Intraocular pressure elevation following after implantable collamer lens (ICL)

Session Details

Session Title: Presented Poster Session: Phakic IOLs

Session Date/Time: Monday 07/09/2015 | 09:30-10:50

Paper Time: 09:50

Venue: Poster Village: Pod 2

First Author: : S.Almalki SAUDI ARABIA

Co Author(s): :    N. A.A. Alsabaani   A. Abubaker   D. P Edward        

Abstract Details

Purpose:

Few case reports describe the risk of IOP elevation following ICL's. We report on the clinical features and outcomes in patients who developed high IOP following ICL implantation

Setting:

Retrospective study

Methods:

We identified eyes that developed elevated IOP following ICL implantation in 534 eyes. Medical records were reviewed and IOP in the postoperative period at 2-4 hours, 24 hours, 2 weeks, 3months, 6 months were analyzed. Outcome measures included the course and causes of IOP elevation, BCVA at last visit, number of glaucoma medications, other interventions, the presence or absence of glaucomatous damage and the need for surgical intervention.

Results:

A total of 58 eyes that underwent ICL developed high IOP, postoperatively. The risk of developing IOP elevation following ICL in this cohort was 10.8%. IOP elevation was most commonly seen in 23/58 eyes (39.7%) on the first P.O day and was related to retained viscoelastic; followed by steroid related IOP elevation in 22/58 eyes (37.9%). IOP elevation in 6 eyes (10.3%) was related to high vaulting and pupillary block in 4 eyes (6.9%) due to synechial angle closure and other causes (n=3). 5/58 (8.6%) eyes were on glaucoma medications at the last visit due to persistent steroid response (n=2), synechial angle closure (n=1) and other causes (n=2). One eye demonstrated glaucoma damage.

Conclusions:

There is a moderate risk of transitory IOP elevation after ICL implantation with good outcomes. Careful attention is ICL selection warranted to prevent high vaulting and synechial angle closure

Financial Interest:

NONE