Immediate Sequential Bilateral Implantable Collamer Lens Surgery Is Safe and Effective.
J Refract Surg
; 40(5): e313-e320, 2024 May.
Article
em En
| MEDLINE
| ID: mdl-38717079
ABSTRACT
PURPOSE:
To assess the clinical outcomes and safety profiles of patients who underwent immediate sequential bilateral phakic lens surgery.METHODS:
This retrospective multicenter study included 254 consecutive patients (508 eyes) who underwent bilateral same-day Implantable Collamer Lens (ICL) (STAAR Surgical) surgery. The authors focused on 1-year postoperative clinical outcomes and adverse events.RESULTS:
In the initial cohort, 176 patients (352 eyes) met inclusion criteria. Of these, 335 eyes underwent myopic ICL placement, and 17 eyes received a hyperopic ICL. Notably, 87% of eyes achieved ±0.50 diopters (D) and 95% achieved ±1.00 D of the intended refraction. One year postoperatively, 78% of eyes demonstrated optimal vaulting (250 to 750 µm), with a significant 19% reduction in vaulting observed over the 12 months (P < .001). Only minor adverse events, including early cataract formation (1 case), secondary toric ICL rotation (3 cases), and ICL exchange due to inappropriate vaulting (6 cases), were noted.CONCLUSIONS:
The findings corroborate the safety and efficacy of immediate sequential bilateral phakic lens surgery and indicate its potential as a treatment option. The low incidence of minor adverse events further reinforces its favorable safety profile. [J Refract Surg. 2024;40(5)e313-e320.].
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Refração Ocular
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Acuidade Visual
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Implante de Lente Intraocular
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Lentes Intraoculares Fácicas
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Hiperopia
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Miopia
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article