有晶状体眼后房型人工晶状体植入术后人工晶状体更换手术的短期临床效果

doi:10.3760/cma.j.issn.1674-845X.2018.07.009.

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Abstract

Objective: To observe the efficacy and safety of implantable collamer lens (ICL) replacement by phakic posterior chamber intraocular ICL. Methods: The research was based on the retrospective analysis of seven high myopia patients (10 eyes) who underwent ICL V4c replacement after phakic posterior chamber intraocular collamer lens implantation with a V4c centra flow lens in Chongqing Aier Ophthalmology Hospital from April 2015 to March 2016. The replacement was performed
because the vault size after the original lens implantation was less than 100 μm. All patients were followed for 6 months. The uncorrected visual acuity (UCVA), best corrected visual acuity (BCVA),vault, corneal endothelial cell density (ECD), pupil diameter, intraocular pressure (IOP), and lens opacities were observed. Repeated measures analysis of Variance and paired t-test were used to analyzed the data pre- and post-operation. Results: The UCVA (LogMAR) before the original ICL implantation was 1.52±0.29. Before the ICL replacement, the UCVA was 0.02±0.08, and at six months after replacement, the UCVA was 0.00±0.08. The difference was significant (F=230.08, P<0.001).The UCVA and BCVA at 6 months after ICL replacement surgery improved compared to the values
before lens replacement (P<0.05), but compared with before ICL replacement the difference was not statistically significant. Compared to BCVA ICL implantation before, UCVA 6 months after ICL replacement surgery equal to or better than BCVA before ICL implantation for all 10 eyes. Prior to replacement of the original lens, the vaults were 74 ± 25 μm. At six months after replacement, the vaults were 410 ± 175 μm (t=5.93, P<0.001), which was close to normal. There were no significant differences in ECD, pupil diameter, or IOP before the original implantation, before ICL replacement, and at the postoperative 6-month time. No cases of lens opacities occurred, and no serious complications were detected during the follow-up. Conclusions: For cases where the vault after phakic posterior chamber intraocular collamer lens implantation is too low, ICL replacement surgery is effective, but the long-term safety needs further observation.

Key words： phakic intraocular lenses vault intraocular lenses

Received: 22 July 2017

Corresponding Authors: Qizhi Zhou, Chongqing Aier Ophthalmology Hospital, Chongqing 400020, China(Email: zhouqizhi6931@sina.com)

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Hongxia Wang,Qizhi Zhou. Short-Term Clinical Observation of Implantable Collamer Lens Replacement of Phakic Posterior Chamber Intraocular Collamer Lens[J]. Chinese Journal of Optometry Ophthalmology and Visual science, 2018, 20(7): 437-441.

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https://www.cjoovs.com/EN/10.3760/cma.j.issn.1674-845X.2018.07.009. OR https://www.cjoovs.com/EN/Y2018/V20/I7/437

