scatter index (OSI) were 38.20 ± 9.96 cycles per degree, 0.21 ± 0.06, and 1.00 ± 0.73, respectively. No significant difference was found in any of the above parameters (P > 0.05) between 1 and 3 months. The postoperative intraocular pressure (IOP) did not change when compared with preoperative values (P > 0.05).

Conclusions

ICL V4c implantation is a safe, effective, and stable solution for high myopia. Patients will acquire high and stable postoperative optical quality. ICL V4c implantation has little influence on IOP.
Literature
1.
go back to reference Brenner LF, Alio JL, Vega-Estrada A, Baviera J, Beltran J, et al. Clinical grading of post-LASIK ectasia related to visual limitation and predictive factors for vision loss. J Cataract Refract Surg. 2012;38:1817–26.CrossRefPubMed Brenner LF, Alio JL, Vega-Estrada A, Baviera J, Beltran J, et al. Clinical grading of post-LASIK ectasia related to visual limitation and predictive factors for vision loss. J Cataract Refract Surg. 2012;38:1817–26.CrossRefPubMed
2.
go back to reference Kamiya K, Shimizu K, Kobashi H, Igarashi A, Komatsu M, et al. Three-year follow-up of posterior chamber toric phakic intraocular lens implantation for the correction of high myopic astigmatism in eyes with keratoconus. Br J Ophthalmol. 2015;99:177–83.CrossRefPubMed Kamiya K, Shimizu K, Kobashi H, Igarashi A, Komatsu M, et al. Three-year follow-up of posterior chamber toric phakic intraocular lens implantation for the correction of high myopic astigmatism in eyes with keratoconus. Br J Ophthalmol. 2015;99:177–83.CrossRefPubMed
3.
go back to reference Gonzalez-Lopez F, Bilbao-Calabuig R, Mompean B, de Rojas V, Luezas J, et al. Intraocular pressure during the early postoperative period after 100 consecutive implantations of posterior chamber phakic intraocular lenses with a central hole. J Cataract Refract Surg. 2013;39:1859–63.CrossRefPubMed Gonzalez-Lopez F, Bilbao-Calabuig R, Mompean B, de Rojas V, Luezas J, et al. Intraocular pressure during the early postoperative period after 100 consecutive implantations of posterior chamber phakic intraocular lenses with a central hole. J Cataract Refract Surg. 2013;39:1859–63.CrossRefPubMed
4.
go back to reference Higueras-Esteban A, Ortiz-Gomariz A, Gutierrez-Ortega R, Villa-Collar C, Abad-Montes JP, et al. Intraocular pressure after implantation of the visian implantable collamer lens with CentraFLOW without iridotomy. Am J Ophthalmol. 2013;156:800–5.CrossRefPubMed Higueras-Esteban A, Ortiz-Gomariz A, Gutierrez-Ortega R, Villa-Collar C, Abad-Montes JP, et al. Intraocular pressure after implantation of the visian implantable collamer lens with CentraFLOW without iridotomy. Am J Ophthalmol. 2013;156:800–5.CrossRefPubMed
5.
go back to reference Alfonso JF, Lisa C, Fernandez-Vega L, Almanzar D, Perez-Vives C, et al. Prevalence of cataract after collagen copolymer phakic intraocular lens implantation for myopia, hyperopia, and astigmatism. J Cataract Refract Surg. 2015;41:800–5.CrossRefPubMed Alfonso JF, Lisa C, Fernandez-Vega L, Almanzar D, Perez-Vives C, et al. Prevalence of cataract after collagen copolymer phakic intraocular lens implantation for myopia, hyperopia, and astigmatism. J Cataract Refract Surg. 2015;41:800–5.CrossRefPubMed
6.
go back to reference Sanders DR. Anterior subcapsular opacities and cataracts 5 years after surgery in the visian implantable collamer lens FDA trial. J Refract Surg. 2008;24:566–70.PubMed Sanders DR. Anterior subcapsular opacities and cataracts 5 years after surgery in the visian implantable collamer lens FDA trial. J Refract Surg. 2008;24:566–70.PubMed
7.
