Safety and Visual Outcome of Visian Toric ICL Implantation after Corneal Collagen Cross-Linking in Keratoconus: Up to 2 Years of Follow-Up.

Détails

ID Serval
serval:BIB_74E9EFD54662
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Safety and Visual Outcome of Visian Toric ICL Implantation after Corneal Collagen Cross-Linking in Keratoconus: Up to 2 Years of Follow-Up.
Périodique
Journal of Ophthalmology
Auteur(s)
Antonios R., Dirani A., Fadlallah A., Chelala E., Hamade A., Cherfane C., Jarade E.
ISSN
2090-004X (Print)
ISSN-L
2090-004X
Statut éditorial
Publié
Date de publication
2015
Volume
2015
Pages
514834
Langue
anglais
Notes
Publication types: Journal ArticlePublication Status: ppublish
Résumé
Purpose. To evaluate the long-term safety and clinical outcome of phakic Visian toric implantable collamer lens (ICL) insertion after corneal collagen cross-linking (CXL) in progressive keratoconus. Methods. This was a retrospective study of 30 eyes (19 patients), with progressive keratoconus, who underwent sequential CXL followed by Visian toric ICL implantation after 6 months. Results. At baseline, 6 eyes had stage I, 14 eyes stage II, and 10 eyes stage III keratoconus graded by Amsler-Krumeich classification. At 6 months after CXL, only K (steep) and K (max) decreased significantly from baseline, with no change in visual acuity or refraction. Flattening in keratometric readings was stable thereafter. There was significant improvement in mean uncorrected distance visual acuity (1.57 ± 0.56 to 0.17 ± 0.06 logMAR, P < 0.001) and mean corrected distance visual acuity (0.17 ± 0.08 to 0.11 ± 0.05 logMAR, P < 0.001) at 12 months after ICL implantation that was maintained at the 2-year follow-up. Mean cylinder power and mean spherical equivalent (SE) also decreased significantly after ICL implantation. A small hyperopic shift in SE (+0.25 D) was observed at 2 years that did not alter visual outcomes. Conclusions. Visian toric ICL implantation following CXL is an effective option for improving visual acuity in patients with keratoconus up to 2 years.
Pubmed
Web of science
Open Access
Oui
Création de la notice
02/02/2016 17:37
Dernière modification de la notice
20/08/2019 14:32
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