Shortening surgical time in high myopia treatment: a randomized controlled trial comparing non-OVD and OVD techniques in ICL implantation
Abstract Introduction High myopia correction is essential for improving visual acuity and quality of life. Traditional intraocular collamer lens (ICL) implantation using an ophthalmic viscosurgical device (OVD) is effective but often results in prolonged surgical times, impacting patient comfort and...
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BMC
2025-05-01
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| Series: | BMC Ophthalmology |
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| Online Access: | https://doi.org/10.1186/s12886-025-04135-3 |
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| author | Muhammad Ahmad Khan Saif Ur Rehman Khan Ding Lin |
| author_facet | Muhammad Ahmad Khan Saif Ur Rehman Khan Ding Lin |
| author_sort | Muhammad Ahmad Khan |
| collection | DOAJ |
| description | Abstract Introduction High myopia correction is essential for improving visual acuity and quality of life. Traditional intraocular collamer lens (ICL) implantation using an ophthalmic viscosurgical device (OVD) is effective but often results in prolonged surgical times, impacting patient comfort and recovery. This study investigates a novel non-OVD ICL implantation technique aimed at reducing surgical duration and improving patient outcomes. Methods This prospective, randomized controlled trial was conducted at Changsha Aier Eye Hospital from May to August 2024, enrolling 162 right eyes from high myopic patients aged 21 to 45 years. Participants were randomly assigned to either the non-OVD group, which utilized a disposable sterile irrigator for anterior chamber maintenance, or the OVD group, which underwent traditional ICL implantation. Primary outcomes included surgical time, endothelial cell density (ECD), intraocular pressure (IOP), and patient-reported experiences. Results The non-OVD group demonstrated a significant reduction in surgical time (113 ± 103 s) compared to the OVD group (436 ± 118 s, p < 0.001). ECD and IOP remained stable postoperatively, indicating no adverse effects on ocular health. Patient experiences were assessed through pain levels and self-perception reports; the non-OVD group reported comparable pain levels with enhanced self-perception compared to the OVD group. Conclusion The novel non-OVD ICL implantation technique significantly reduces surgical duration while maintaining ocular health and improving patient self-perception. Additional to it, we also explored patients' self-perception, which refers to their subjective evaluation of recovery, well-being, and visual outcomes post-surgery. Unlike satisfaction, which primarily measures how pleased patients are with the results, self-perception encompasses how patients feel about their overall recovery process, including psychological and emotional factors. This approach may enhance operational efficiency and patient comfort in high myopia surgeries. Trial registration The study was registered with the China Clinical Trial Registration Center (Registration No. ChiCTR2100046483, Trial Registration: 2021–03-06). |
| format | Article |
| id | doaj-art-06f99caee7d74127a14e807bae04e0b2 |
| institution | DOAJ |
| issn | 1471-2415 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Ophthalmology |
| spelling | doaj-art-06f99caee7d74127a14e807bae04e0b22025-08-20T03:08:40ZengBMCBMC Ophthalmology1471-24152025-05-0125111510.1186/s12886-025-04135-3Shortening surgical time in high myopia treatment: a randomized controlled trial comparing non-OVD and OVD techniques in ICL implantationMuhammad Ahmad Khan0Saif Ur Rehman Khan1Ding Lin2Group Co, Aier Eye HospitalSchool of Computer Science and Engineering, Central South University, Yuelu DistrictGroup Co, Aier Eye HospitalAbstract Introduction High myopia correction is essential for improving visual acuity and quality of life. Traditional intraocular collamer lens (ICL) implantation using an ophthalmic viscosurgical device (OVD) is effective but often results in prolonged surgical times, impacting patient comfort and recovery. This study investigates a novel non-OVD ICL implantation technique aimed at reducing surgical duration and improving patient outcomes. Methods This prospective, randomized controlled trial was conducted at Changsha Aier Eye Hospital from May to August 2024, enrolling 162 right eyes from high myopic patients aged 21 to 45 years. Participants were randomly assigned to either the non-OVD group, which utilized a disposable sterile irrigator for anterior chamber maintenance, or the OVD group, which underwent traditional ICL implantation. Primary outcomes included surgical time, endothelial cell density (ECD), intraocular pressure (IOP), and patient-reported experiences. Results The non-OVD group demonstrated a significant reduction in surgical time (113 ± 103 s) compared to the OVD group (436 ± 118 s, p < 0.001). ECD and IOP remained stable postoperatively, indicating no adverse effects on ocular health. Patient experiences were assessed through pain levels and self-perception reports; the non-OVD group reported comparable pain levels with enhanced self-perception compared to the OVD group. Conclusion The novel non-OVD ICL implantation technique significantly reduces surgical duration while maintaining ocular health and improving patient self-perception. Additional to it, we also explored patients' self-perception, which refers to their subjective evaluation of recovery, well-being, and visual outcomes post-surgery. Unlike satisfaction, which primarily measures how pleased patients are with the results, self-perception encompasses how patients feel about their overall recovery process, including psychological and emotional factors. This approach may enhance operational efficiency and patient comfort in high myopia surgeries. Trial registration The study was registered with the China Clinical Trial Registration Center (Registration No. ChiCTR2100046483, Trial Registration: 2021–03-06).https://doi.org/10.1186/s12886-025-04135-3Non-OVD ICL implantationSurgical complexity reductionPatient comfort and satisfaction |
| spellingShingle | Muhammad Ahmad Khan Saif Ur Rehman Khan Ding Lin Shortening surgical time in high myopia treatment: a randomized controlled trial comparing non-OVD and OVD techniques in ICL implantation BMC Ophthalmology Non-OVD ICL implantation Surgical complexity reduction Patient comfort and satisfaction |
| title | Shortening surgical time in high myopia treatment: a randomized controlled trial comparing non-OVD and OVD techniques in ICL implantation |
| title_full | Shortening surgical time in high myopia treatment: a randomized controlled trial comparing non-OVD and OVD techniques in ICL implantation |
| title_fullStr | Shortening surgical time in high myopia treatment: a randomized controlled trial comparing non-OVD and OVD techniques in ICL implantation |
| title_full_unstemmed | Shortening surgical time in high myopia treatment: a randomized controlled trial comparing non-OVD and OVD techniques in ICL implantation |
| title_short | Shortening surgical time in high myopia treatment: a randomized controlled trial comparing non-OVD and OVD techniques in ICL implantation |
| title_sort | shortening surgical time in high myopia treatment a randomized controlled trial comparing non ovd and ovd techniques in icl implantation |
| topic | Non-OVD ICL implantation Surgical complexity reduction Patient comfort and satisfaction |
| url | https://doi.org/10.1186/s12886-025-04135-3 |
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