A Hundred ICLs Our Experience

Satyamurthy Kodur

Purpose: To evaluate the efficacy, safety, predictability and stability of implanting an Implantable Collamer Lens (ICL) in high myopia.

Materials and Methods: A retrospective analysis of the data of patients who underwent ICL implantation between April 2008 and April 2010 with a minimum follow-up of 4 months.

Results: ICL was implanted in 100 eyes of 67 patients with preoperative myopia ranging from -5.50D to -26.0 D. Mean patient age was 23.2 years. Mean spherical equivalent of manifest refraction stabilized by the first postoperative week. At one month follow-up, 94 eyes (94%) had a postoperative refraction within ± 1D emmetropia and 69 eyes (69%) had uncorrected visual acuity of 6/12 or better. Two eyes (2%) had loss of one Snellen line and none had loss of two Snellen lines or more at three months. Postoperative complications included anterior chamber reaction in two eyes (2%), rise in intraocular pressure in fifteen eyes (15%) in the early post-operative period. Late post operative complications included very shallow anterior chamber in two eyes (2%), reduced gap between anterior capsule of lens and ICL in two eyes (2%), decentration of ICL in one eye (1%) followed by explantation.

Conclusion: Implantation of ICL to correct high myopia resulted in a stable and fairly predictable refractive outcome with few complications. This however needs authentication by a study with longer duration follow-up