Retinal and Choroidal Changes Following Implantable Collamer Lens V4c Implantation in High Myopia Patients—A 1-Year Follow-Up Study
Abstract
:1. Introduction
2. Materials and Methods
2.1. Subjects
2.2. Preoperative Examinations
2.3. Surgical Technique
2.4. Postoperative Follow-Up
2.5. Statistical Analysis
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Parameter | Total or Mean (Range) |
---|---|
No. of patients | 52 |
No. of eyes (Right/Left) | 97 (49/48) |
Gender (n, male/female) | 11/41 |
Age (yrs) | 26.7 ± 6.2 (17~44) |
Spherical equivalent refraction (D) | −10.14 ± 2.8 (−18.25~−6) |
Best-corrected visual acuity (logMAR) | 0.03 ± 0.07 (−0.08~0.40) |
Axial length (mm) | 27.44 ± 1.3 (24.76~30.75) |
Central corneal thickness (μm) | 514.47 ± 30.65 (438~630) |
Anterior chamber depth (mm) | 3.28 ± 0.32 (2.69~4.03) |
Lens thickness (mm) | 3.72 ± 0.27 (3.21~4.64) |
Corneal endothelial cell density (cell/mm2) | 2651.96 ± 245.42 (2144~3287) |
Anterior chamber volume (mm3) | 205.26 ± 31.01 (136~279) |
Parameter | Preoperative | Postoperative | |||||
---|---|---|---|---|---|---|---|
Day 1 | Week 1 | Month 1 | Month 3 | Month 6 | Month 12 | ||
Eyes (n) | 97 | 93 | 70 | 47 | 46 | 21 | 28 |
CRT (μm) | 272.7 ± 34.1 | 281.0 ± 35.0 | 284.7 ± 36.9 | 281.9 ± 22.8 | 278.7 ± 30.2 | 276.0 ± 30.1 | 286.6 ± 32.5 |
3 mm CRV (μm2) | 0.21 ± 0.03 | 0.22 ± 0.03 | 0.22 ± 0.03 | 0.22 ± 0.02 | 0.22 ± 0.02 | 0.22 ± 0.02 | 0.22 ± 0.03 |
6 mm CRV (μm2) | 8.80 ± 0.61 | 8.84 ± 0.85 | 8.90 ± 1.04 | 8.74 ± 0.50 | 8.71 ± 0.78 | 8.90 ± 0.64 | 8.96 ± 0.80 |
Choroid Thickness (μm) | Preoperative | Postoperative | |||||
---|---|---|---|---|---|---|---|
Day 1 | Week 1 | Month 1 | Month 3 | Month 6 | Month 12 | ||
Eyes (n) | 97 | 93 | 70 | 47 | 46 | 21 | 28 |
Subfoveal ChT | 202.8 ± 86.5 | 189.4 ± 80.9 | 184.9 ± 84.2 | 192.9 ± 81.5 | 195.1 ± 71.0 | 191.4 ± 85.3 | 196.7 ± 63.1 |
0.5 mm nasal ChT | 197.0 ± 88.11 | 182.4 ± 78.0 | 177.2 ± 87.7 | 184.3 ± 71.4 | 185.1 ± 71.4 | 171.6 ± 73.5 | 192.3 ± 67.8 |
1.5 mm nasal ChT | 167.7 ± 76.6 | 150.3 ± 69.8 | 148.9 ± 77.4 | 149.3 ± 62.4 | 156.6 ± 69.8 | 153.4 ± 66.4 | 153.6 ± 64.7 |
3.0 mm nasal ChT | 121.5 ± 52.2 | 104.2 ± 48.8 | 102.0 ± 55.3 | 104.1 ± 42.1 | 98.5 ± 48.3 | 107.6 ± 59.4 | 104.4 ± 50.2 |
0.5 mm temporal ChT | 221.9 ± 98.8 | 208.5 ± 83.9 | 204.0 ± 86.4 | 208.4 ± 88.3 | 208.7 ± 71.5 | 210.3 ± 85.4 | 218.4 ± 58.3 |
1.5 mm temporal ChT | 287.2 ± 91.0 | 270.2 ± 84.3 | 265.7 ± 86.3 | 274.6 ± 95.7 | 272.2 ± 81.4 | 295.8 ± 120.1 | 281.8 ± 64.6 |
