J Korean Ophthalmol Soc > Volume 51(6); 2010 > Article
Journal of the Korean Ophthalmological Society 2010;51(6):802-808.
DOI: https://doi.org/10.3341/jkos.2010.51.6.802    Published online June 15, 2010.
Intraindividual Comparison of ICL and Toric ICL Implantation in the Correction of High Myopia With Astigmatism.
Sang Youp Han, Sang Jung Moon, Ho Soong Kim, Tae Hun Lee, Kyung Hun Lee
Sung Mo Eye Hospital, Busan, Korea. eye0775@hanmail.net
고도근시와 난시 치료를 위해 시행한 ICL 및 반대안 토릭 ICL 삽입술의 임상결과
한상엽ㆍ문상정ㆍ김호숭ㆍ이태헌ㆍ이경헌
Sung Mo Eye Hospital, Busan, Korea
Abstract
PURPOSE
We compared intra-individual visual outcomes and patient satisfaction after implantable contact lens (ICL) and Toric ICL implantation. METHODS: Twenty-eight eyes of 14 patients were enrolled in this retrospective study. One eye of each patient was assigned to ICL (ICL Group), and the contralateral eye was allocated to Toric ICL (Toric ICL Group). All patients were examined for visual acuity, refraction, intraocular pressure, slit lamp measurements, and satisfaction one week, one month, two months, and six months postoperatively. RESULTS: Mean spherical equivalents of the two groups were corrected from -7.83D (ICL Group) and -5.55D (Toric ICL Group) to 0.13D and 0.20D, respectively, and the mean refractive cylinders were corrected from 0.92D and 2.60D to 0.42D and 0.27D, respectively, at six months postoperatively. The myopias of these two groups and the astigmatism of the Toric ICL group were effectively corrected. The uncorrected visual acuity (UCVA) of the two groups were 1.02 and 1.05, respectively, at six months postoperatively. The safety index, efficacy index, predictability, and stability were favorable. There were no significant differences between the two groups in terms of postoperative UCVA, intraocular pressure(IOP), vaulting, noticeable complications, or patient satisfaction. CONCLUSIONS: The results show ICL implantation is effective treatment for high myopia, and Toric ICL implantation is a viable surgical option for the treatment of compound myopia astigmatism. Selection of proper phakic intraocular lens(IOL) is recommended for correcting astigmatism.
Key Words: High myopia with astigmatism;ICL;Toric ICL


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