Top

Graefe's Archive for Clinical and Experimental Ophthalmology

Published in:

01-05-2013 | Refractive Surgery

Toric implantable collamer lens for moderate to high myopic astigmatism: 3-year follow-up

Authors: Esin Sogutlu Sari, David P. Pinero, Anil Kubaloglu, Pinar Sorgun Evcili, Arif Koytak, Isil Kutlutürk, Yusuf Ozerturk

Published in: Graefe's Archive for Clinical and Experimental Ophthalmology | Issue 5/2013

Abstract

Background

To evaluate the 3-year clinical outcomes after toric implantable collamer lens (ICL) implantation for the management of moderate to high myopic astigmatism.

Methods

Thirty-four eyes of 20 patients who underwent toric ICL implantation were reviewed. All eyes completed 3-year follow-up. Uncorrected (UDVA) and corrected (CDVA) distance LogMAR visual acuities, refraction, endothelial cell density (ECD), and surgical complications were evaluated. Vectorial analysis of astigmatic correction was also done.

Results

A significant improvement in UDVA, CDVA, manifest spherical and cylindrical refraction was observed at 1 week and remained stable after 3 years. Twenty-six eyes (76.5 %) gained lines of CDVA, and two eyes (5.9 %) showed a loss of 1 line of CDVA. The spherical equivalent (SE) was within ±0.50 D of emmetropia in 18 eyes (52.9 %) and within ±1.00 D in 28 eyes (82.4 %). Differences between target-induced astigmatism (TIA) and surgically-induced astigmatism (SIA) were statistically significant (p < 0.01), and a trend to undercorrection of the refractive astigmatism was present after 3 years. The magnitude of flattening effect (FE) was found to be significantly lower than the magnitude of TIA (p < 0.01). The magnitude of the torque vector was always positive, with a value below 0.50 D in all cases. No vision-threatening complications were observed during the follow-up.

Conclusion

Toric ICL implantation is an effective and safe surgical option that provides a relatively predictable and stable refractive correction of myopic astigmatism. Further improvements are needed to minimize the degree of undercorrection.

Kwitko ML, Jovkar S, Yan H, Rymer S (1996) Arcuate keratotomy to correct naturally occurring astigmatism. J Cataract Refract Surg 22:1439–1442PubMedCrossRef

Müller Jensen K, Fischer P, Siepe U (1999) Sutureless corneal cataract surgery. Limbal release incisions for correcting astigmatism. Ophthalmologe 96:432–436PubMedCrossRef

Arbelaez MC, Vidal C, Arba-Mosquera S (2009) Excimer laser correction of moderate to high astigmatism with a non-wavefront-guided aberration-free ablation profile: six-month results. J Cataract Refract Surg 35:1789–1798PubMedCrossRef

Seiler T, Koufala K, Richter G (1998) Iatrogenic keratectasia after laser in situ keratomileusis. J Refract Surg 14:312–317PubMed

Stulting RD, Carr JD, Thompson KP, Waring GO 3rd, Wiley WM, Walker JG (1999) Complications of laser in situ keratomileusis for the correction of myopia. Ophthalmology 106:13PubMedCrossRef

Malecaze FJ, Hulin H, Bierer P, Fournié P, Grandjean H, Thalamas C, Guell JL (2002) A randomized paired eye comparison of two techniques for treating moderately high myopia: LASIK and Artisan phakic lens. Ophthalmology 109:1622–1630PubMedCrossRef

Kamiya K, Shimizu K, Igarashi A, Komatsu M (2008) Comparison of Collamer toric implantable [corrected] contact lens implantation and wavefront-guided laser in situ keratomileusis for high myopic astigmatism. J Cataract Refract Surg 34:1687–1693PubMedCrossRef

Sanders DR, Schneider D, Martin R, Brown D, Dulaney D, Vukich J, Slade S, Schallhorn S (2007) Toric implantable collamer lens for moderate to high myopic astigmatism. Ophthalmology 114:54–61PubMedCrossRef

Dick HB, Alió J, Bianchetti M, Budo C, Christiaans BJ, El-Danasoury MA, Güell JL, Krumeich J, Landesz M, Loureiro F, Luyten GP, Marinho A, Rahhal MS, Schwenn O, Spirig R, Thomann U, Venter J (2003) Toric phakic intraocular lens: European multicenter study. Ophthalmology 110:150–162PubMedCrossRef

10.

Gimbel HV, Ziémba SL (2002) Management of myopic astigmatism with phakic intraocular lens implantation. J Cataract Refract Surg 28:883–886PubMedCrossRef

11.

Alpins NA (2001) Astigmatism analysis by the Alpins method. J Cataract Refract Surg 27:31–49PubMedCrossRef

12.

Alpins NA (1993) A new method of analyzing vectors for changes in astigmatism. J Cataract Refract Surg 19:524–533PubMedCrossRef

13.

Alpins NA (1997) Vector analysis of astigmatism changes by flattening, steepening, and torque. J Cataract Refract Surg 23:1503–1514PubMedCrossRef

14.

Holladay JT (1997) Proper method for calculating average visual acuity. J Refract Surg 13:388–391PubMed

15.

Elies D, Alonso T, Puig J, Gris O, Güell JL, Coret A (2010) Visian toric implantable collamer lens for correction of compound myopic astigmatism. J Refract Surg 26:251–258PubMedCrossRef

16.

Bhikoo R, Rayner S, Gray T (2010) Toric implantable collamer lens for patients with moderate to severe myopic astigmatism: 12-month follow-up. Clin Exp Ophthalmol 38:467–474CrossRef

17.

Alió JL, Ortiz D, Abdelrahman A, de Luca A (2007) Optical analysis of visual improvement after correction of anisometropic amblyopia with a phakic intraocular lens in adult patients. Ophthalmology 114:643–647PubMedCrossRef

18.