go back to reference Kawamorita T, Uozato H, Shimizu K. Fluid dynamics simulation of aqueous humour in a posterior-chamber phakic intraocular lens with a central perforation. Graefes Arch Clin Exp Ophthalmol. 2012;250:935–9.CrossRefPubMed Kawamorita T, Uozato H, Shimizu K. Fluid dynamics simulation of aqueous humour in a posterior-chamber phakic intraocular lens with a central perforation. Graefes Arch Clin Exp Ophthalmol. 2012;250:935–9.CrossRefPubMed
8.
go back to reference Shiratani T, Shimizu K, Fujisawa K, Uga S, Nagano K, et al. Crystalline lens changes in porcine eyes with implanted phakic IOL (ICL) with a central hole. Graefes Arch Clin Exp Ophthalmol. 2008;246:719–28.CrossRefPubMedPubMedCentral Shiratani T, Shimizu K, Fujisawa K, Uga S, Nagano K, et al. Crystalline lens changes in porcine eyes with implanted phakic IOL (ICL) with a central hole. Graefes Arch Clin Exp Ophthalmol. 2008;246:719–28.CrossRefPubMedPubMedCentral
9.
go back to reference Fujisawa K, Shimizu K, Uga S, Suzuki M, Nagano K, et al. Changes in the crystalline lens resulting from insertion of a phakic IOL (ICL) into the porcine eye. Graefes Arch Clin Exp Ophthalmol. 2007;245:114–22.CrossRefPubMed Fujisawa K, Shimizu K, Uga S, Suzuki M, Nagano K, et al. Changes in the crystalline lens resulting from insertion of a phakic IOL (ICL) into the porcine eye. Graefes Arch Clin Exp Ophthalmol. 2007;245:114–22.CrossRefPubMed
10.
go back to reference Miao H, He L, Shen Y, Li M, Yu Y, et al. Optical quality and intraocular scattering after femtosecond laser small incision lenticule extraction. J Refract Surg. 2014;30:296–302.CrossRefPubMed Miao H, He L, Shen Y, Li M, Yu Y, et al. Optical quality and intraocular scattering after femtosecond laser small incision lenticule extraction. J Refract Surg. 2014;30:296–302.CrossRefPubMed
11.
go back to reference Miao H, Tian M, He L, Zhao J, Mo X, et al. Objective optical quality and intraocular scattering in myopic adults. Invest Ophthalmol Vis Sci. 2014;55:5582–7.CrossRefPubMed Miao H, Tian M, He L, Zhao J, Mo X, et al. Objective optical quality and intraocular scattering in myopic adults. Invest Ophthalmol Vis Sci. 2014;55:5582–7.CrossRefPubMed
12.
go back to reference Miao H, Tian M, Xu Y, Chen Y, Zhou X. Visual outcomes and optical quality after femtosecond laser small incision Lenticule extraction: an 18-month prospective study. J Refract Surg. 2015;31:726–31.CrossRefPubMed Miao H, Tian M, Xu Y, Chen Y, Zhou X. Visual outcomes and optical quality after femtosecond laser small incision Lenticule extraction: an 18-month prospective study. J Refract Surg. 2015;31:726–31.CrossRefPubMed
13.
go back to reference Martinez-Roda JA, Vilaseca M, Ondategui JC, Giner A, Burgos FJ, et al. Optical quality and intraocular scattering in a healthy young population. Clin Exp Optom. 2011;94:223–9.CrossRefPubMed Martinez-Roda JA, Vilaseca M, Ondategui JC, Giner A, Burgos FJ, et al. Optical quality and intraocular scattering in a healthy young population. Clin Exp Optom. 2011;94:223–9.CrossRefPubMed
14.
go back to reference Kamiya K, Umeda K, Kobashi H, Shimizu K, Kawamorita T, et al. Effect of aging on optical quality and intraocular scattering using the double-pass instrument. Curr Eye Res. 2012;37:884–8.CrossRefPubMed Kamiya K, Umeda K, Kobashi H, Shimizu K, Kawamorita T, et al. Effect of aging on optical quality and intraocular scattering using the double-pass instrument. Curr Eye Res. 2012;37:884–8.CrossRefPubMed
15.