3.0 mm temporal ChT | 358.9 ± 93.3 | 321.0 ± 79.5 | 318.5 ± 77.9 | 334.9 ± 99.0 | 317.6 ± 75.8 | 379.4 ± 114.4 | 333.1 ± 74.1 |
0.5 mm Superior ChT | 247.9 ± 92.4 | 215.0 ± 79.2 | 214.6 ± 92.7 | 219.0 ± 72.2 | 209.5 ± 65.4 | 217.8 ± 80.3 | 218.4 ± 58.2 |
1.5 mm Superior ChT | 296.2 ± 83.8 | 266.3 ± 78.5 | 262.5 ± 88.8 | 266.7 ± 76.0 | 261.4 ± 59.4 | 275.0 ± 72.4 | 257.3 ± 53.0 |
3.0 mm Superior ChT | 354.5 ± 97.4 | 311.5 ± 77.5 | 316.4 ± 100.0 | 317.4 ± 78.4 | 306.6 ± 66.7 | 355.6 ± 76.4 | 321.4 ± 67.7 |
0.5 mm inferior ChT | 208.3 ± 84.4 | 192.0 ± 79.0 | 190.7 ± 90.1 | 192.8 ± 73.3 | 193.4 ± 67.6 | 191.4 ± 75.6 | 196.5 ± 59.5 |
1.5 mm inferior ChT | 221.9 ± 82.2 | 223.8 ± 88.4 | 217.7 ± 92.8 | 222.9 ± 88.4 | 215.1 ± 77.4 | 227.1 ± 80.3 | 235.8 ± 73.6 |
3.0 mm inferior ChT | 270.8 ± 103.5 | 261.7 ± 88.7 | 263.6 ± 95.2 | 263.5 ± 90.4 | 267.0 ± 89.8 | 305.8 ± 119.0 | 295.4 ± 80.5 |
Choroid Volume (mm2) | Preoperative | Postoperative | |||||
---|---|---|---|---|---|---|---|
Day 1 | Week 1 | Month 1 | Month 3 | Month 6 | Month 12 | ||
Eyes (n) | 97 | 93 | 70 | 47 | 46 | 21 | 28 |
3.0 mm horizontal CVI | 64.83 ± 4.0% | 65.21 ± 4.0% | 66.09 ± 4.0% | 65.79 ± 4.5% | 65.46 ± 4.1% | 64.62 ± 4.3% | 67.13 ± 4.3% |
3.0 mm horizontal LA | 0.506 ± 0.20 | 0.579 ± 0.24 | 0.558 ± 0.24 | 0.562 ± 0.19 | 0.580 ± 0.19 | 0.473 ± 0.17 | 0.614 ± 0.17 |
3.0 mm horizontal SA | 0.274 ± 0.11 | 0.310 ± 0.14 | 0.283 ± 0.12 | 0.293 ± 0.10 | 0.306 ± 0.10 | 0.261 ± 0.10 | 0.297 ± 0.08 |
3.0 mm horizontal TCA | 0.780 ± 0.31 | 0.889 ± 0.38 | 0.841 ± 0.35 | 0.855 ± 0.28 | 0.886 ± 0.28 | 0.734 ± 0.27 | 0.911 ± 0.24 |
3.0 mm vertical CVI | 65.03 ± 3.8% | 65.02 ± 3.9% | 65.90 ± 4.5% | 66.11 ± 4.3% | 65.66 ± 4.1% | 66.42 ± 5.1% | 67.96 ± 4.8% |
3.0 mm vertical LA | 0.540 ± 0.20 | 0.616 ± 0.26 | 0.600 ± 0.24 | 0.609 ± 0.20 | 0.601 ± 0.20 | 0.500 ± 0.15 | 0.649 ± 0.17 |
3.0 mm vertical SA | 0.289 ± 0.11 | 0.333 ± 0.15 | 0.308 ± 0.12 | 0.314 ± 0.12 | 0.314 ± 0.11 | 0.253 ± 0.08 | 0.311 ± 0.11 |
3.0 mm vertical TCA | 0.829 ± 0.31 | 0.949 ± 0.40 | 0.908 ± 0.35 | 0.923 ± 0.30 | 0.915 ± 0.29 | 0.753 ± 0.22 | 0.960 ± 0.27 |
6.0 mm horizontal CVI | 63.94 ± 4.0% | 63.89 ± 3.7% | 64.36 ± 3.5% | 63.55 ± 4.3% | 64.64 ± 3.3% | 62.88 ± 4.1% | 65.05 ± 3.4% |
6.0 mm horizontal LA | 0.947 ± 0.37 | 1.057 ± 0.37 | 1.045 ± 0.40 | 1.003 ± 0.35 | 1.064 ± 0.33 | 0.905 ± 0.27 | 1.140 ± 0.30 |
6.0 mm horizontal SA | 0.532 ± 0.21 | 0.596 ± 0.23 | 0.572 ± 0.22 | 0.566 ± 0.19 | 0.579 ± 0.18 | 0.535 ± 0.17 | 0.607 ± 0.15 |
