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Anterior Chamber Changes After Implantable Collamer Lens Implantation in High Myopia Using Pentacam: A Prospective
Mohamed Nagy Elmohamady1, Walid Abdelghaffar2
1Ophthalmology Department, Faculty of Medicine, Benha University, Benha, Qaliopia, Egypt. mohamed.saad@fmed.bu.edu.eg.
Introduction:
The objective of this study was to evaluate the changes of the anterior chamber (AC) of the eye after implantable Collamer lens (ICL) implantation in high myopia by using the Pentacam.
Methods:
The prospective study included 34 high myopic patients (34 eyes). All patients were treated with Visian implantable Collamer lens (ICL) (Staar Surgical Co.) implantation. The Pentacam (Oculus) was used for all cases preoperatively and 1, 3 and 6 months postoperatively. AC angle (ACA), AC volume (ACV), central AC depth (CACD), ICL vault, central corneal thickness (CCT), pupil diameter (PD), K readings and intraocular pressure (IOP) were recorded.
Results:
Our study included 34 eyes of 34 patients, 20 females (59%) and 14 males (41%). Mean ACA was 36.93° ± 4.75° preoperatively, 25.17° ± 5.64° and 25.23° ± 6.05° 1 and 3 months postoperatively (p < 0.001). Mean ACV was 191.24 ± 11.18 mm3 preoperatively, 141.53 ± 16.77 and 142.11 ± 15.89 mm3 1 and 3 months postoperatively (p < 0.001). Mean CACD was 3.59 ± 0.17 mm preoperatively, 2.83 ± 0.24 mm and 2.96 ± 0.25 mm 1 and 3 months postoperatively (p < 0.001). The ICL vault decreased from 0.556 ± 0.033 mm 1 month postoperatively to 0.431 ± 0.056 mm 3 months postoperatively (p < 0.001). There were no statistically significant differences for any of the AC parameters among measurements taken 3, 6 and 12 months postoperatively. There were no statistically significant differences between preoperative and any postoperative measurements of CCT, PD and K readings.
Conclusions:
ICL implantation for correction of high myopia leads to significant changes in the anterior chamber angle, volume and depth and insignificant changes in the pupil diameter, CCT and K readings.