go back to reference Artal P, Benito A, Perez GM, Alcon E, De Casas A, et al. An objective scatter index based on double-pass retinal images of a point source to classify cataracts. PLoS One. 2011;6:e16823.CrossRefPubMedPubMedCentral Artal P, Benito A, Perez GM, Alcon E, De Casas A, et al. An objective scatter index based on double-pass retinal images of a point source to classify cataracts. PLoS One. 2011;6:e16823.CrossRefPubMedPubMedCentral
16.
go back to reference Shimizu K, Kamiya K, Igarashi A, Shiratani T. Intraindividual comparison of visual performance after posterior chamber phakic intraocular lens with and without a central hole implantation for moderate to high myopia. Am J Ophthalmol. 2012;154:486–94.CrossRefPubMed Shimizu K, Kamiya K, Igarashi A, Shiratani T. Intraindividual comparison of visual performance after posterior chamber phakic intraocular lens with and without a central hole implantation for moderate to high myopia. Am J Ophthalmol. 2012;154:486–94.CrossRefPubMed
17.
go back to reference Shimizu K, Kamiya K, Igarashi A, Shiratani T. Early clinical outcomes of implantation of posterior chamber phakic intraocular lens with a central hole (hole ICL) for moderate to high myopia. Br J Ophthalmol. 2012;96:409–12.CrossRefPubMed Shimizu K, Kamiya K, Igarashi A, Shiratani T. Early clinical outcomes of implantation of posterior chamber phakic intraocular lens with a central hole (hole ICL) for moderate to high myopia. Br J Ophthalmol. 2012;96:409–12.CrossRefPubMed
18.
go back to reference Lisa C, Naveiras M, Alfonso-Bartolozzi B, Belda-Salmeron L, Montes-Mico R, et al. Posterior chamber collagen copolymer phakic intraocular lens with a central hole to correct myopia: one-year follow-up. J Cataract Refract Surg. 2015;41:1153–9.CrossRefPubMed Lisa C, Naveiras M, Alfonso-Bartolozzi B, Belda-Salmeron L, Montes-Mico R, et al. Posterior chamber collagen copolymer phakic intraocular lens with a central hole to correct myopia: one-year follow-up. J Cataract Refract Surg. 2015;41:1153–9.CrossRefPubMed
19.
go back to reference Huseynova T, Ozaki S, Ishizuka T, Mita M, Tomita M. Comparative study of 2 types of implantable collamer lenses, 1 with and 1 without a central artificial hole. Am J Ophthalmol. 2014;157:1136–43.CrossRefPubMed Huseynova T, Ozaki S, Ishizuka T, Mita M, Tomita M. Comparative study of 2 types of implantable collamer lenses, 1 with and 1 without a central artificial hole. Am J Ophthalmol. 2014;157:1136–43.CrossRefPubMed
20.
go back to reference Alfonso JF, Lisa C, Fernandez-Vega CL, Belda-Salmeron L, Madrid-Costa D, et al. Clinical outcomes after implantation of a posterior chamber collagen copolymer phakic intraocular lens with a central hole for myopic correction. J Cataract Refract Surg. 2013;39:915–21.CrossRefPubMed Alfonso JF, Lisa C, Fernandez-Vega CL, Belda-Salmeron L, Madrid-Costa D, et al. Clinical outcomes after implantation of a posterior chamber collagen copolymer phakic intraocular lens with a central hole for myopic correction. J Cataract Refract Surg. 2013;39:915–21.CrossRefPubMed
21.
go back to reference Uozato H, Shimizu K, Kawamorita T, Ohmoto F. Modulation transfer function of intraocular collamer lens with a central artificial hole. Graefes Arch Clin Exp Ophthalmol. 2011;249:1081–5.CrossRefPubMed Uozato H, Shimizu K, Kawamorita T, Ohmoto F. Modulation transfer function of intraocular collamer lens with a central artificial hole. Graefes Arch Clin Exp Ophthalmol. 2011;249:1081–5.CrossRefPubMed
22.
go back to reference Perez-Vives C, Ferrer-Blasco T, Madrid-Costa D, Garcia-Lazaro S, Montes-Mico R. Optical quality comparison of conventional and hole-visian implantable collamer lens at different degrees of decentering. Am J Ophthalmol. 2013;156:69–76.CrossRefPubMed Perez-Vives C, Ferrer-Blasco T, Madrid-Costa D, Garcia-Lazaro S, Montes-Mico R. Optical quality comparison of conventional and hole-visian implantable collamer lens at different degrees of decentering. Am J Ophthalmol. 2013;156:69–76.CrossRefPubMed
23.
