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Juan Antonio De la Campa, Regina Velasco, Oscar Baca, Alejandro Babayan, Cristina Pacheco Del Valle, Elisa Dessire Alegria, Oscar Fernandez; Results of Toric ICL Phakic lens implantation at Fundación Hospital Nuestra Señora de la Luz, IAP. Invest. Ophthalmol. Vis. Sci. 2014;55(13):1540.
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© ARVO (1962-2015); The Authors (2016-present)
To describe the results of the Toric ICL Phakic lens implantation and to report the complications in a case series study at the Fundación Hospital Nuestra Señora de la Luz, IAP.
Descriptive case serial study design of patients subjected to Toric ICL V4c model for the correction of myopic astigmatism. We included patients of 18 years or older, who met the following criteria: refractive stability, endothelial cell count more than 2,000 cels/mm2, open angle in 4 quadrants, anterior chamber depth more than 3 mm and that were excluded to perform Excimer laser refractive surgery due a to high refractive error and thin cornea. We measured preoperative uncorrected visual acuity (UCVA), best spectacle corrected visual acuity (BSCVA), manifest and cycloplegic refraction, intraocular pressure, gonioscopy, corneal topography (Orbscan IIz), anterior chamber depth (OCT Visante) and specular microscopy; all this data were also obtained at 6 months postoperative. We also measured the postoperative vault with OCT Visante.
Eight eyes were enrolled in the study. The mean preoperative: refractive error in terms of spherical equivalent (SE) was -13.6 D (-7.25 D to -18.00 D), uncorrected visual acuity 1.37 logMAR, intraocular pressure 13.75 mmHg and endothelial density was 2705 cels/mm2. The mean postoperative: SE was -1.28 D (+0.25 to -2.50 D), uncorrected visual acuity was 0.16 logMAR, intraocular pressure 16.2 mmHg (13 to 18 mmHg) and endothelial density was 2702 cels/mm2. The mean vault presented in the patients was 0.55 mm (0.42 mm to 0.86 mm). Seventy five percent of the eyes included reached a visual acuity of 0.30 logMAR or more. None patient lost a line of vision compared with the preoperative and postoperative BCVA. The most common complication was the increase in intraocular pressure.
In our series, as previously described, the toric ICL lens implantation was an effective method to correct moderate to high myopia and we did not experience any major complication.
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