Rhegmatogenous retinal detachment in highly myopic eyes with implantable collamer lens

AIM: To investigate the clinical characteristics, treatment methods and outcomes of rhegmatogenous retinal detachment (RRD) in highly myopic eyes with implantable collamer lens (ICL). METHODS: High myopia patients who received treatment for nontraumatic RRD after ICL implantation surgery at the Reti...

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Main Authors: Jun Li, Chong-Lin Chen, Jia-Qing Li, Xiao-Ling Liang, Chun Zhang
Format: Article
Language:English
Published: Press of International Journal of Ophthalmology (IJO PRESS) 2024-02-01
Series:International Journal of Ophthalmology
Subjects:
Online Access:http://ies.ijo.cn/en_publish/2024/2/20240224.pdf
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author Jun Li
Chong-Lin Chen
Jia-Qing Li
Xiao-Ling Liang
Chun Zhang
author_facet Jun Li
Chong-Lin Chen
Jia-Qing Li
Xiao-Ling Liang
Chun Zhang
author_sort Jun Li
collection DOAJ
description AIM: To investigate the clinical characteristics, treatment methods and outcomes of rhegmatogenous retinal detachment (RRD) in highly myopic eyes with implantable collamer lens (ICL). METHODS: High myopia patients who received treatment for nontraumatic RRD after ICL implantation surgery at the Retinal Department of Zhongshan Ophthalmic Center from Jan 2018 to Dec 2022 were reviewed. Comprehensive ophthalmologic examinations including visual acuity measurement and digital fundus photography were performed in each patient. RESULTS: A total of nine RRD eyes from nine patients who received V4c-ICL implantation were included. The mean time from ICL implantation surgery to the diagnosis of RRD was 32.44±22.56mo (range, 1-60mo). At the initial visit for RRD, giant retinal tear (GRT), horseshoe tear, simple round hole, and horseshoe tear combined with round hole were detected in 3, 3, 2, and 1 eye(s), respectively, with macula-off in eyes. Eight patients received surgical treatment, and one patient was treated by retinal laser photocoagulation alone. The ICL was preserved in 7 eyes. At the last follow-up, the mean best corrected visual acuity (BCVA) improved significantly from 1.76±1.06 logMAR at presentation to 0.81±1.01 logMAR (P=0.035), and no case of recurrent retinal detachment was found. CONCLUSION: The morphological presentation of retinal breaks is diverse in this study. The ICL can be preserved in most cases during the course of retinal detachment repair surgery in our data, companied with acceptable visual and anatomical outcomes.
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spelling doaj.art-03fdcafddbb94455ac673d6f9968ec832024-01-23T03:42:33ZengPress of International Journal of Ophthalmology (IJO PRESS)International Journal of Ophthalmology2222-39592227-48982024-02-0117239239610.18240/ijo.2024.02.2420240224Rhegmatogenous retinal detachment in highly myopic eyes with implantable collamer lensJun Li0Chong-Lin Chen1Jia-Qing Li2Xiao-Ling Liang3Chun Zhang4Chun Zhang. State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, No.7 Jinsui Road, Tianhe District, Guangzhou 510060, Guangdong Province, China. macular@126.comState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangzhou 510060, Guangdong Province, ChinaState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangzhou 510060, Guangdong Province, ChinaState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangzhou 510060, Guangdong Province, ChinaState Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangzhou 510060, Guangdong Province, ChinaAIM: To investigate the clinical characteristics, treatment methods and outcomes of rhegmatogenous retinal detachment (RRD) in highly myopic eyes with implantable collamer lens (ICL). METHODS: High myopia patients who received treatment for nontraumatic RRD after ICL implantation surgery at the Retinal Department of Zhongshan Ophthalmic Center from Jan 2018 to Dec 2022 were reviewed. Comprehensive ophthalmologic examinations including visual acuity measurement and digital fundus photography were performed in each patient. RESULTS: A total of nine RRD eyes from nine patients who received V4c-ICL implantation were included. The mean time from ICL implantation surgery to the diagnosis of RRD was 32.44±22.56mo (range, 1-60mo). At the initial visit for RRD, giant retinal tear (GRT), horseshoe tear, simple round hole, and horseshoe tear combined with round hole were detected in 3, 3, 2, and 1 eye(s), respectively, with macula-off in eyes. Eight patients received surgical treatment, and one patient was treated by retinal laser photocoagulation alone. The ICL was preserved in 7 eyes. At the last follow-up, the mean best corrected visual acuity (BCVA) improved significantly from 1.76±1.06 logMAR at presentation to 0.81±1.01 logMAR (P=0.035), and no case of recurrent retinal detachment was found. CONCLUSION: The morphological presentation of retinal breaks is diverse in this study. The ICL can be preserved in most cases during the course of retinal detachment repair surgery in our data, companied with acceptable visual and anatomical outcomes.http://ies.ijo.cn/en_publish/2024/2/20240224.pdfhigh myopiaimplantable collamer lensrhegmatogenous retinal detachment
spellingShingle Jun Li
Chong-Lin Chen
Jia-Qing Li
Xiao-Ling Liang
Chun Zhang
Rhegmatogenous retinal detachment in highly myopic eyes with implantable collamer lens
International Journal of Ophthalmology
high myopia
implantable collamer lens
rhegmatogenous retinal detachment
title Rhegmatogenous retinal detachment in highly myopic eyes with implantable collamer lens
title_full Rhegmatogenous retinal detachment in highly myopic eyes with implantable collamer lens
title_fullStr Rhegmatogenous retinal detachment in highly myopic eyes with implantable collamer lens
title_full_unstemmed Rhegmatogenous retinal detachment in highly myopic eyes with implantable collamer lens
title_short Rhegmatogenous retinal detachment in highly myopic eyes with implantable collamer lens
title_sort rhegmatogenous retinal detachment in highly myopic eyes with implantable collamer lens
topic high myopia
implantable collamer lens
rhegmatogenous retinal detachment
url http://ies.ijo.cn/en_publish/2024/2/20240224.pdf
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AT chonglinchen rhegmatogenousretinaldetachmentinhighlymyopiceyeswithimplantablecollamerlens
AT jiaqingli rhegmatogenousretinaldetachmentinhighlymyopiceyeswithimplantablecollamerlens
AT xiaolingliang rhegmatogenousretinaldetachmentinhighlymyopiceyeswithimplantablecollamerlens
AT chunzhang rhegmatogenousretinaldetachmentinhighlymyopiceyeswithimplantablecollamerlens