J Korean Ophthalmol Soc > Volume 53(8); 2012 > Article
Journal of the Korean Ophthalmological Society 2012;53(8):1081-1087.
DOI: https://doi.org/10.3341/jkos.2012.53.8.1081    Published online August 15, 2012.
The Effect of Lens Thickness to Anterior Chamber Depth on the Vault after ICL Implantation.
Wook Kyum Kim, Hun Yang, Eun Young Cho, Hee Sun Kim, Jin Kuk Kim
B&VIIT Eye Center, Seoul, Korea. bestjinkuk@bseye.com
전방깊이에 대한 수정체 두께의 비율이 ICL 삽입 후 Vault에 미치는 영향
김욱겸⋅양 훈⋅조은영⋅김희선⋅김진국
B&VIIT Eye Center, Seoul, Korea
To evaluate the crystalline lens thickness/anterior chamber depth (CLT/ACD) ratio as a preoperative factor that affects the vault after implantable contact lens (ICL) implantation. METHODS: A total of 130 eyes of 130 patients who received bilateral ICL implantation were included in the present study. The preoperative CLT/ACD ratio was analyzed to determine if the patients had any correlation with postoperative vault by Visante optical coherence tomography (OCT). RESULTS: The mean vault was 0.58 mm +/- 0.23 at postoperative 2 months. Eight eyes (6.15%) had low vault, 93 eyes (71.53%) had ideal vault and 29 eyes (29.31%) had high vault. The CLT/ACD ratios were 1.04 mm +/- 0.11, 0.96 mm +/- 0.09 and 0.90 mm +/- 0.09 in the low vault group, ideal vault group and high vault group, respectively (p < 0.01). The CLT/ACD ratio showed statistically significant correlations with postoperative vault in univariate analysis (r = -0.4718; p < 0.01) and in multivariate analysis (p < 0.01). CONCLUSIONS: Vaults after ICL implantation have a negative correlation with the preoperative CLT/ACD ratio. The results from the present study may improve the prediction of postoperative vault after ICL implantation.
Key Words: Anterior chamber depth;Implantable collamer lens;Lens thickness;Phakic intraocular lens;Vault

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