Anterior Chamber Angle Evaluation following Phakic Posterior Chamber Collamer Lens with CentraFLOW and Its Correlation with ICL Vault and Intraocular Pressure

Purpose. To assess intraocular pressure (IOP), lens vaulting, and anterior chamber (AC) angle width, following V4C implantable Collamer lens (ICL) procedure for myopic refractive error. Methods. A prospective case series that enrolled 54 eyes of 27 patients that were evaluated before and after V4C p...

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Main Authors: Sherif A. Eissa, Sherin H. Sadek, Mohamed W. A. El-Deeb
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2016/1383289
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author Sherif A. Eissa
Sherin H. Sadek
Mohamed W. A. El-Deeb
author_facet Sherif A. Eissa
Sherin H. Sadek
Mohamed W. A. El-Deeb
author_sort Sherif A. Eissa
collection DOAJ
description Purpose. To assess intraocular pressure (IOP), lens vaulting, and anterior chamber (AC) angle width, following V4C implantable Collamer lens (ICL) procedure for myopic refractive error. Methods. A prospective case series that enrolled 54 eyes of 27 patients that were evaluated before and after V4C phakic posterior chamber Collamer lens implantation for correction of myopic refractive error. Preoperative measurement of IOP was done using Goldmann applanation tonometer and anterior chamber angle width using both Van Herick slit lamp grading system and Scheimpflug tomography imaging (Oculus Pentacam). Follow-up of the aforementioned variables was at 1, 6, and 18 months postoperatively, together with ICL vault measurements. Results. The mean baseline IOP of 11.69±2.15 showed a statistically significant (P=0.002) increase after 1 month that remained unchanged at 6 and 18 months postoperatively, with mean value of 16.07±4.12, 16.07±4.10, and 16.07±4.13, respectively. Pentacam AC angle width showed a statistically significant decrease at 1 (P=0.025), 6 (P=0.016), and 18 (P=0.010) months postoperatively, with mean preoperative value of 40.14±5.49 that decreased to 25.28±5.33, 25.46±5.44, and 25.49±5.38, at 1, 6, and 18 months, respectively. Mean ICL vault showed moderate correlation with Pentacam AC angle width at 1 (r=-0.435) and 6 (r=-0.424) months. Conclusion. V4C ICL implantation resulted in decrease in AC angle width and increase in IOP, within acceptable physiological values at all time points.
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spelling doaj-art-e4454b8c70494b14937ea40a98d247102025-08-20T02:21:34ZengWileyJournal of Ophthalmology2090-004X2090-00582016-01-01201610.1155/2016/13832891383289Anterior Chamber Angle Evaluation following Phakic Posterior Chamber Collamer Lens with CentraFLOW and Its Correlation with ICL Vault and Intraocular PressureSherif A. Eissa0Sherin H. Sadek1Mohamed W. A. El-Deeb2Ophthalmology Department, Faculty of Medicine, Cairo University, Kasr Al Ainy, Cairo, EgyptOphthalmology Department, Faculty of Medicine, Fayoum University, Al Fayoum, EgyptOphthalmology Department, Faculty of Medicine, Cairo University, Kasr Al Ainy, Cairo, EgyptPurpose. To assess intraocular pressure (IOP), lens vaulting, and anterior chamber (AC) angle width, following V4C implantable Collamer lens (ICL) procedure for myopic refractive error. Methods. A prospective case series that enrolled 54 eyes of 27 patients that were evaluated before and after V4C phakic posterior chamber Collamer lens implantation for correction of myopic refractive error. Preoperative measurement of IOP was done using Goldmann applanation tonometer and anterior chamber angle width using both Van Herick slit lamp grading system and Scheimpflug tomography imaging (Oculus Pentacam). Follow-up of the aforementioned variables was at 1, 6, and 18 months postoperatively, together with ICL vault measurements. Results. The mean baseline IOP of 11.69±2.15 showed a statistically significant (P=0.002) increase after 1 month that remained unchanged at 6 and 18 months postoperatively, with mean value of 16.07±4.12, 16.07±4.10, and 16.07±4.13, respectively. Pentacam AC angle width showed a statistically significant decrease at 1 (P=0.025), 6 (P=0.016), and 18 (P=0.010) months postoperatively, with mean preoperative value of 40.14±5.49 that decreased to 25.28±5.33, 25.46±5.44, and 25.49±5.38, at 1, 6, and 18 months, respectively. Mean ICL vault showed moderate correlation with Pentacam AC angle width at 1 (r=-0.435) and 6 (r=-0.424) months. Conclusion. V4C ICL implantation resulted in decrease in AC angle width and increase in IOP, within acceptable physiological values at all time points.http://dx.doi.org/10.1155/2016/1383289
spellingShingle Sherif A. Eissa
Sherin H. Sadek
Mohamed W. A. El-Deeb
Anterior Chamber Angle Evaluation following Phakic Posterior Chamber Collamer Lens with CentraFLOW and Its Correlation with ICL Vault and Intraocular Pressure
Journal of Ophthalmology
title Anterior Chamber Angle Evaluation following Phakic Posterior Chamber Collamer Lens with CentraFLOW and Its Correlation with ICL Vault and Intraocular Pressure
title_full Anterior Chamber Angle Evaluation following Phakic Posterior Chamber Collamer Lens with CentraFLOW and Its Correlation with ICL Vault and Intraocular Pressure
title_fullStr Anterior Chamber Angle Evaluation following Phakic Posterior Chamber Collamer Lens with CentraFLOW and Its Correlation with ICL Vault and Intraocular Pressure
title_full_unstemmed Anterior Chamber Angle Evaluation following Phakic Posterior Chamber Collamer Lens with CentraFLOW and Its Correlation with ICL Vault and Intraocular Pressure
title_short Anterior Chamber Angle Evaluation following Phakic Posterior Chamber Collamer Lens with CentraFLOW and Its Correlation with ICL Vault and Intraocular Pressure
title_sort anterior chamber angle evaluation following phakic posterior chamber collamer lens with centraflow and its correlation with icl vault and intraocular pressure
url http://dx.doi.org/10.1155/2016/1383289
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AT sherinhsadek anteriorchamberangleevaluationfollowingphakicposteriorchambercollamerlenswithcentraflowanditscorrelationwithiclvaultandintraocularpressure
AT mohamedwaeldeeb anteriorchamberangleevaluationfollowingphakicposteriorchambercollamerlenswithcentraflowanditscorrelationwithiclvaultandintraocularpressure