	vision-threatening complications of phakic intraocular lens
[1]	Sayman MIB, Kandemir B, Aydin OAY, et al. Long-term
	implantation for high myopia. Int J Ophthalmol, 2014, 7(2):
37	6-380. DOI: 10.3980/j.issn.2222-3959.2014.02.32.
	vision-threatening complications of phakic intraocular lens
[2]	Kamiya K, Shimizu K, Kobashi H, et a1．Three-year follow-up
	implantation for high myopia. Int J Ophthalmol, 2014, 7(2):
37	6-380. DOI: 10.3980/j.issn.2222-3959.2014.02.32.
	of posterior chamber toric phakic intraocular lens implantation
[2]	Kamiya K, Shimizu K, Kobashi H, et a1．Three-year follow-up
	for the correction of high myopic astigmatism in eyes with
	keratoconus．Br J Ophthalmol, 2015, 99(2): 177-183. DOI:
	of posterior chamber toric phakic intraocular lens implantation
10	1136/bjophthalmol-2014-305612.
	for the correction of high myopic astigmatism in eyes with
	keratoconus．Br J Ophthalmol, 2015, 99(2): 177-183. DOI:
[3]	王红霞, 周奇志, 高阳. 有晶状体眼后房型人工晶状体V4c
10	1136/bjophthalmol-2014-305612.
	植入术矫正高度近视的临床效果．中华眼视光学与视觉科
	学杂志, 2017, 19(8）: 476-481. DOI: 10.3760/cma.j.issn.1674-
[3]	王红霞, 周奇志, 高阳. 有晶状体眼后房型人工晶状体V4c
84	5X.2017.08.005.
	植入术矫正高度近视的临床效果．中华眼视光学与视觉科
	学杂志, 2017, 19(8）: 476-481. DOI: 10.3760/cma.j.issn.1674-
[4]	王晓瑛, 周行涛. 从忽视到重视—可植入式眼内镜的最新进
84	5X.2017.08.005.
	展及发展趋势．中华眼视光学与视觉科学杂志, 2015, 17(8):
44	9-452. DOI: 10.3760/cma.j.issn.1674-845X.2015.08.001.
[4]	王晓瑛, 周行涛. 从忽视到重视—可植入式眼内镜的最新进
[5]	Sanders DR. Anterior subcapsular opacities and cataracts 5
	展及发展趋势．中华眼视光学与视觉科学杂志, 2015, 17(8):
44	9-452. DOI: 10.3760/cma.j.issn.1674-845X.2015.08.001.
	years after surgery in the visian implantable collamer lens FDA
	trial．J Refract Surg, 2008, 24(6): 566-570. DOI: 10.1016/
[5]	Sanders DR. Anterior subcapsular opacities and cataracts 5
	j.ecolmodel.2005.06.004.
	years after surgery in the visian implantable collamer lens FDA
	trial．J Refract Surg, 2008, 24(6): 566-570. DOI: 10.1016/
[6]	Kamiya K, Shimizu K, Kawamorita T. Changes in vaulting
	j.ecolmodel.2005.06.004.
	and the effect on refraction after phakic posterior chamber
[6]	Kamiya K, Shimizu K, Kawamorita T. Changes in vaulting
	intraocular lens implantation．J Cataract Refract Surg, 2009,
35	(9): 1582-1586. DOI: 10.1016/j.jcrs.2009.03.052.
	and the effect on refraction after phakic posterior chamber
[7]	Schmidinger G, Lackner B, Pieh S, et al. Long-term changes
	intraocular lens implantation．J Cataract Refract Surg, 2009,
35	(9): 1582-1586. DOI: 10.1016/j.jcrs.2009.03.052.
	in posterior chamber phakic intraocular collamer lens vaulting
[7]	Schmidinger G, Lackner B, Pieh S, et al. Long-term changes
	in myopic patients. Ophthalmology, 2010, 117(8): 1506-1511.
	DOI: 10.1016/j.ophtha.2009.12.013.
	in posterior chamber phakic intraocular collamer lens vaulting
[8]	Alfonso JF, Fernández-Vega L, Lisa C, et al. Long-term
	in myopic patients. Ophthalmology, 2010, 117(8): 1506-1511.
	DOI: 10.1016/j.ophtha.2009.12.013.
	evaluation of the central vault after phakic Collamer? lens (ICL)
[8]	Alfonso JF, Fernández-Vega L, Lisa C, et al. Long-term
	implantation using OCT. Graefes Arch Clin Exp Ophthalmol,
20	12, 250(12): 1807-1812. DOI: 10.1007/s00417-012-1957-0.
	evaluation of the central vault after phakic Collamer? lens (ICL)
[9]	Seo JH, Kim MK, Wee WR, et al. Effects of white-to-white
	implantation using OCT. Graefes Arch Clin Exp Ophthalmol,
