April 2009
Volume 50, Issue 13
ARVO Annual Meeting Abstract  |   April 2009
Long Term Follow-Up After Intraocular Contact Lens (icl) Implantation
Author Affiliations & Notes
  • G. Schmidinger
    Ophthalmology, Medical University of Vienna, Vienna, Austria
  • C. Skorpik
    Ophthalmology, Medical University of Vienna, Vienna, Austria
  • S. Pieh
    Ophthalmology, Medical University of Vienna, Vienna, Austria
  • Footnotes
    Commercial Relationships  G. Schmidinger, None; C. Skorpik, None; S. Pieh, None.
  • Footnotes
    Support  None.
Investigative Ophthalmology & Visual Science April 2009, Vol.50, 5615. doi:
  • Views
  • Share
  • Tools
    • Alerts
      This feature is available to authenticated users only.
      Sign In or Create an Account ×
    • Get Citation

      G. Schmidinger, C. Skorpik, S. Pieh; Long Term Follow-Up After Intraocular Contact Lens (icl) Implantation. Invest. Ophthalmol. Vis. Sci. 2009;50(13):5615.

      Download citation file:

      © ARVO (1962-2015); The Authors (2016-present)

  • Supplements

Purpose: : To evaluate long term safety, central vaulting and rate of complication in patients after ICL implantation.

Methods: : This consecutive case series included 85 eyes with moderate to high myopia after ICL (model V4) implantation. Patients were examined preoperatively, at 1 week, 1 month, 3 months, 6 months, and yearly thereafter.We evaluated subjective refraction (spherical equivalent - SA), uncorrected visual acuity, best corrected visual acuity (BCVA), near visual acuity, intraocular pressure (IOP), central vaulting (measured with a Jaeger II device and the VISANTE OCT), variation in endothelial cell density and adverse events. Main autcome measure were central vaulting, BCVA, and rate of complication.

Results: : Mean follow-up was 74.1 ± 23.1 months (26 to 124 months). preoperative SA was -16.31 ± 5.43 dpt (range -7.75 to -31.75 dpt), mean preoperative BCVA was 0.52 ± 0.24. The SA was reduced postoperatively (1 month) to -0.97 ± 1.95 dpt, BCVA increased to 0.71 ± 0.93. The SA remained stable throughout the study period. Mean endothelial cell density showed an early reduction after implantation followed by a continuous slow decline. Central vaulting decreased from 456 ± 215 µm after one week to 187 ± 172 µm after ten years. Patientes with higher lens rises had lower central vaulting. ICL removal due to secundary cataract development was performed in 16.2% of the cases after ten years.

Keywords: myopia • intraocular lens • refractive surgery: phakic IOL 

This PDF is available to Subscribers Only

Sign in or purchase a subscription to access this content. ×

You must be signed into an individual account to use this feature.