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Descriptive Analysis of Footplate Position After Myopic Implantable Collamer Lens Implantation Using a Very
Roger Zaldivar1, Roberto Zaldivar1, Pablo Adamek1
1Instituto Zaldívar, Mendoza, Argentina.
Clinical Ophthalmology (Auckland, N.Z.)
|December 12, 2022
Summary
The haptics of implantable collamer lenses (ICL) for myopia often rest outside the ciliary sulcus after surgery. High-frequency ultrasound robotic scanning helps assess ICL position and posterior anatomy.
Area of Science:
- Ophthalmology
- Medical Imaging
- Biomedical Engineering
Background:
- Implantable collamer lenses (ICL) are widely used for myopia correction.
- Accurate ICL positioning is crucial for optimal visual outcomes and minimizing complications.
- Understanding the precise location of ICL haptics is essential for long-term safety and efficacy.
Purpose of the Study:
- To evaluate the anatomical position of implantable collamer lens (ICL) haptics in myopic eyes.
- To utilize a high-frequency ultrasound robotic scanner for detailed assessment of ICL placement.
- To investigate the relationship between ICL position and the ciliary sulcus.
Main Methods:
- Prospective, single-arm, observational study.
- Involved 52 eyes with successful ICL implantation.
- Employed a very-high frequency digital ultrasound robotic scanner (VHFDU) for imaging.
Main Results:
- ICL haptics were found to rest on the ciliary body (CB) in 81% of cases.
- Only 6% of eyes had ICLs resting on the sulcus bilaterally.
- Significant correlations were observed between ICL position, vault, and retroposition distance.
Conclusions:
- ICL haptics frequently locate outside the ciliary sulcus post-implantation.
- VHFDU provides valuable insights into ICL footplate position and posterior anatomical relations.
- This imaging technique offers additional information beyond standard post-surgery vault measurements.

