Posters

Complications and refractive outcomes after combined intraocular collamer lens explantation and phacoemulsification with intraocular lens implantation

Poster Details

First Author: P. Meier SWITZERLAND

Co Author(s):    F. Majo   P. Othenin-Girard   C. Bergin   I. Guber           

Abstract Details

Purpose:

The aim of this study was to assess the outcomes of patients who underwent combined phacoemulsification and ICL explantation, and to report the rate of complications, safety, efficacy and predictability. A secondary aim was to examine whether IOL power calculation was effected by the ICL in-situ.

Setting:

A systematic retrospective review of consecutive patients undergoing ICL implantation, at the Jules-Gonin Eye Hospital, Lausanne, Switzerland. Thirty eight eyes of 29 patients which had subsequently undergone phacoemulsification were included.

Methods:

Data analysis was performed between 1st of July 2015 and 31st of December 2015.The mean corrected distance visual acuity (CDVA), safety, stability of refraction, predictability of IOL power calculation and post-operative complications are reported.

Results:

Eighty-two percent of eyes (31/38) were within 1D of the target refraction and 57.9% (21/38) were within 0.5D of the target refraction. Mean CDVA post-IOL implantation was significantly better than pre-ICL implantation (p<0.001) and similar to post-ICL implantation (p=0.87). The safety of this multi-stepped procedure was good, on average 1.6 Snellen lines were gained over CDVA pre-ICL implantation.

Conclusions:

CDVA improved after surgery, with the highest mean CDVA recorded at final visit, good safety, stability and predictability was also observed. Post-operative complications were few and in the majority of cases non sight-threatening. Overall these results indicate that this combination of procedures does not negatively impact the final visual outcome.

Financial Disclosure:

NONE