Short-term Clinical Outcomes of Implantable Collamer Lens Implantation with Simultaneous Full Thickness Astigmatic Keratotomy.

Kim, Buki; Mun, Sujoung; Choi, Hyuntae; Chung, Youngtaek

doi:2017.58.8.916

J Korean Ophthalmol Soc > Volume 58(8); 2017 > Article

Original Article

Journal of the Korean Ophthalmological Society 2017;58(8):916-923.
DOI: https://doi.org/10.3341/jkos.2017.58.8.916 Published online August 15, 2017.

Short-term Clinical Outcomes of Implantable Collamer Lens Implantation with Simultaneous Full Thickness Astigmatic Keratotomy.

Buki Kim, Sujoung Mun, Hyuntae Choi, Youngtaek Chung

Onnuri Smile Eye Clinic, Seoul, Korea. ytchungc@daum.net

후방유수정체안내렌즈 삽입술과 전층 난시교정각막절개술의 동시 수술의 단기간 임상성적

김부기⋅문수정⋅최현태⋅정영택

온누리스마일안과 의원

Correspondence: Youngtaek Chung,
Email: ytchungc@daum.net

Received: 18 May 2017 • Revised: 30 June 2017 • Accepted: 21 July 2017

Abstract

PURPOSE
To evaluate the clinical outcomes of implantable collamer lens (ICL) implantation with simultaneous full thickness astigmatic keratotomy (FTAK) for the correction of moderate to high myopic astigmatism. METHODS: Thirty-two eyes of 16 patients who had an ICL implantation with simultaneous FTAK were studied. Follow-up visits were at 1 week, 1 month, and 3 months. The outcome measures included the uncorrected distance visual acuity (UDVA), refractive error, efficacy, safety, and predictability. RESULTS: After the surgery, astigmatism was reduced by 74.83 ± 13.8%. The proportion of eyes with a spherical equivalent of 0.5 D or less was 87.5%, and all eyes had a spherical equivalent of 1.0 D or less at 3 months after the surgery. The proportion of eyes with a UDVA of 20/25 or better was 100%, and 20/20 or better was 81.25%. Reoperation was needed in one case (3.1%) because of undercorrection of the astigmatism, and no complications were observed. CONCLUSIONS: This study showed that ICL implantation with simultaneous FTAK is effective and safe for the correction of moderate to high myopic astigmatism.

Key Words: Astigmatic keratotomy;Astigmatism;High astigmatism;Implantable collamer lens;Toric Implantable collamer lens