go back to reference Perez-Vives C, Ferrer-Blasco T, Madrid-Costa D, Garcia-Lazaro S, Montes-Mico R. Visual quality comparison of conventional and hole-visian implantable collamer lens at different degrees of decentering. Br J Ophthalmol. 2014;98:59–64.CrossRefPubMed Perez-Vives C, Ferrer-Blasco T, Madrid-Costa D, Garcia-Lazaro S, Montes-Mico R. Visual quality comparison of conventional and hole-visian implantable collamer lens at different degrees of decentering. Br J Ophthalmol. 2014;98:59–64.CrossRefPubMed
24.
go back to reference Kamiya K, Shimizu K, Saito A, Igarashi A, Kobashi H. Comparison of optical quality and intraocular scattering after posterior chamber phakic intraocular lens with and without a central hole (hole ICL and conventional ICL) implantation using the double-pass instrument. PLoS One. 2013;8:e66846.CrossRefPubMedPubMedCentral Kamiya K, Shimizu K, Saito A, Igarashi A, Kobashi H. Comparison of optical quality and intraocular scattering after posterior chamber phakic intraocular lens with and without a central hole (hole ICL and conventional ICL) implantation using the double-pass instrument. PLoS One. 2013;8:e66846.CrossRefPubMedPubMedCentral
25.
go back to reference Xun C, H Miao, Naidu RK, Xiaoying W, et al. Comparison of early changes in and factors affecting vault following posterior chamber phakic implantable collamer lens implantation without and with a central hole (ICL V4 and ICL V4c). BMC Ophthalmol. 2016;16:161. Xun C, H Miao, Naidu RK, Xiaoying W, et al. Comparison of early changes in and factors affecting vault following posterior chamber phakic implantable collamer lens implantation without and with a central hole (ICL V4 and ICL V4c). BMC Ophthalmol. 2016;16:161.
26.
go back to reference Hyun J, Lim DH, Eo DR, Hwang S, Chung ES, Chung TY. A comparison of visual outcome and rotational stability of two types of toric implantable collamer lenses (TICL) : V4 versus V4c. PLoS One. 2017;12:e0183335.CrossRefPubMedPubMedCentral Hyun J, Lim DH, Eo DR, Hwang S, Chung ES, Chung TY. A comparison of visual outcome and rotational stability of two types of toric implantable collamer lenses (TICL) : V4 versus V4c. PLoS One. 2017;12:e0183335.CrossRefPubMedPubMedCentral
27.
go back to reference Shimizu K, Kamiya K, Igarashi A, Kobashi H. Long-term comparison of posterior chamber phakic intraocular lens with and without a central hole (hole ICL and conventional ICL) implantation for moderate to high myopia and myopic astigmatism: consort-compliant article. Medicine (Baltimore). 2016;95:e3270.CrossRef Shimizu K, Kamiya K, Igarashi A, Kobashi H. Long-term comparison of posterior chamber phakic intraocular lens with and without a central hole (hole ICL and conventional ICL) implantation for moderate to high myopia and myopic astigmatism: consort-compliant article. Medicine (Baltimore). 2016;95:e3270.CrossRef
28.
go back to reference Tian Y, Jiang HB, Jiang J, Wen D, Xia XB, Song WT. Comparison of implantable Collamer Lens Visian ICL V4 and ICL V4c for high myopia: a cohort study. Medicine (Baltimore). 2017;96:e7294.CrossRef Tian Y, Jiang HB, Jiang J, Wen D, Xia XB, Song WT. Comparison of implantable Collamer Lens Visian ICL V4 and ICL V4c for high myopia: a cohort study. Medicine (Baltimore). 2017;96:e7294.CrossRef
30.