6.0 mm horizontal TCA | 1.478 ± 0.56 | 1.654 ± 0.59 | 1.617 ± 0.61 | 1.569 ± 0.52 | 1.643 ± 0.49 | 1.440 ± 0.42 | 1.747 ± 0.43 |
6.0 mm vertical CVI | 63.56 ± 4.0% | 63.58 ± 3.6% | 64.29 ± 3.7% | 63.79 ± 4.5% | 64.12 ± 3.8% | 64.59 ± 3.6% | 66.36 ± 3.6% |
6.0 mm vertical LA | 1.103 ± 0.41 | 1.263 ± 0.43 | 1.239 ± 0.46 | 1.200 ± 0.40 | 1.255 ± 0.37 | 1.082 ± 0.31 | 1.365 ± 0.31 |
6.0 mm vertical SA | 0.626 ± 0.22 | 0.717 ± 0.25 | 0.675 ± 0.24 | 0.662 ± 0.19 | 0.697 ± 0.20 | 0.590 ± 0.16 | 0.688 ± 0.16 |
6.0 mm vertical TCA | 1.729 ± 0.62 | 1.980 ± 0.67 | 1.914 ± 0.69 | 1.861 ± 0.58 | 1.952 ± 0.55 | 1.672 ± 0.46 | 2.053 ± 0.45 |
Preoperative vs. Post-Week 1 | p * | Post-Month 1 vs. Post-Month 12 | p * | |
---|---|---|---|---|
Eyes (n) | 69 (n = 35) | 19 (n = 10) | ||
CRT (μm) | 271.49 ± 31.6 vs. 284.69 ± 36.9 | <0.0001 | 277.11 ± 22.9 vs. 284.68 ± 33.7 | <0.0001 |
3 mm CRV (μm2) | 0.213 ± 0.02 vs. 0.224 ± 0.03 | <0.0001 | 0.218 ± 0.02 vs. 0.223 ± 0.03 | <0.0001 |
6 mm CRV (μm2) | 8.817 ± 0.67 vs. 8.900 ± 1.04 | <0.0001 | 8.75 ± 0.35 vs. 8.97 ± 0.55 | <0.0001 |
Subfoveal ChT | 195.13 ± 88.4 vs. 184.86 ± 84.2 | <0.0001 | 193.68 ± 59.1 vs. 202.58 ± 64.0 | <0.0001 |
0.5 mm nasal ChT | 190.77 ± 92.3 vs. 178.41 ± 89.7 | <0.0001 | 189.11 ± 62.8 vs. 195.47 ± 66.6 | <0.0001 |
1.5 mm nasal ChT | 162.30 ± 78.3 vs. 148.90 ± 77.4 | <0.0001 | 151.95 ± 65.7 vs. 158.11 ± 52.3 | <0.0001 |
3.0 mm nasal ChT | 121.05 ± 50.7 vs. 102.02 ± 55.3 | <0.0001 | 102.13 ± 48.6 vs. 106.06 ± 52.3 | <0.0001 |
0.5 mm temporal ChT | 211.31 ± 95.8 vs. 203.97 ± 86.4 | <0.0001 | 205.32 ± 59.0 vs. 216.00 ± 58.9 | <0.0001 |
1.5 mm temporal ChT | 280.99 ± 95.4 vs. 265.71 ± 86.3 | <0.0001 | 270.89 ± 60.4 vs. 279.16 ± 67.0 | <0.0001 |
3.0 mm temporal ChT | 355.37 ± 92.3 vs. 318.50 ± 77.9 | <0.0001 | 332.68 ± 74.4 vs. 333.00 ± 84.6 | <0.0001 |
0.5 mm Superior ChT | 240.72 ± 98.8 vs. 214.62 ± 92.7 | <0.0001 | 220.63 ± 58.0 vs. 228.89 ± 60.1 | <0.0001 |
1.5 mm Superior ChT | 287.04 ± 88.7 vs. 262.48 ± 88.7 | <0.0001 | 256.95 ± 50.7 vs. 264.74 ± 54.9 | <0.0001 |
3.0 mm Superior ChT | 350.22 ± 104.3 vs. 316.36 ± 100.0 | <0.0001 | 323.89 ± 85.2 vs. 332.47 ± 73.9 | <0.0001 |
0.5 mm inferior ChT | 204.44 ± 90.0 vs. 190.68 ± 90.1 | <0.0001 | 196.32 ± 63.4 vs. 203.84 ± 64.8 | <0.0001 |
1.5 mm inferior ChT | 220.58 ± 91.3 vs. 217.65 ± 92.8 | <0.0001 | 218.21 ± 71.8 vs. 229.74 ± 82.0 | <0.0001 |
3.0 mm inferior ChT | 271.94 ± 114.8 vs. 263.58 ± 95.2 | <0.0001 | 285.65 ± 99.8 vs. 299.41 ± 96.0 | <0.0001 |