20	12, 250(12): 1807-1812. DOI: 10.1007/s00417-012-1957-0.
	diameter and anterior chamber depth on implantable collamer
[9]	Seo JH, Kim MK, Wee WR, et al. Effects of white-to-white
	lens vault and visual outcome. J Refract Surg, 2009, 25(8): 730-
	diameter and anterior chamber depth on implantable collamer
	738．
	lens vault and visual outcome. J Refract Surg, 2009, 25(8): 730-
[10]	Guber I, Bergin C, Perritaz S, et al. Correcting Interdevice Bias
	738．
	of Horizontal White-to-White and Sulcus-to-Sulcus Measures
[10]	Guber I, Bergin C, Perritaz S, et al. Correcting Interdevice Bias
	Used for Implantable Collamer Lens Sizing. Am J Ophthalmol,
20	16, 161: 116-125.e1. DOI: 10.1016/j.ajo.2015.09.037.
	of Horizontal White-to-White and Sulcus-to-Sulcus Measures
[11]	Gonvers M, Bornet C, Othenin-Girard P. Implantable contact
	Used for Implantable Collamer Lens Sizing. Am J Ophthalmol,
20	16, 161: 116-125.e1. DOI: 10.1016/j.ajo.2015.09.037.
	lens for moderate to high myopia: relationship of vaulting to
[11]	Gonvers M, Bornet C, Othenin-Girard P. Implantable contact
	cataract formation. J Cataract Refract Surg, 2003, 29(5): 918-
	lens for moderate to high myopia: relationship of vaulting to
	924.
	cataract formation. J Cataract Refract Surg, 2003, 29(5): 918-
[12]	Sheng XL, Rong WN, Jia Q, et a1. Outcomes and possible risk
	924.
	factors associated with axis alignment and rotational stability
[12]	Sheng XL, Rong WN, Jia Q, et a1. Outcomes and possible risk
	after implantation of the Toric implantable collamer lens for
	factors associated with axis alignment and rotational stability
	high myopic astigmatism. Int J Ophthalmol, 2012, 5(4): 459-465.
	DOI: 10.3980/j.issn.2222-3959.2012.04.10.
	after implantation of the Toric implantable collamer lens for
[13]	陈菲菲, 王晓瑛, 陈昕阳, 等. TICL植入术后人工晶状体旋转
	及其处理. 中国眼耳鼻喉科杂志, 2012, 12(4): 249-250. DOI:
	high myopic astigmatism. Int J Ophthalmol, 2012, 5(4): 459-465.
	DOI: 10.3980/j.issn.2222-3959.2012.04.10.
10	3969/j.issn.1671-2420.2012.04.020.
[13]	陈菲菲, 王晓瑛, 陈昕阳, 等. TICL植入术后人工晶状体旋转
	及其处理. 中国眼耳鼻喉科杂志, 2012, 12(4): 249-250. DOI:
[14]	Chun YS, Park IK, Lee HI, et a1. Iris and trabecular meshwork
10	3969/j.issn.1671-2420.2012.04.020.
	pigment changes after posterior chamber phakic intraocular lens
[14]	Chun YS, Park IK, Lee HI, et a1. Iris and trabecular meshwork
	implantation. J Cataract Refract Surg, 2006, 32(9): 1452-1458.
	DOI: 10.1016/j.jcrs.2006.04.023.
	pigment changes after posterior chamber phakic intraocular lens
[15]	Brandt JD, Mockovak ME, Chayet A. Pigmentary dispersion
	implantation. J Cataract Refract Surg, 2006, 32(9): 1452-1458.
	DOI: 10.1016/j.jcrs.2006.04.023.
	syndrome induced by a posterior chamber phakic refractive lens.
[15]	Brandt JD, Mockovak ME, Chayet A. Pigmentary dispersion
	Am J Ophthalmol, 2001, 131(2): 260-263.
	syndrome induced by a posterior chamber phakic refractive lens.
[16]	Lee DH, Choi SH, Chung ES, et al. Correlation between
	Am J Ophthalmol, 2001, 131(2): 260-263.
	preoperative biometry and posterior chamber phakic Visian
[16]	Lee DH, Choi SH, Chung ES, et al. Correlation between
	Implantable Collamer Lens vaulting. Ophthalmology, 2012,
11	9(2): 272-277. DOI: 10.1016/j.ophtha.2011.07.047.
	preoperative biometry and posterior chamber phakic Visian
