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Immediate Sequential Bilateral Implantable Collamer Lens Surgery Is Safe and Effective.
Summary
Immediate sequential bilateral phakic lens surgery is safe and effective. This study shows excellent refractive outcomes and a low rate of minor adverse events in patients undergoing same-day lens implantation.
Area of Science:
- Ophthalmology
- Refractive Surgery
- Ophthalmic Surgery
Background:
- Phakic intraocular lenses (IOLs) offer refractive correction.
- Bilateral same-day implantation is an option for patients seeking rapid vision improvement.
Purpose of the Study:
- To evaluate the clinical outcomes and safety of immediate sequential bilateral phakic lens surgery.
- To assess refractive accuracy and adverse events after bilateral same-day ICL implantation.
Main Methods:
- Retrospective multicenter study of 254 patients (508 eyes).
- Inclusion of patients undergoing bilateral same-day Implantable Collamer Lens (ICL) surgery.
- 1-year postoperative follow-up for clinical outcomes and adverse events.
Main Results:
- 87% of eyes achieved ±0.50 D and 95% achieved ±1.00 D of intended refraction.
- 78% of eyes had optimal vaulting (250-750 µm) at 1 year, with a 19% reduction from baseline.
- Low incidence of minor adverse events: 1 cataract, 3 toric ICL rotations, 6 ICL exchanges.
Conclusions:
- Immediate sequential bilateral phakic lens surgery demonstrates safety and efficacy.
- The procedure offers a favorable safety profile with minimal complications.
- This approach is a viable treatment option for refractive correction.

