Clinical outcomes of a modified ophthalmic viscosurgical device-free implantable collamer lens implantation

Chuqiao Wang; Qi Yu; Qimin Zhou; Fang Li; Jibo Zhou

doi:10.4103/IJO.IJO_2859_23

Clinical outcomes of a modified ophthalmic viscosurgical device-free implantable collamer lens implantation

Indian J Ophthalmol. 2024 May 20. doi: 10.4103/IJO.IJO_2859_23. Online ahead of print.

Authors

Chuqiao Wang^{1

2}, Qi Yu^{1

3}, Qimin Zhou⁴, Fang Li^{1

5}, Jibo Zhou^{1

5}

Affiliations

¹ Department of Ophthalmology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
² Department of Ophthalmology, Shanghai Tenth People's Hospital Affiliated to Tongji University, Shanghai, China.
³ Department of Ophthalmology, Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, China.
⁴ Department of Plastic and Reconstructive Surgery, Shanghai Key Laboratory of Tissue Engineering, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
⁵ College of Health Science and Technology, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

PMID: 38767536
DOI: 10.4103/IJO.IJO_2859_23

Abstract

Purpose: To investigate the efficacy and safety of a modified dual-incision ophthalmic viscosurgical device-free (OVD-free) method for implantable collamer lens (ICL) implantation in high myopic eyes.

Methods: A total of 68 participants were enrolled in this prospective randomized clinical trial, including 33 in the OVD-free group and 35 in the standard group. Operation time and intraocular pressure (IOP) at 2 hours postoperatively were recorded. Visual acuity, refractive power, IOP, corneal endothelium parameters, and anterior segment parameters were assessed at 1 day, 1 week, 1 month, 3 months, and 6 months postoperatively. Postoperative subjective visual quality at 3 months was recorded through a Quality of Vision (QoV) questionnaire.

Results: No significant differences in visual acuity, refractive outcomes, and corneal endothelial parameters were found, while the operation time was significantly shorter in the OVD-free group. Both groups showed a significant increase in IOP at 2 hours after surgery, but the increase in the OVD-free group was significantly smaller than that in the standard group. In addition, the frequency of ring-shaped dysphotopsia in the OVD-free group (15.15%) was significantly lower than that in the standard group (40%), and the severity and annoyance of this symptom were also significantly lower in the OVD-free group.

Conclusion: The modified OVD-free ICL implantation is a safe, effective, and predictable method for myopia correction, which could be a better choice for short surgery time, better subjective visual perception, and low occurrence of IOP elevation.