go back to reference Ondategui JC, Vilaseca M, Arjona M, Montasell A, Cardona G, et al. Optical quality after myopic photorefractive keratectomy and laser in situ keratomileusis: comparison using a double-pass system. J Cataract Refract Surg. 2012;38:16–27.CrossRefPubMed Ondategui JC, Vilaseca M, Arjona M, Montasell A, Cardona G, et al. Optical quality after myopic photorefractive keratectomy and laser in situ keratomileusis: comparison using a double-pass system. J Cataract Refract Surg. 2012;38:16–27.CrossRefPubMed
31.
go back to reference Sanders D, Vukich JA. Comparison of implantable collamer lens (ICL) and laser-assisted in situ keratomileusis (LASIK) for low myopia. Cornea. 2006;25:1139–46.CrossRefPubMed Sanders D, Vukich JA. Comparison of implantable collamer lens (ICL) and laser-assisted in situ keratomileusis (LASIK) for low myopia. Cornea. 2006;25:1139–46.CrossRefPubMed
32.
go back to reference Igarashi A, Kamiya K, Shimizu K, Komatsu M. Visual performance after implantable collamer lens implantation and wavefront-guided laser in situ keratomileusis for high myopia. Am J Ophthalmol. 2009;148:164–70.CrossRefPubMed Igarashi A, Kamiya K, Shimizu K, Komatsu M. Visual performance after implantable collamer lens implantation and wavefront-guided laser in situ keratomileusis for high myopia. Am J Ophthalmol. 2009;148:164–70.CrossRefPubMed
33.
go back to reference Kamiya K, Igarashi A, Shimizu K, Matsumura K, Komatsu M. Visual performance after posterior chamber phakic intraocular lens implantation and wavefront-guided laser in situ keratomileusis for low to moderate myopia. Am J Ophthalmol. 2012;153:1178–86. e1CrossRefPubMed Kamiya K, Igarashi A, Shimizu K, Matsumura K, Komatsu M. Visual performance after posterior chamber phakic intraocular lens implantation and wavefront-guided laser in situ keratomileusis for low to moderate myopia. Am J Ophthalmol. 2012;153:1178–86. e1CrossRefPubMed
34.
go back to reference Sanders DR. Matched population comparison of the Visian implantable Collamer Lens and standard LASIK for myopia of −3.00 to −7.88 diopters. J Refract Surg. 2007;23:537–53.PubMed Sanders DR. Matched population comparison of the Visian implantable Collamer Lens and standard LASIK for myopia of −3.00 to −7.88 diopters. J Refract Surg. 2007;23:537–53.PubMed
35.
go back to reference Sanders DR, Vukich JA. Comparison of implantable contact lens and laser assisted in situ keratomileusis for moderate to high myopia. Cornea. 2003;22:324–31.CrossRefPubMed Sanders DR, Vukich JA. Comparison of implantable contact lens and laser assisted in situ keratomileusis for moderate to high myopia. Cornea. 2003;22:324–31.CrossRefPubMed
36.
go back to reference Parkhurst GD. A prospective comparison of phakic collamer lenses and wavefront-optimized laser-assisted in situ keratomileusis for correction of myopia. Clin Ophthalmol. 2016;10:1209–15.CrossRefPubMedPubMedCentral Parkhurst GD. A prospective comparison of phakic collamer lenses and wavefront-optimized laser-assisted in situ keratomileusis for correction of myopia. Clin Ophthalmol. 2016;10:1209–15.CrossRefPubMedPubMedCentral
37.
go back to reference Cabot F, Saad A, McAlinden C, Haddad NM, Grise-Dulac A, et al. Objective assessment of crystalline lens opacity level by measuring ocular light scattering with a double-pass system. Am J Ophthalmol. 2013;155:629–35. 631–35CrossRefPubMed Cabot F, Saad A, McAlinden C, Haddad NM, Grise-Dulac A, et al. Objective assessment of crystalline lens opacity level by measuring ocular light scattering with a double-pass system. Am J Ophthalmol. 2013;155:629–35. 631–35CrossRefPubMed
Metadata
Title
Refractive outcomes and optical quality after implantation of posterior chamber phakic implantable collamer lens with a central hole (ICL V4c)
Authors
Huamao Miao
Xun Chen
Mi Tian
Yingjun Chen
Xiaoying Wang
Xingtao Zhou
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Ophthalmology / Issue 1/2018
Electronic ISSN: 1471-2415
DOI
https://doi.org/10.1186/s12886-018-0805-3

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