Short‐term changes in and preoperative factors affecting vaulting after posterior chamber phakic Implantable Collamer Lens implantation
Abstract Background To describe the very early vault changes in the first month after Implantable Collamer Lens (ICL) implantation and to evaluate the effect of preoperative biometric factors on vault. Methods Eighty-three eyes from eighty-three subjects with complete data who met follow-up requirem...
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doaj-3d8f385ace9c42aa87fca491bb75063b2021-05-09T11:21:57ZengBMCBMC Ophthalmology1471-24152021-05-012111910.1186/s12886-021-01963-xShort‐term changes in and preoperative factors affecting vaulting after posterior chamber phakic Implantable Collamer Lens implantationQiu-Jian Zhu0Wen-Jing Chen1Wei-Jian Zhu2Hai-Xiang Xiao3Man-Hui Zhu4Lie Ma5You Yuan6E. Song7Department of Ophthalmology, Lixiang Eye Hospital of Soochow UniversityDepartment of Ophthalmology, Lixiang Eye Hospital of Soochow UniversityDepartment of Ophthalmology, Lixiang Eye Hospital of Soochow UniversityDepartment of Ophthalmology, Lixiang Eye Hospital of Soochow UniversityDepartment of Ophthalmology, Lixiang Eye Hospital of Soochow UniversityDepartment of Ophthalmology, Lixiang Eye Hospital of Soochow UniversityDepartment of Ophthalmology, Lixiang Eye Hospital of Soochow UniversityDepartment of Ophthalmology, Lixiang Eye Hospital of Soochow UniversityAbstract Background To describe the very early vault changes in the first month after Implantable Collamer Lens (ICL) implantation and to evaluate the effect of preoperative biometric factors on vault. Methods Eighty-three eyes from eighty-three subjects with complete data who met follow-up requirements were recruited in this retrospective study between May 2019 and March 2020. We quantitatively assessed the postoperative vault at 2 h, 1 day, 1 week, and 1 month following implantation. Associations between the postoperative vault and age, ICL size, spherical equivalent (SE), axial length (AL), central corneal thickness (CCT), flat keratometry (K), steep K, mean K, anterior chamber depth (ACD), crystalline lens thickness (LT), white-to-white (WTW) diameter obtained by three devices, horizontal and vertical sulcus-to-sulcus (STS) diameter, bright and dark pupil sizes (BPS and DPS) and DPS-BPS were investigated using Spearman’s correlation analysis and stepwise multiple regression analysis. Results The mean vault values at 2 h, 1 day, 1 week, and 1 month after ICL implantation were 672.05 ± 30.72, 389.15 ± 28.33, 517.23 ± 30.76 and 530.12 ± 30.22 μm, respectively. Significant differences were found in the vault values at 2 h, 1 day and 1 week after the operation. The ICL size (β = 0.942; p < 0.001), followed by horizontal STS (β = -0.517; p < 0.001), crystalline LT (β = -0.376; p < 0.001) and vertical STS (β = -0.257; p = 0.017), significantly influenced the vault at 1 month after the operation. The multiple regression equation was expressed as follows: central vault (µm) = -1369.05 + 657.121 × ICL size- 287.408 × horizontal STS − 432.497 × crystalline LT − 137.33 × vertical STS (adjusted R2 = 0.643). Conclusions After ICL implantation, the vault decreased and then increased, but it did not return to the vault value 2 h after surgery. The ICL size, horizontal and vertical STS and crystalline LT are key factors for predicting postoperative vaulting.https://doi.org/10.1186/s12886-021-01963-xICL implantationVaultSulcus to sulcusCrystalline lens thicknessPrediction |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Qiu-Jian Zhu Wen-Jing Chen Wei-Jian Zhu Hai-Xiang Xiao Man-Hui Zhu Lie Ma You Yuan E. Song |
spellingShingle |
Qiu-Jian Zhu Wen-Jing Chen Wei-Jian Zhu Hai-Xiang Xiao Man-Hui Zhu Lie Ma You Yuan E. Song Short‐term changes in and preoperative factors affecting vaulting after posterior chamber phakic Implantable Collamer Lens implantation BMC Ophthalmology ICL implantation Vault Sulcus to sulcus Crystalline lens thickness Prediction |
author_facet |
Qiu-Jian Zhu Wen-Jing Chen Wei-Jian Zhu Hai-Xiang Xiao Man-Hui Zhu Lie Ma You Yuan E. Song |
author_sort |
Qiu-Jian Zhu |
title |
Short‐term changes in and preoperative factors affecting vaulting after posterior chamber phakic Implantable Collamer Lens implantation |
title_short |
Short‐term changes in and preoperative factors affecting vaulting after posterior chamber phakic Implantable Collamer Lens implantation |
title_full |
Short‐term changes in and preoperative factors affecting vaulting after posterior chamber phakic Implantable Collamer Lens implantation |
title_fullStr |
Short‐term changes in and preoperative factors affecting vaulting after posterior chamber phakic Implantable Collamer Lens implantation |
title_full_unstemmed |
Short‐term changes in and preoperative factors affecting vaulting after posterior chamber phakic Implantable Collamer Lens implantation |
title_sort |
short‐term changes in and preoperative factors affecting vaulting after posterior chamber phakic implantable collamer lens implantation |
publisher |
BMC |
series |
BMC Ophthalmology |
issn |
1471-2415 |
publishDate |
2021-05-01 |
description |
Abstract Background To describe the very early vault changes in the first month after Implantable Collamer Lens (ICL) implantation and to evaluate the effect of preoperative biometric factors on vault. Methods Eighty-three eyes from eighty-three subjects with complete data who met follow-up requirements were recruited in this retrospective study between May 2019 and March 2020. We quantitatively assessed the postoperative vault at 2 h, 1 day, 1 week, and 1 month following implantation. Associations between the postoperative vault and age, ICL size, spherical equivalent (SE), axial length (AL), central corneal thickness (CCT), flat keratometry (K), steep K, mean K, anterior chamber depth (ACD), crystalline lens thickness (LT), white-to-white (WTW) diameter obtained by three devices, horizontal and vertical sulcus-to-sulcus (STS) diameter, bright and dark pupil sizes (BPS and DPS) and DPS-BPS were investigated using Spearman’s correlation analysis and stepwise multiple regression analysis. Results The mean vault values at 2 h, 1 day, 1 week, and 1 month after ICL implantation were 672.05 ± 30.72, 389.15 ± 28.33, 517.23 ± 30.76 and 530.12 ± 30.22 μm, respectively. Significant differences were found in the vault values at 2 h, 1 day and 1 week after the operation. The ICL size (β = 0.942; p < 0.001), followed by horizontal STS (β = -0.517; p < 0.001), crystalline LT (β = -0.376; p < 0.001) and vertical STS (β = -0.257; p = 0.017), significantly influenced the vault at 1 month after the operation. The multiple regression equation was expressed as follows: central vault (µm) = -1369.05 + 657.121 × ICL size- 287.408 × horizontal STS − 432.497 × crystalline LT − 137.33 × vertical STS (adjusted R2 = 0.643). Conclusions After ICL implantation, the vault decreased and then increased, but it did not return to the vault value 2 h after surgery. The ICL size, horizontal and vertical STS and crystalline LT are key factors for predicting postoperative vaulting. |
topic |
ICL implantation Vault Sulcus to sulcus Crystalline lens thickness Prediction |
url |
https://doi.org/10.1186/s12886-021-01963-x |
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