| Outcomes after Implantable Contact Lens for Moderate to High Myopia. |
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Yeoun Sook Chun, Jong Ho Lee, Jae Myung Lee, Woon Bong Jwa, Soon Jae Hong, Yu Hwan Lee, In Ki Park |
1Chungdam BalGeunSeSang Eye Clinic, Seoul, Korea. yschun100@hanmail.net
2Eyence Eye Clinic, Korea.
3Pusan BalGeunSeSang Eye Clinic, Korea.
4Department of Ophthalmology, College of Medicine, Kyoung Hee University, Korea. |
| 중등도 이상의 근시환자에서 ICL (Implantable Contact Lens) 수술의 임상결과 |
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전연숙 ( Jeon Yeon Sug ) , 이종호 ( Lee Jong Ho ) , 이제명 ( Lee Je Myeong ) , 좌운봉 ( Jwa Un Bong ) , 홍순재 ( Hong Sun Jae ) , 이유환 ( Lee Yu Hwan ) , 박인기 ( Park In Gi ) |
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| Abstract |
PURPOSE
To evaluate the efficacy, safety, predictability and subjective symptoms of the implantable contact lens to treat moderate to high myopia. METHODS: A Staar Collamer posterior chamber phakic IOL was implanted in 83 eyes of 44 patients with spherical equivalent -10.10D (-3.87~-19.37D). Uncorrected visual acuity (UCVA), best corrected visual acuity (BCVA), refraction, adverse events, subjective quality of vision and satisfaction were evaluated. Mean follow-up was 4.9 months (3~9 months). RESULTS: All patients had a UCVA of 0.7 or better, and 61.4% had UCVA of 1.0 or better. Gains of 2 or more lines of BCVA occurred in 15 eyes (18.1%). Mean spherical equivalent refraction at postoperative 3 months was -0.37D (+0.25~-1.75D) and remained stable. There was no change in cylinder diopters. 81.9% of eyes were within +/-0.5D, and 97.6% were within +/-1.0D of predicted refraction. Glare and halo was observed in 5 eyes (6%) after laser iridotomy, lens flipping in 1 eye (1.2%), corneal edema in 2eyes (2.4%), drug induced ocular hypertension in 4eyes (4.8%). There was no case of cataract, glaucoma, retinal detachment, and lens dislocation. There was significant decrease of pupil diameter at postoperative 1 month and decreased pupil diameter was maintained until the last examination. Generally patient satisfaction was very good. But, some patients reported poor in the category of glare and halo. CONCLUSIONS: ICL implantation had good visual, refractive results, and stability. Long term follow-up is required to confirm the significant complications that do not occur in most patients over time. |
| Key Words:
Implantable contact lens;Myopia;Quality of vision |
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