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KMID : 0360220110520020157
Journal of the Korean Ophthalmological Society
2011 Volume.52 No. 2 p.157 ~ p.162
Long-Term Changes in Tilt, Decentration and Anterior Chamber Depth After Implantable Collamer Lens Insertion
Chung Yeon-Woong

Byun Yong-Soo
Chung Sung-Kun
Abstract
Purpose: To evaluate the stability of implantable collamer lens (ICL, Staar Surgical AG, Niau, Switzerland) by comparing changes of tilt, decentration and anteroir chamber depth after ICL implantation during 1 year.

Methods: The results of 8 high myopic patients (16 eyes) that had received ICL implantation were retrospectively studied. Tilt and decentration of ICL were measured using an anterior eye segment analysis system (Scheimpflug camera, EAS-1000, Nidek, Japan). Anterior chamber depth was measured in both eyes preoperatively and postoperatively by Scheimpflug camera. The follow-up period was 1 year.

Results: Tilt was 1.90 ¡¾ 1.23¡Æ, 1.75 ¡¾ 0.80¡Æ, 1.64 ¡¾ 0.86¡Æ, 2.08 ¡¾ 1.33¡Æ (p = 0.36) and decentration were 0.04 ¡¾ 0.01 mm, 0.03 ¡¾ 0.01 mm, 0.03 ¡¾ 0.02 mm, 0.04 ¡¾ 0.02 mm (p = 0.59) at 1 week, 1 month, 6 months and 1 year respectively. Tilt and decentration showed no significant change after ICL implantation. The average anterior chamber depth was 2.85 ¡¾ 0.26 mm preoperatively, and 2.17 ¡¾ 0.39 mm, 2.06 ¡¾ 0.31 mm, 2.06 ¡¾ 0.34 mm, 2.04 ¡¾ 0.35 mm at 1 week, 1 month, 6 months and 1 year respectively. Anterior chamber depth became narrow after ICL implantation (p = 0.02), but showed no significant narrowing postoperatively (p = 0.08).

Conclusions: The IOL position remained stable, with no significant changes for an extended period of tilt, decentration, or anterior chamber depth after ICL implantation.
KEYWORD
Anterior chamber depth, Decentration, Implantable collamer lens, Tilt
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