AIM:To determine the factors related to preoperative ocular characters that are predictive of insufficient vault(<250μm)after implantable collamer lens(ICL V4c;STAAR Surgical)implantation.METHODS:The participants ...AIM:To determine the factors related to preoperative ocular characters that are predictive of insufficient vault(<250μm)after implantable collamer lens(ICL V4c;STAAR Surgical)implantation.METHODS:The participants underwent ICL surgery and were divided into the low(<250μm)and normal(250-1000μm)vault groups based on the postoperative vault at 3mo.The preoperative biometric parameters and clinical outcomes were compared between the two groups.The relationship between the 3-month vault values and preoperative ocular parameters were evaluated by Generalized estimating equations.RESULTS:Sixteen(23 eyes)and 36 patients(63 eyes)were in the low and normal vault groups,respectively.All implantation procedures were uneventful with no cataract formation in the early postoperative period.The sulcusto-sulcus lens rise(STSL)and iris ciliary angle(ICA)were correlated with vault at 3mo after surgery.Every 0.1 mm increase in STSL was associated with 38.9μm decrease in the postoperative 3-month vault.A rise of 1 degree in ICA is associated with a reduction of 4μm in vault.CONCLUSION:Eyes with a narrow ciliary sulcus are associated with a higher rate of low vault after ICL implantation,suggesting a need for adjustments to the ICL size in these patients.Evaluating the characteristics of the ciliary sulcus contributes valuable information to predict low vault after surgery.展开更多
AIM：To compare the agreement of anterior chamber depth（ACD）and central vault measurements obtained by anterior segment optical coherence tomography（AS-OCT）and ultrasound biomicroscopy（UBM）of post surgical high ...AIM：To compare the agreement of anterior chamber depth（ACD）and central vault measurements obtained by anterior segment optical coherence tomography（AS-OCT）and ultrasound biomicroscopy（UBM）of post surgical high myopic eyes with posterior chamber phakic intraocular lens（Visian ICL;STAAR Surgical）implantation.·METHODS：Fifty-two phakic eyes of 28 high myopic patients who underwent implantable Collamer lens（ICL）surgery for the correction of high myopia were studied.The postoperative ACD,the distance between the corneal endothelium and the anterior surface of ICL（cornea-ICL）and the central vault were measured with the AS-OCT system and the UBM system.Intraclass correlation coefficient（ICC）and the Bland-Altman plot were used to evaluate the repeatability and agreement of two devices.·R ESULTS：The mean ACD,cornea-ICL and central vault in the 52 phakic eyes after ICL surgery was 3.19±0.28 mm,2.47±0.28 mm,0.50±0.19 mm by AS-OCT and3.13±0.25 mm,2.49±0.25 mm,0.44±0.19 mm by UBM,respectively.Pairwise comparison of ACD and central vault measurements showed significant differences between AS-OCT and UBM（〈0.05）.However,no statistically significant difference was found between these imaging techniques in cornea-ICL（〉0.05）.The Pearson correlation coefficient（）between AS-OCT and UBM measurements for ACD,cornea-ICL and vault was0.88,0.80 and 0.89,respectively（〈0.001）.The ICC was0.89-0.94 for the measurements of AS-OCT and UBM.Bland-Altman analysis showed the 95%limits of agreement of ACD,cornea-ICL,central vault measurements between these two devices were-0.20 to 0.32 mm,-0.36to 0.32 mm and-0.12 to 0.24 mm,respectively.58·CONCLUSION：Central ACD and vault measurements using AS-OCT demonstrated a slight significantly higher value than using UBM in phakic eyes after ICL surgery.These two devices should not be used interchangeably for measurements of central ACD and vault in patients after phakic intraocular lens implantation.展开更多
基金Supported by National Natural Science Foundation of China(No.81900910)Natural Science Foundation of Zhejiang Province(No.LQ19H120003)Basic Scientific Research Project of Wenzhou(No.Y2023809).
文摘AIM:To determine the factors related to preoperative ocular characters that are predictive of insufficient vault(<250μm)after implantable collamer lens(ICL V4c;STAAR Surgical)implantation.METHODS:The participants underwent ICL surgery and were divided into the low(<250μm)and normal(250-1000μm)vault groups based on the postoperative vault at 3mo.The preoperative biometric parameters and clinical outcomes were compared between the two groups.The relationship between the 3-month vault values and preoperative ocular parameters were evaluated by Generalized estimating equations.RESULTS:Sixteen(23 eyes)and 36 patients(63 eyes)were in the low and normal vault groups,respectively.All implantation procedures were uneventful with no cataract formation in the early postoperative period.The sulcusto-sulcus lens rise(STSL)and iris ciliary angle(ICA)were correlated with vault at 3mo after surgery.Every 0.1 mm increase in STSL was associated with 38.9μm decrease in the postoperative 3-month vault.A rise of 1 degree in ICA is associated with a reduction of 4μm in vault.CONCLUSION:Eyes with a narrow ciliary sulcus are associated with a higher rate of low vault after ICL implantation,suggesting a need for adjustments to the ICL size in these patients.Evaluating the characteristics of the ciliary sulcus contributes valuable information to predict low vault after surgery.
文摘AIM：To compare the agreement of anterior chamber depth（ACD）and central vault measurements obtained by anterior segment optical coherence tomography（AS-OCT）and ultrasound biomicroscopy（UBM）of post surgical high myopic eyes with posterior chamber phakic intraocular lens（Visian ICL;STAAR Surgical）implantation.·METHODS：Fifty-two phakic eyes of 28 high myopic patients who underwent implantable Collamer lens（ICL）surgery for the correction of high myopia were studied.The postoperative ACD,the distance between the corneal endothelium and the anterior surface of ICL（cornea-ICL）and the central vault were measured with the AS-OCT system and the UBM system.Intraclass correlation coefficient（ICC）and the Bland-Altman plot were used to evaluate the repeatability and agreement of two devices.·R ESULTS：The mean ACD,cornea-ICL and central vault in the 52 phakic eyes after ICL surgery was 3.19±0.28 mm,2.47±0.28 mm,0.50±0.19 mm by AS-OCT and3.13±0.25 mm,2.49±0.25 mm,0.44±0.19 mm by UBM,respectively.Pairwise comparison of ACD and central vault measurements showed significant differences between AS-OCT and UBM（〈0.05）.However,no statistically significant difference was found between these imaging techniques in cornea-ICL（〉0.05）.The Pearson correlation coefficient（）between AS-OCT and UBM measurements for ACD,cornea-ICL and vault was0.88,0.80 and 0.89,respectively（〈0.001）.The ICC was0.89-0.94 for the measurements of AS-OCT and UBM.Bland-Altman analysis showed the 95%limits of agreement of ACD,cornea-ICL,central vault measurements between these two devices were-0.20 to 0.32 mm,-0.36to 0.32 mm and-0.12 to 0.24 mm,respectively.58·CONCLUSION：Central ACD and vault measurements using AS-OCT demonstrated a slight significantly higher value than using UBM in phakic eyes after ICL surgery.These two devices should not be used interchangeably for measurements of central ACD and vault in patients after phakic intraocular lens implantation.