[17]	Pop M, Payette Y, Mansour M. Predicting sulcus size using
	Implantable Collamer Lens vaulting. Ophthalmology, 2012,
11	9(2): 272-277. DOI: 10.1016/j.ophtha.2011.07.047.
	ocular measurements. J Cataract Refract Surg, 2001, 27(7):
[17]	Pop M, Payette Y, Mansour M. Predicting sulcus size using
10	33-1038.
	ocular measurements. J Cataract Refract Surg, 2001, 27(7):
[18]	晏丕松. 眼前节相干光断层扫描对人工晶状体屈光手术安全
10	33-1038.
	性的评估. 中山大学. 眼科学, 2010.
[18]	晏丕松. 眼前节相干光断层扫描对人工晶状体屈光手术安全
[19]	Baikoff G, Lutun E, Ferraz C, et al. Analysis of the eye's anterior
	性的评估. 中山大学. 眼科学, 2010.
	segment with optical coherence tomography. Static and dynamic
[19]	Baikoff G, Lutun E, Ferraz C, et al. Analysis of the eye's anterior
	study. J Fr Ophtalmol, 2005, 28(4): 343-352.
	segment with optical coherence tomography. Static and dynamic
[20]	Shimizu K, Kamiya K, Igarashi A, et al. Intraindividual
	study. J Fr Ophtalmol, 2005, 28(4): 343-352.
	comparison of visual performance after posterior chamber
[20]	Shimizu K, Kamiya K, Igarashi A, et al. Intraindividual
	phakic intraocular lens with and without a central hole
	comparison of visual performance after posterior chamber
	implantation for moderate to high myopia. Am J Ophthalmol,
20	12, 154(3): 486-494. DOI: 10.1016/j.ajo.2012.04.001.
	phakic intraocular lens with and without a central hole
[21]	Pineda-Fernández A, Jaramillo J, Vargas J, et al. Phakic posterior
	implantation for moderate to high myopia. Am J Ophthalmol,
20	12, 154(3): 486-494. DOI: 10.1016/j.ajo.2012.04.001.
	chamber intraocular lens for high myopia. J Cataract Refract
	Surg, 2004， 30(11): 2277-2283. DOI: 10.1016/j.jcrs.2004.03.035.
[21]	Pineda-Fernández A, Jaramillo J, Vargas J, et al. Phakic posterior
[22]	Edelhauser HF, Sanders DR, Azar R, et al. Corneal endothelial
	chamber intraocular lens for high myopia. J Cataract Refract
	Surg, 2004， 30(11): 2277-2283. DOI: 10.1016/j.jcrs.2004.03.035.
	assessment after ICL implantation. J Cataract Refract Surg,
20	04, 30(3): 576-583. DOI: 10.1016/j.jcrs.2003.09.047.
[22]	Edelhauser HF, Sanders DR, Azar R, et al. Corneal endothelial
[23]	Torun N, Bertelmann E, Klamann MK， et al. Posterior chamber
	assessment after ICL implantation. J Cataract Refract Surg,
20	04, 30(3): 576-583. DOI: 10.1016/j.jcrs.2003.09.047.
	phakic intraocular lens to correct myopia: long-term follow-up.
	J Cataract Refract Surg, 2013, 39(7): 1023-1028. DOI: 10.1016/
[23]	Torun N, Bertelmann E, Klamann MK， et al. Posterior chamber
	phakic intraocular lens to correct myopia: long-term follow-up.
	j.jcrs.2013.01.041.
	J Cataract Refract Surg, 2013, 39(7): 1023-1028. DOI: 10.1016/
	j.jcrs.2013.01.041.
[24]	Igarashi A, Shimizu K, Kamiya K. Eight-year follow-up of
	posterior chamber phakic intraocular lens implantation for
[24]	Igarashi A, Shimizu K, Kamiya K. Eight-year follow-up of
	posterior chamber phakic intraocular lens implantation for
	moderate to high myopia. Am J Ophthalmol, 2014, 157(3): 532-
53	9.e1. DOI: 10.1016/j.ajo.2013.11.006.
	moderate to high myopia. Am J Ophthalmol, 2014, 157(3): 532-
53	9.e1. DOI: 10.1016/j.ajo.2013.11.006.
[25]	谢秀丽. ICL晶状体更换手术的有效性与安全性探讨. 国际眼
	科杂志, 2013, 13(5): 939-940. DOI: 10.3980/j.issn.1672-5123.
[25]	谢秀丽. ICL晶状体更换手术的有效性与安全性探讨. 国际眼
	科杂志, 2013, 13(5): 939-940. DOI: 10.3980/j.issn.1672-5123.
20	13.05.29.
20	13.05.29.