Vertical implantable collamer lens (ICL) rotation for the management of high vault due to lens oversizing

International Ophthalmology
Francesco MatarazzoVincenzo Maurino

Abstract

To describe the good outcome of implantable collamer lens (ICL) rotation to reduce post-operative vault. Retrospective analysis of case report. A 43-year-old woman had V4c EVO + myopic non-toric ICL implantation and post-operatively she presented with anisocoria and high vault. She underwent surgery to rotate the ICL 90 degrees to a vertical orientation. We achieved a reduction in the vault from 1020 to 486 μm after vertical ICL rotation. Satisfactory refractive outcome and optimal vault were achieved and maintained during the period of follow-up. Optimal ICL sizing is important as too high vault/clearance is associated with problems such as angle closure glaucoma, pupil dilatation and anisocoria and too low vault/clearance to increased risk of cataract formation. Non-toric ICL rotation can be a simple surgical technique to deal with oversized lenses thus avoiding ICL exchange.

References

Feb 13, 2003·Ophthalmology·Donald R SandersUNKNOWN Implantable Contact Lens in Treatment of Myopia Study Group
Jul 15, 2011·Journal of Cataract and Refractive Surgery·Julia BiermannThomas Reinhard
Apr 16, 2013·Journal of Cataract and Refractive Surgery·Jian GaoNing Li
Mar 26, 2015·Journal of Cataract and Refractive Surgery·Qing-Yan ZengQian Chen
Dec 21, 2016·Middle East African Journal of Ophthalmology·Nasser A AlSabaaniSaeed Al Motowa

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Citations

Aug 26, 2020·Acta Ophthalmologica·Robert Montés-MicóPedro Tañá-Rivero
Nov 25, 2020·Indian Journal of Ophthalmology·Arjun SrirampurAruna Kumari Gadde
Jul 28, 2020·Survey of Ophthalmology·Jeewan S TitiyalNamrata Sharma
Mar 12, 2020·Archivos de la Sociedad Española de Oftalmología·E Martínez-PlazaM J Maldonado

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