Long-Term Outcomes of Retinal Detachment in Phakic Eyes After Implantation of Implantable Collamer Lens V4c for High Myopia Correction
Aim: To estimate whether implantable collamer lens (V4c ICL) implantation increases the risk of retinal detachment in high myopia comparing with myopes with Rigid Gas-Permeable (RGP) correction.Methods: This prospective study was comprised of an ICL group (704 eyes) and an RGP group (628 eyes). Pati...
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Frontiers Media S.A.
2020-12-01
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| Series: | Frontiers in Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2020.582633/full |
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| author | Weiwei Xu Zhou Song Yifei Huang Ye Tao Junqing Wang Liqiang Wang Zhaohui Li |
| author_facet | Weiwei Xu Zhou Song Yifei Huang Ye Tao Junqing Wang Liqiang Wang Zhaohui Li |
| author_sort | Weiwei Xu |
| collection | DOAJ |
| description | Aim: To estimate whether implantable collamer lens (V4c ICL) implantation increases the risk of retinal detachment in high myopia comparing with myopes with Rigid Gas-Permeable (RGP) correction.Methods: This prospective study was comprised of an ICL group (704 eyes) and an RGP group (628 eyes). Patients were enrolled according to the inclusion criteria and exclusion criteria, then divided into the ICL group and RGP group. Patients in the ICL and RGP groups received V4c ICL implantation and RGP fitting respectively. Retinal details, spherical equivalent refraction (SE), uncorrected distance visual acuity (UDVA), corrected distance vision acutivity (CDVA), axis length (AL), anterior chamber depth (ACD) and other relevant parameters were recorded at different time points. Rhegmatogenous retinal detachment (RRD) morbidity and incidence, RRD morphology and relevant parameters were analyzed.Results: All enrolled patients were followed for 3–6 years. Patients characteristics before the refractive procedure did not show a statistical difference. At the end of the follow up, all the RD cases were RRD. The RRD morbidity of the ICL group and RGP group was 1.99% (14 eyes) and 0.96% (6 eyes) respectively, which did not show statistical difference (P = 0.12). During the first year after refractive procedure, the RRD incidence of the ICL group was 0.85% (6/704), while this number of the RGP group was 0.16% (1/628). It did not show statistical difference (P = 0.08).Conclusion: Compared with RGP fitting, V4c ICL implantation for high myopia correction does not add RRD risk in the long term. V4c ICL implantation is a safe method for high myopia correction. |
| first_indexed | 2024-12-22T20:25:06Z |
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| language | English |
| last_indexed | 2024-12-22T20:25:06Z |
| publishDate | 2020-12-01 |
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| series | Frontiers in Medicine |
| spelling | doaj.art-01d5956bcf57478584c4b20ae80569572022-12-21T18:13:44ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2020-12-01710.3389/fmed.2020.582633582633Long-Term Outcomes of Retinal Detachment in Phakic Eyes After Implantation of Implantable Collamer Lens V4c for High Myopia CorrectionWeiwei Xu0Zhou Song1Yifei Huang2Ye Tao3Junqing Wang4Liqiang Wang5Zhaohui Li6Department of Ophthalmology, Chinese People's Liberation Army General Hospital, Beijing, ChinaDepartment of General Surgery, Chinese People's Liberation Army General Hospital, Beijing, ChinaDepartment of Ophthalmology, Chinese People's Liberation Army General Hospital, Beijing, ChinaDepartment of Ophthalmology, Henan Provincial People's Hosptial, Zhengzhou, ChinaDepartment of Ophthalmology, Chinese People's Liberation Army General Hospital, Beijing, ChinaDepartment of Ophthalmology, Chinese People's Liberation Army General Hospital, Beijing, ChinaDepartment of Ophthalmology, Chinese People's Liberation Army General Hospital, Beijing, ChinaAim: To estimate whether implantable collamer lens (V4c ICL) implantation increases the risk of retinal detachment in high myopia comparing with myopes with Rigid Gas-Permeable (RGP) correction.Methods: This prospective study was comprised of an ICL group (704 eyes) and an RGP group (628 eyes). Patients were enrolled according to the inclusion criteria and exclusion criteria, then divided into the ICL group and RGP group. Patients in the ICL and RGP groups received V4c ICL implantation and RGP fitting respectively. Retinal details, spherical equivalent refraction (SE), uncorrected distance visual acuity (UDVA), corrected distance vision acutivity (CDVA), axis length (AL), anterior chamber depth (ACD) and other relevant parameters were recorded at different time points. Rhegmatogenous retinal detachment (RRD) morbidity and incidence, RRD morphology and relevant parameters were analyzed.Results: All enrolled patients were followed for 3–6 years. Patients characteristics before the refractive procedure did not show a statistical difference. At the end of the follow up, all the RD cases were RRD. The RRD morbidity of the ICL group and RGP group was 1.99% (14 eyes) and 0.96% (6 eyes) respectively, which did not show statistical difference (P = 0.12). During the first year after refractive procedure, the RRD incidence of the ICL group was 0.85% (6/704), while this number of the RGP group was 0.16% (1/628). It did not show statistical difference (P = 0.08).Conclusion: Compared with RGP fitting, V4c ICL implantation for high myopia correction does not add RRD risk in the long term. V4c ICL implantation is a safe method for high myopia correction.https://www.frontiersin.org/articles/10.3389/fmed.2020.582633/fullmyopiaphakic intraocular lensV4crhegmatogenous retinal detachmentincidencemorbidity |
| spellingShingle | Weiwei Xu Zhou Song Yifei Huang Ye Tao Junqing Wang Liqiang Wang Zhaohui Li Long-Term Outcomes of Retinal Detachment in Phakic Eyes After Implantation of Implantable Collamer Lens V4c for High Myopia Correction Frontiers in Medicine myopia phakic intraocular lens V4c rhegmatogenous retinal detachment incidence morbidity |
| title | Long-Term Outcomes of Retinal Detachment in Phakic Eyes After Implantation of Implantable Collamer Lens V4c for High Myopia Correction |
| title_full | Long-Term Outcomes of Retinal Detachment in Phakic Eyes After Implantation of Implantable Collamer Lens V4c for High Myopia Correction |
| title_fullStr | Long-Term Outcomes of Retinal Detachment in Phakic Eyes After Implantation of Implantable Collamer Lens V4c for High Myopia Correction |
| title_full_unstemmed | Long-Term Outcomes of Retinal Detachment in Phakic Eyes After Implantation of Implantable Collamer Lens V4c for High Myopia Correction |
| title_short | Long-Term Outcomes of Retinal Detachment in Phakic Eyes After Implantation of Implantable Collamer Lens V4c for High Myopia Correction |
| title_sort | long term outcomes of retinal detachment in phakic eyes after implantation of implantable collamer lens v4c for high myopia correction |
| topic | myopia phakic intraocular lens V4c rhegmatogenous retinal detachment incidence morbidity |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2020.582633/full |
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