Analysis on shift and rotation of intraocular lens after phakic collamer lens implantation

• Main Authors: Yuan-Yuan Lu, Na Yang, Xue-Dong Li, Jun Kong
• Format: Article
• Language: English
• Published: Press of International Journal of Ophthalmology (IJO PRESS) 2016-05-01
• Series: Guoji Yanke Zazhi
• Subjects: position of intraocular lens; dislocation; rotation
• Online Access: http://ies.ijo.cn/cn_publish/2016/5/201605014.pdf

Recently, the incidence of myopia increases year by year. The effectiveness of refractive surgery for the correction of ametropia is widely recognized with rapid development of ophthalmic microsurgery. The laser <i>in situ</i> keratomileusis(LASIK)has been accepted as a regular refractive surgery technique to correct mild and moderate myopia. However, it shows inadequacy in ability to correct high refractive errors, and in patients with thin cornea and keratoconus. In 1993, Staar Surgical(A.G. Nidau)introduced a modified intraocular collamer lens(ICL)for the correction of high myopia, which emerged as a safe and effective operation for moderate or high myopia gradually. Although it has already been proved that ICL has safety and efficacy for the correction of high myopia, several studies reported dislocation and rotation of ICL after implantation, which led decreased vision and poor satisfaction. In severe cases, secondary glaucoma, anterior subcapsular cataract happened consequentially. These potential complications have drawn more and more attention by the majority of physicians and scholars. This paper aims to discuss the potential cause of shift and rotation of ICLs after implantation.