Analysis of perioperative problems related to intraocular Implantable Collamer Lens (ICL) implantation

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Abstract

Purpose

To introduce a modified procedure of ICL implantation, to summarize the perioperative problems and their corresponding treatment after myopia correction with Implantable Collamer Lens (ICL), and to compare the difference of complications between the no-hole ICL and hole ICL.

Methods

We searched all articles on ICL-related perioperative problems and their corresponding treatment in Scopus, Embase, PubMed and Web of Science databases for the last 22 years.

Results

ICL implantation is safe, effective, stable and predictable in the correction of myopia, hyperopia and astigmatism, but can also cause a series of perioperative problems, including intraoperative and postoperative complications.

Conclusion

There are many kinds of complications related to ICL, but the common intraoperative and postoperative complications mainly include abnormality of arch height, abnormal position of ICL, loss of corneal endothelial cells and corneal decompensation, high intraocular pressure and secondary glaucoma, cataract and night vision symptoms. Compared with ICL without central pore, the incidence of complications such as loss of corneal endothelial cells and corneal decompensation, high intraocular pressure and secondary glaucoma and cataract was relatively lower in central hole ICL, while postoperative complications such as night vision symptoms were obvious.

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Most cited references 190

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Implantable collamer posterior chamber intraocular lenses: a review of potential complications.

Marcus Paulo Fernandes Amarante, Roberta J. B. Jorge, Robert Montés-Micó … (2011)

To review the peer-reviewed literature reporting postoperative complications of the most recent models of Visian Implantable Collamer posterior chamber intraocular lenses (ICL, STAAR Surgical Co). A literature search of the PubMed database was performed to identify all articles related to ICL complications. Articles were obtained and reviewed to identify those that reported complications using the latest ICL designs. Cataract was the major postoperative complication reported: 136 (5.2%) in 2592 eyes. Of those, 43.4% (n=59) were reported within 1 year, 15.4% (n=21) between 1 and 3 years, and 35.3% (n=48) ≥ 3 years after ICL implantation. Twenty-one (15.4%) cataracts were reported as surgically induced, 46 (33.8%) eyes had poor vault (<200 μm), and cataract surgery was carried out in 27.9% (n=38) of eyes. Early acute intraocular pressure increase was also reported to be relatively frequent, whereas acute pupillary block was less frequent and mostly resolved with additional iridotomies. A total of 42 ICLs were explanted due to cataract and IOP. Reported endothelial cell loss varied from 9.9% at 2 years to 3.7% 4 years postoperatively. This loss was reported to be more pronounced within the first 1 to 2 years, with stability or lower progression after that time. The majority of reported complications after ICL implantation are cataract formation. The improvements in lens geometry and more accurate nomograms applied to the selection of the lens to be implanted, in addition to the surgeon's learning curve, might be factors in the decreased occurrence of postoperative complications reported currently. Copyright 2011, SLACK Incorporated.

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Eight-year follow-up of posterior chamber phakic intraocular lens implantation for moderate to high myopia.

Akihito Igarashi, Kimiya Shimizu, Kazutaka Kamiya (2014)

To assess the long-term clinical outcomes of Implantable Collamer Lens (Visian ICL; STAAR Surgical) implantation for moderate to high myopia.

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Posterior chamber phakic intraocular lens implantation: comparative, multicentre study in 351 eyes with low-to-moderate or high myopia

Akihito Igarashi, Kimiya Shimizu, Kazutaka Kamiya … (2018)

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Author and article information

Contributors

Hao Zhang: Haucheung@163.com

Rui Gong: hzdhk@qq.com

Xiaolan Zhang: 125557288@qq.com

Yingping Deng: dyp558@163.com

Journal

Journal ID (nlm-ta): Int Ophthalmol

Journal ID (iso-abbrev): Int Ophthalmol

Title: International Ophthalmology

Publisher: Springer Netherlands (Dordrecht )

ISSN (Print): 0165-5701

ISSN (Electronic): 1573-2630

Publication date (Electronic): 22 June 2022

Publication date PMC-release: 22 June 2022

Publication date (Print): 2022

Volume: 42

Issue: 11

Pages: 3625-3641

Affiliations

GRID grid.13291.38, ISNI 0000 0001 0807 1581, Department of Ophthalmology, West China Hospital, , Sichuan University, ; No.37, Guoxue Xiang, Chengdu, 610041 Sichuan China

Article

Publisher ID: 2355

DOI: 10.1007/s10792-022-02355-w

PMC ID: 9587946

PubMed ID: 35731355

SO-VID: 4f8c43cc-9f90-45aa-870c-b9aa6c7ee7e7

License:

Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.