Refractive outcomes after V4c Toric collamer lens implantation over 1y of follow-up  

作　　者：Humberto Carreras-Díaz Josefina Reñones de Abajo María del Rosario Carreras-Díaz Amalia Lorente-Velázquez 

机构地区：[1]Vithas Eurocanarias,Las Palmas de Gran Canaria 35004,Spain [2]University Hospital of Girona Doctor Josep Trueta,Gerona 17007,Spain [3]Departament of Optometry and Vision,Faculty of Optics and Optometry,Complutense University of Madrid,Madrid 28040,Spain

出　　处：《International Journal of Ophthalmology(English edition)》2024年第7期1322-1330,共9页国际眼科杂志（英文版）

摘　　要：AIM:To evaluate refractive outcomes and corneal astigmatism changes after Toric implantable collamer lens with a central port(V4c T-ICL)implantation over 1y of follow-up.METHODS:A retrospective study was performed including 50 eyes of 50 patients that underwent V4c T-ICL implantation.Uncorrected(UDVA)and corrected(CDVA)distance visual acuities,refraction,refractive and corneal astigmatism changes and corneal coupling correction were evaluated preoperatively,1 and 12mo postoperatively.Vector analysis was used for astigmatism changes.Coefficient of adjustment(CAdj)was calculated for corneal coupling analysis.RESULTS:The mean UDVA achieved was 0.03 logMAR at 1mo and remained unchanged throughout the whole follow-up(P=0.193).At the last visit,84%of the eyes achieved a CDVA of 0.00 logMAR or better.Regarding spherical equivalent refraction(SEQ),96%of eyes were ranges of±1.00 D and 84%of them within±0.50 D.Also,94%of eyes had a remaining refractive cylinder within±1.00 D and 78%of them within±0.50 D.Both,SEQ and refractive cylinder,remain stable over the postoperative follow-up(P=1.000 and P=0.660,respectively).In terms of surgically induced astigmatism(SIA),no statistically significant differences were found over the follow-up(P=0.102)and under correction was found with a correction index lower than the unit at each visit.A keratometric astigmatism induced of 0.59±0.53(vector mean:0.26×73º)D was reached at the last visit.No significant changes in terms of corneal astigmatism orientation were reported over post-surgery visits(P=0.129 and P=0.097 at 1 and 12mo respectively).No clinical significance was found for CAdj on with-the-rule astigmatism.No postoperative complications resulting from the surgery were found.CONCLUSION:Refractive outcomes suggest that the V4c T-ICL implantation for correction of myopic astigmatism was satisfactory in terms of effectiveness,safety,and stability during 1y of follow-up.Corneal astigmatism induced by the incision around 0.5 D is achieved according to the remaining refractive cyl

关 键 词：V4c Toric collamer lens corneal astigmatism surgically induced astigmatism corneal coupling 

分 类 号：R779.6[医药卫生—眼科]