Publication: Evaluación de los cambios producidos en el vault, a largo plazo, de lentes intraoculares fáquicas tipo ICL
Loading...
Official URL
Full text at PDC
Publication Date
2020
Advisors (or tutors)
Editors
Journal Title
Journal ISSN
Volume Title
Publisher
UCM
Citations
Exportar
Abstract
Objetivo: Comparar cómo varía el vault de las lentes fáquicas tipo ICL a lo largo del tiempo.
Material y métodos: Se incluyeron 626 ojos de 343 pacientes operados en la Clínica Miranza IOA Madrid entre febrero de 2004 y diciembre de 2016. Se estudió la evolución del vault central en función de los 3 modelos de ICL implantados de potencia miópica: el modelo ICM y los modelos VICMO y VICM5 que presentan un agujero central (aquaPORT) que ayuda al correcto flujo del humor acuoso.
La evaluación del modelo ICM se hizo mediante lámpara de hendidura y OCT, mientras que para los modelos VICMO y VICM5 la evaluación se realizó únicamente con OCT. Todos los valores se incluyeron en micras en la base de datos creada en SPSS para su análisis.
Resultados: Las lentes tipo ICM presentaron una disminución estadísticamente significativa en el vault central dos años después de la implantación de la lente (26,70±117,76μm; p=0,018). En las lentes con AquaPORT (VICMO y VICM5) se observó una disminución estadísticamente significativa desde el primer año tras la inserción de la lente (98,79±143,23μm; p=0,000 y 190,74±155,59μm; p=0,000 respectivamente), siendo está disminución mayor durante los primeros 12 meses. Se observaron diferencias estadísticamente significativas entre las lentes ICM y VICMO (p=0,000) tanto en la medida postquirúrgica y durante los dos años siguientes (p=0,011), y entre la lente ICM y VICM5 en la medida postquirúrgica (p=0,000). No se observaron diferencias estadísticamente significativas entre los modelos VICMO y VICM5.
Conclusiones: Existe una disminución estadísticamente significativa en el vault central de todos los modelos de ICL evaluados a lo largo del tiempo.
Purpose: To compare how the vault of phakic collamer lens (ICL) changes over the time. Material and methods: 626 eyes of 343 patients operated on in Clinic Miranza IOA Madrid between February 2004 and December 2016 were included. Central vault evolution was studied according to the 3 ICL models implanted with myopic power: the ICM model and the VICMO and VICM5 models that have a central hole (aquaPORT) which helps the correct flow of aqueous humor. The evaluation of the ICM model was performed with a slit lamp and OCT while for the VICMO and VICM5 models the evaluation was carried out only with OCT. All values were included in microns in the database created in SPSS for analysis. Result: ICM lenses presented a statistically significant decrease in the annual vault 2 years later from the lens insertion (26,70±117,76μm; p=0,018). In the case of the lens with AquaPORT it was observed a statistically significant decrease from the first year after the lens insertion (98,79±143,23μm; p=0,000 y 190,74±155,59μm; p=0,000 respectively), being this decrease higher during the first 12 months. Statistically significant differences were observed between the ICM and VICMO (p=0,000) lenses both in the post-surgical measurement and during the following two years (p=0,011), and between the ICM and VICM5 lens in the post-surgical visit (p=0,000). Non statistically significant differences were observed between the VICMO and VICM5 models. Conclusions: There is a statistically significant decrease in the central vault of the lens with and without AquaPORT over the time.
Purpose: To compare how the vault of phakic collamer lens (ICL) changes over the time. Material and methods: 626 eyes of 343 patients operated on in Clinic Miranza IOA Madrid between February 2004 and December 2016 were included. Central vault evolution was studied according to the 3 ICL models implanted with myopic power: the ICM model and the VICMO and VICM5 models that have a central hole (aquaPORT) which helps the correct flow of aqueous humor. The evaluation of the ICM model was performed with a slit lamp and OCT while for the VICMO and VICM5 models the evaluation was carried out only with OCT. All values were included in microns in the database created in SPSS for analysis. Result: ICM lenses presented a statistically significant decrease in the annual vault 2 years later from the lens insertion (26,70±117,76μm; p=0,018). In the case of the lens with AquaPORT it was observed a statistically significant decrease from the first year after the lens insertion (98,79±143,23μm; p=0,000 y 190,74±155,59μm; p=0,000 respectively), being this decrease higher during the first 12 months. Statistically significant differences were observed between the ICM and VICMO (p=0,000) lenses both in the post-surgical measurement and during the following two years (p=0,011), and between the ICM and VICM5 lens in the post-surgical visit (p=0,000). Non statistically significant differences were observed between the VICMO and VICM5 models. Conclusions: There is a statistically significant decrease in the central vault of the lens with and without AquaPORT over the time.
Description
Curso 2019-2020