Predictability of the vault after posterior chamber phakic intraocular lens implantation using anterior segment optical coherence tomography.

Abstract:

PURPOSE:To determine whether vault measurements after placement of a hole implantable collamer lens (hole ICL) (KS-AquaPORT) can be predicted by angle-to-angle (ATA) and white-to-white (WTW) measurements obtained with anterior segment optical coherence tomography (AS-OCT). SETTING:Sanno Hospital, Tokyo, Japan. DESIGN:Retrospective case series. METHODS:Eyes were observed for 3 months after hole ICL implantation for myopia or myopic astigmatism. Central vault, ATA, and WTW measurements were obtained before and after surgery using the swept-source AS-OCT CASIA2 system. RESULTS:The study included 44 eyes (23 patients). The mean patient age and preoperative spherical equivalent, ATA, and WTW values were 36.2 years ± 8.8 (SD), -6.23 ± 3.41 diopters (D), 12.03 ± 0.40 mm, and 11.72 ± 0.40 mm, respectively. The safety index and efficacy index 3 months postoperatively were 1.13 ± 0.21 and 0.91 ± 0.30, respectively. Regarding predictability, 93.2% of eyes were within ±0.50 D of the attempted correction and all eyes were within ±1.00 D. The reproducibility coefficients for the ATA distance and WTW distance were 0.998 and 0.960, respectively. The mean postoperative central vault was 491.6 ± 189.5 μm. There was a significant correlation between postoperative vault and the ICL size and ATA distance (Spearman rank correlation coefficient r = 0.59, P < .001) but not between the ICL size and WTW distance (r = 0.27, P = .08). CONCLUSION:The ATA measurements had higher reproducibility than the WTW measurements on AS-OCT, making it is a more important predictor of postoperative vault.

authors

Igarashi A,Shimizu K,Kato S,Kamiya K

doi

10.1016/j.jcrs.2019.02.020

subject

Has Abstract

pub_date

2019-08-01 00:00:00

pages

1099-1104

issue

8

eissn

0886-3350

issn

1873-4502

pii

S0886-3350(19)30140-3

journal_volume

45

pub_type

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