Alfonso JF, Baamonde B, Fernández-Vega L, Fernandes P, González-Méijome JM, Montés-Micó R (2011) Posterior chamber collagen copolymer phakic intraocular lenses to correct myopia: five-year follow-up. J Cataract Refract Surg 37:873–880PubMedCrossRef

19.

Kamiya K, Shimizu K, Aizawa D, Igarashi A, Komatsu M, Nakamura A (2010) One-year follow-up of posterior chamber toric phakic intraocular lens implantation for moderate to high myopic astigmatism. Ophthalmology 117:2287–2294PubMedCrossRef

20.

Chang JS, Meau AY (2007) Visian Collamer phakic intraocular lens in high myopic Asian eyes. J Refract Surg 23:17–25PubMed

21.

Schallhorn S, Tanzer D, Sanders DR, Sanders ML (2007) Randomized prospective comparison of visian toric implantable collamer lens and conventional photorefractive keratectomy for moderate to high myopic astigmatism. J Refract Surg 23:853–867PubMed

22.

Kamiya K, Shimizu K, Igarashi A, Hikita F, Komatsu M (2009) Four-year follow-up of posterior chamber phakic intraocular lens implantation for moderate to high myopia. Arch Ophthalmol 127:845–850PubMedCrossRef

23.

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: three-year follow-up. Ophthalmology 111:1683–1692PubMedCrossRef

24.

Alpins NA, Goggin M (2004) Practical astigmatism analysis for refractive outcomes in cataract and refractive surgery. Surv Ophthalmol 49:109–122PubMedCrossRef

25.

Lee SY, Kwon HJ, Ahn HS, Seo KY, Kim EK, Kim TI (2011) Comparison of patient outcomes after implantation of Visian toric implantable collamer lens and iris-fixated toric phakic intraocular lens. Eye (Lond) 25:1409–1417CrossRef

26.

Alfonso JF, Lisa C, Abdelhamid A, Montes-Mico R, Poo-Lopez A, Ferrer-Blasco T (2009) Posterior chamber phakic intraocular lenses after penetrating keratoplasty. J Cataract Refract Surg 35:1166–1173PubMedCrossRef

27.

Kamiya K, Shimizu K, Aizawa D, Igarashi A, Komatsu M (2009) Surgically induced astigmatism after posterior chamber phakic intraocular lens implantation. Br J Ophthalmol 93:1648–1651PubMedCrossRef

28.

Visser N, Berendschot TT, Bauer NJ, Nuijts RM (2012) Vector analysis of corneal and refractive astigmatism changes following toric pseudophakic and toric phakic intraocular lens implantation. Invest Ophthalmol Vis Sci 53:1865–1873PubMedCrossRef

29.

Baumeister M, Bühren J, Kohnen T (2004) Position of angle-supported, iris-fixated, and ciliary sulcus-implanted myopic phakic intraocular lenses evaluated by Scheimpflug photography. Am J Ophthalmol 138:723–731PubMedCrossRef

30.

Apple DJ, Werner L (2001) Complications of cataract and refractive surgery: a clinicopathological documentation. Trans Am Ophthalmol Soc 99:95–107, discussion, 107–109PubMed

31.

Zaldivar R, Davidorf JM, Oscherow S, Ricur G, Piezzi V (1999) Combined posterior chamber phakic intraocular lens and laser in situ keratomileusis: bioptics for extreme myopia. J Refract Surg 15:299–308PubMed

32.

Chang J, Lau S (2009) Toric implantable collamer lens for high myopic astigmatic Asian eyes. Ophthalmology 116:2340–2347PubMedCrossRef

33.

Alfonso JF, Fernández-Vega L, Fernandes P, González-Méijome JM, Montés-Micó R (2010) Collagen copolymer toric posterior chamber phakic intraocular lens for myopic astigmatism: one-year follow-up. J Cataract Refract Surg 36:568–576PubMedCrossRef

34.

Jiménez-Alfaro I, Benítez del Castillo JM, García-Feijoó J, Gil de Bernabé JG, Serrano de La Iglesia JM (2001) Safety of posterior chamber phakic intraocular lenses for the correction of high myopia: anterior segment changes after posterior chamber phakic intraocular lens implantation. Ophthalmology 108:90–99PubMedCrossRef

Title: Toric implantable collamer lens for moderate to high myopic astigmatism: 3-year follow-up
Authors: Esin Sogutlu Sari
David P. Pinero
Anil Kubaloglu
Pinar Sorgun Evcili
Arif Koytak
Isil Kutlutürk
Yusuf Ozerturk
Publication date: 01-05-2013
Publisher: Springer-Verlag
Published in: Graefe's Archive for Clinical and Experimental Ophthalmology / Issue 5/2013
Print ISSN: 0721-832X
Electronic ISSN: 1435-702X
DOI: https://doi.org/10.1007/s00417-012-2172-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Toric implantable collamer lens for moderate to high myopic astigmatism: 3-year follow-up

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

Please log in to get access to this content

Other articles of this Issue 5/2013

A case of self-insertion of a foreign object into the lacrimal sac

Severe ulcerative keratitis in ocular cowpox infection

Optical quality of the Visian Implantable Collamer Lens for different refractive powers

Comparison of Spectralis-OCT, GDxVCC and GDxECC in assessing retinal nerve fiber layer (RNFL) in glaucomatous patients

Reconstruction of orbital defects by implantation of antigen-free bovine cancellous bone scaffold combined with bone marrow mesenchymal stem cells in rats

Influence of sutureless 23-gauge sclerotomy architecture on postoperative intraocular pressure decrease: results of a multivariate analysis