Association between the site of clear corneal Phakic intraocular lens implantation incisions and the inflow of ocular surface fluid into the anterior chamber
BackgroundPosterior chamber phakic intraocular implantable collamer lens (ICL) implantation is an effective surgical option for the management of myopia. Over the past few years, the number of ICL surgeries has significantly increased. Postoperative inflammation and endophthalmitis are among the mos...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-02-01
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| Series: | Frontiers in Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2023.1063003/full |
| _version_ | 1828000217285263360 |
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| author | Huan Wan Huan Wan Yunhan Tao Jianan Duan Lin Wang Li Tang |
| author_facet | Huan Wan Huan Wan Yunhan Tao Jianan Duan Lin Wang Li Tang |
| author_sort | Huan Wan |
| collection | DOAJ |
| description | BackgroundPosterior chamber phakic intraocular implantable collamer lens (ICL) implantation is an effective surgical option for the management of myopia. Over the past few years, the number of ICL surgeries has significantly increased. Postoperative inflammation and endophthalmitis are among the most serious complications after successful ICL surgery. Sometimes, when the blepharospasm is removed at the end of surgery, a small amount of the ocular surface fluid will flow into the anterior chamber, which can lead to an increased risk of infection and inflammation. However, little attention has been paid to this phenomenon.PurposeWe conducted a retrospective study to compare the incidence of extraocular fluid inflow into the eye through the clear corneal incision (CCI) at two different positions (superior and temporal sides).MethodsA total of 116 patients with myopia underwent superior CCI ICL implantation (n = 58) or temporal CCI ICL implantation (n = 58) at our hospital from October to December 2021. The incidence of conjunctival sac fluid entering the anterior chamber after eyelid fixative was removed was compared in both groups.ResultsBoth groups were well matched in all parameters. Ocular surface fluid inflow into the anterior chamber was significantly higher in the superior CCI group (25/58, 47.1%) than in the temporal CCI group (1/58, 1.7%) (p < 0.05).ConclusionIn the patients with ICL implantation, the temporal CCI was better than the superior CCI in avoiding the ocular surface fluid inflow into the anterior chamber, and the potential risk of infection and inflammation was lower. |
| first_indexed | 2024-04-10T06:11:39Z |
| format | Article |
| id | doaj.art-42773a4126ff4ddcb6d812318259fde1 |
| institution | Directory Open Access Journal |
| issn | 2296-858X |
| language | English |
| last_indexed | 2024-04-10T06:11:39Z |
| publishDate | 2023-02-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Medicine |
| spelling | doaj.art-42773a4126ff4ddcb6d812318259fde12023-03-02T14:58:19ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2023-02-011010.3389/fmed.2023.10630031063003Association between the site of clear corneal Phakic intraocular lens implantation incisions and the inflow of ocular surface fluid into the anterior chamberHuan Wan0Huan Wan1Yunhan Tao2Jianan Duan3Lin Wang4Li Tang5Department of Ophthalmology, West China Hospital of Sichuan University, Chengdu, Sichuan, ChinaDepartment of Ophthalmology, People's Hospital of Meishan, Meishan, Sichuan, ChinaDepartment of Ophthalmology, West China Hospital of Sichuan University, Chengdu, Sichuan, ChinaDepartment of Ophthalmology, West China Hospital of Sichuan University, Chengdu, Sichuan, ChinaDepartment of Ophthalmology, West China Hospital of Sichuan University, Chengdu, Sichuan, ChinaDepartment of Ophthalmology, West China Hospital of Sichuan University, Chengdu, Sichuan, ChinaBackgroundPosterior chamber phakic intraocular implantable collamer lens (ICL) implantation is an effective surgical option for the management of myopia. Over the past few years, the number of ICL surgeries has significantly increased. Postoperative inflammation and endophthalmitis are among the most serious complications after successful ICL surgery. Sometimes, when the blepharospasm is removed at the end of surgery, a small amount of the ocular surface fluid will flow into the anterior chamber, which can lead to an increased risk of infection and inflammation. However, little attention has been paid to this phenomenon.PurposeWe conducted a retrospective study to compare the incidence of extraocular fluid inflow into the eye through the clear corneal incision (CCI) at two different positions (superior and temporal sides).MethodsA total of 116 patients with myopia underwent superior CCI ICL implantation (n = 58) or temporal CCI ICL implantation (n = 58) at our hospital from October to December 2021. The incidence of conjunctival sac fluid entering the anterior chamber after eyelid fixative was removed was compared in both groups.ResultsBoth groups were well matched in all parameters. Ocular surface fluid inflow into the anterior chamber was significantly higher in the superior CCI group (25/58, 47.1%) than in the temporal CCI group (1/58, 1.7%) (p < 0.05).ConclusionIn the patients with ICL implantation, the temporal CCI was better than the superior CCI in avoiding the ocular surface fluid inflow into the anterior chamber, and the potential risk of infection and inflammation was lower.https://www.frontiersin.org/articles/10.3389/fmed.2023.1063003/fullmyopiaphakic intraocular lens implantationclear corneal incisionanterior chamberintraocular inflammationendophthalmitis |
| spellingShingle | Huan Wan Huan Wan Yunhan Tao Jianan Duan Lin Wang Li Tang Association between the site of clear corneal Phakic intraocular lens implantation incisions and the inflow of ocular surface fluid into the anterior chamber Frontiers in Medicine myopia phakic intraocular lens implantation clear corneal incision anterior chamber intraocular inflammation endophthalmitis |
| title | Association between the site of clear corneal Phakic intraocular lens implantation incisions and the inflow of ocular surface fluid into the anterior chamber |
| title_full | Association between the site of clear corneal Phakic intraocular lens implantation incisions and the inflow of ocular surface fluid into the anterior chamber |
| title_fullStr | Association between the site of clear corneal Phakic intraocular lens implantation incisions and the inflow of ocular surface fluid into the anterior chamber |
| title_full_unstemmed | Association between the site of clear corneal Phakic intraocular lens implantation incisions and the inflow of ocular surface fluid into the anterior chamber |
| title_short | Association between the site of clear corneal Phakic intraocular lens implantation incisions and the inflow of ocular surface fluid into the anterior chamber |
| title_sort | association between the site of clear corneal phakic intraocular lens implantation incisions and the inflow of ocular surface fluid into the anterior chamber |
| topic | myopia phakic intraocular lens implantation clear corneal incision anterior chamber intraocular inflammation endophthalmitis |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2023.1063003/full |
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