Anterior Chamber Angle Evaluation following Phakic Posterior Chamber Collamer Lens with CentraFLOW and Its Correlation with ICL Vault and Intraocular Pressure

Purpose. To assess intraocular pressure (IOP), lens vaulting, and anterior chamber (AC) angle width, following V4C implantable Collamer lens (ICL) procedure for myopic refractive error. Methods. A prospective case series that enrolled 54 eyes of 27 patients that were evaluated before and after V4C p...

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Bibliographic Details
Published in:Journal of Ophthalmology 2016-01, Vol.2016 (2016), p.100-106-012
Main Authors: Eissa, Sherif A., El-Deeb, Mohamed W. A., Sadek, Sherin H.
Format: Article
Language:English
Subjects:
Cataracts
Clinical Study
Cornea
Eye
Glaucoma
Intraocular lenses
Physiological aspects
Refractive errors
Software
Surgeons
Tomography
Variance analysis
Viscoelasticity
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Summary:Purpose. To assess intraocular pressure (IOP), lens vaulting, and anterior chamber (AC) angle width, following V4C implantable Collamer lens (ICL) procedure for myopic refractive error. Methods. A prospective case series that enrolled 54 eyes of 27 patients that were evaluated before and after V4C phakic posterior chamber Collamer lens implantation for correction of myopic refractive error. Preoperative measurement of IOP was done using Goldmann applanation tonometer and anterior chamber angle width using both Van Herick slit lamp grading system and Scheimpflug tomography imaging (Oculus Pentacam). Follow-up of the aforementioned variables was at 1, 6, and 18 months postoperatively, together with ICL vault measurements. Results. The mean baseline IOP of 11.69±2.15 showed a statistically significant (P=0.002) increase after 1 month that remained unchanged at 6 and 18 months postoperatively, with mean value of 16.07±4.12, 16.07±4.10, and 16.07±4.13, respectively. Pentacam AC angle width showed a statistically significant decrease at 1 (P=0.025), 6 (P=0.016), and 18 (P=0.010) months postoperatively, with mean preoperative value of 40.14±5.49 that decreased to 25.28±5.33, 25.46±5.44, and 25.49±5.38, at 1, 6, and 18 months, respectively. Mean ICL vault showed moderate correlation with Pentacam AC angle width at 1 (r=-0.435) and 6 (r=-0.424) months. Conclusion. V4C ICL implantation resulted in decrease in AC angle width and increase in IOP, within acceptable physiological values at all time points.
ISSN:2090-004X
2090-0058
DOI:10.1155/2016/1383289