Implantable collamer lens with a central hole for residual refractive error correction after corneal refractive surgery

Zhang,Jing; He,Fanglin; Liu,Yan; Fan,Xianqun

doi:10.3892/etm.2020.9289

Implantable collamer lens with a central hole for residual refractive error correction after corneal refractive surgery

Authors:
- Jing Zhang
- Fanglin He
- Yan Liu
- Xianqun Fan
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Affiliations: Department of Ophthalmology, Shanghai Key Laboratory of Orbital Diseases and Ocular Oncology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, P.R. China
Published online on: October 7, 2020 https://doi.org/10.3892/etm.2020.9289
Article Number: 160
Copyright: © Zhang et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

The present study aimed to assess the visual and refractive outcomes of an implantable collamer lens with a central hole (ICL V4c) for residual refractive error correction after corneal refractive surgery in individuals with myopia. A total of 16 eyes of eight consecutive patients with myopia undergoing ICL V4c implantation after corneal refractive surgery were investigated. The uncorrected visual acuity (VA) and best‑corrected VA were examined prior to surgery and at 1, 3 and 6 months after surgery. The post‑operative values of the modulation transfer function (MTF) cutoff frequency, Strehl ratio (SR), objective scattering index (OSI) and Optical Quality Analysis System (OQAS) values (OVs) were quantitatively assessed using an OQAS. At 6 months after surgery, the mean uncorrected LogMAR VA was 0.06±0.10 and the values had improved in 100% of the eyes. The mean MTF cutoff frequency, SR, OSI, OV 100%, OV 20% and OV 9%, were 31.294±4.321 cycles/degree, 0.187±0.039, 1.399±0.274, 1.066±0.261, 0.748±0.287 and 0.509±0.229, respectively. In conclusion, ICL V4c implantation for the correction of residual refractive error after corneal refractive surgery appeared feasible and safe and also had an excellent optical performance. However, long‑term changes in visual quality require further investigation.

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