Abstract
Purpose
To assess the clinical outcomes and patient satisfaction after simultaneous Implantable Collamer Lens (ICL) removal and phacoemulsification with intraocular lens (IOL) implantation in ICL-implanted eyes with developing cataracts.
Methods
We retrospectively reviewed the clinical charts of 10 eyes of eight patients who developed significant cataract after ICL implantation. Patient age was 47.2±5.9 (mean±SD) years (range, 37–57 years). We determined visual acuity (log MAR), manifest refraction, endothelial cell density, and subjective satisfaction with visual outcomes measured using a visual analogue scale, that ranged from 0 (very dissatisfied) to 10 (very satisfied), before and 3 months after cataract surgery.
Results
Log MAR best spectacle-corrected visual acuity was significantly improved from 0.19±0.30 preoperatively to −0.06±0.07 postoperatively (P=0.007, Wilcoxon signed-rank test). Eight (80%) and nine (90%) of the 10 eyes were within 0.5 D (diopter) and 1.0 D of the targeted correction, respectively. The endothelial cell density was 2584.9±266.2 cells/mm2 preoperatively, and 2340.1±269.7 cells/mm2 postoperatively. The overall satisfaction with visual outcomes was scored 1.8±1.1 (range: 0–3) preoperatively, and 7.9±1.4 (range: 6–10) postoperatively. No vision-threatening complications were seen throughout the follow-up period.
Conclusions
Simultaneous ICL removal and phacoemulsification with IOL implantation was safe and effective with predictable refractive results, and thus yielded a high level of patient satisfaction with ICL-induced cataract treatment.
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Kamiya, K., Shimizu, K., Igarashi, A. et al. Clinical outcomes and patient satisfaction after Visian Implantable Collamer Lens removal and phacoemulsification with intraocular lens implantation in eyes with induced cataract. Eye 24, 304–309 (2010). https://doi.org/10.1038/eye.2009.87
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DOI: https://doi.org/10.1038/eye.2009.87
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