3.0 mm horizontal CVI | 65.42% ± 3.9% vs. 66.08% ± 4.0% | <0.0001 | 67.28% ± 5.0% vs. 68.07% ± 5.3% | <0.0001 |
3.0 mm horizontal LA | 0.497 ± 0.22 vs. 0.558 ± 0.24 | <0.0001 | 0.613 ± 0.17 vs. 0.644 ± 0.18 | <0.0001 |
3.0 mm horizontal SA | 0.262 ± 0.12 vs. 0.283 ± 0.12 | <0.0001 | 0.297 ± 0.09 vs. 0.302 ± 0.09 | <0.0001 |
3.0 mm horizontal TCA | 0.760 ± 0.34 vs. 0.841 ± 0.35 | <0.0001 | 0.910 ± 0.25 vs. 0.946 ± 0.25 | <0.0001 |
3.0 mm vertical CVI | 65.48% ± 3.7% vs. 65.90% ± 4.5% | <0.0001 | 67.28% ± 5.0% vs. 67.75% ± 5.0% | <0.0001 |
3.0 mm vertical LA | 0.533 ± 0.23 vs. 0.600 ± 0.24 | <0.0001 | 0.613 ± 0.17 vs. 0.644 ± 0.18 | <0.0001 |
3.0 mm vertical SA | 0.279 ± 0.12 vs. 0.308 ± 0.12 | <0.0001 | 0.319 ± 0.09 vs. 0.323 ± 0.11 | <0.0001 |
3.0 mm vertical TCA | 0.812 ± 0.34 vs. 0.908 ± 0.35 | <0.0001 | 0.977 ± 0.25 vs. 1.002 ± 0.28 | <0.0001 |
6.0 mm horizontal CVI | 64.62% ± 4.0% vs. 64.36% ± 3.5% | <0.0001 | 67.28% ± 5.0% vs. 67.75% ± 5.0% | <0.0001 |
6.0 mm horizontal LA | 0.930 ± 0.40 vs. 1.045 ± 0.40 | <0.0001 | 0.613 ± 0.17 vs. 0.644 ± 0.18 | <0.0001 |
6.0 mm horizontal SA | 0.507 ± 0.22 vs. 0.572 ± 0.22 | <0.0001 | 0.297 ± 0.09 vs. 0.302 ± 0.09 | <0.0001 |
6.0 mm horizontal TCA | 1.437 ± 0.62 vs. 1.617 ± 0.61 | <0.0001 | 0.910 ± 0.25 vs. 0.946 ± 0.25 | <0.0001 |
6.0 mm vertical CVI | 63.96% ± 4.2% vs. 64.29% ± 3.7% | <0.0001 | 67.28% ± 5.0% vs. 68.07% ± 5.3% | <0.0001 |
6.0 mm vertical LA | 1.087 ± 0.45 vs. 1.239 ± 0.46 | <0.0001 | 0.658 ± 0.17 vs. 0.679 ± 0.18 | <0.0001 |
6.0 mm vertical SA | 0.606 ± 0.24 vs. 0.675 ± 0.24 | <0.0001 | 0.319 ± 0.09 vs. 0.323 ± 0.11 | <0.0001 |
6.0 mm vertical TCA | 1.693 ± 0.68 vs. 1.914 ± 0.69 | <0.0001 | 0.977 ± 0.25 vs. 1.002 ± 0.28 | <0.0001 |
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Wei, Q.; Zhou, X.; Chang, W.; Jiang, R.; Zhou, X.; Yu, Z. Retinal and Choroidal Changes Following Implantable Collamer Lens V4c Implantation in High Myopia Patients—A 1-Year Follow-Up Study. Diagnostics 2023, 13, 3097. https://doi.org/10.3390/diagnostics13193097
Wei Q, Zhou X, Chang W, Jiang R, Zhou X, Yu Z. Retinal and Choroidal Changes Following Implantable Collamer Lens V4c Implantation in High Myopia Patients—A 1-Year Follow-Up Study. Diagnostics. 2023; 13(19):3097. https://doi.org/10.3390/diagnostics13193097
Chicago/Turabian StyleWei, Qiaoling, Xianjin Zhou, Weiteng Chang, Rui Jiang, Xingtao Zhou, and Zhiqiang Yu. 2023. "Retinal and Choroidal Changes Following Implantable Collamer Lens V4c Implantation in High Myopia Patients—A 1-Year Follow-Up Study" Diagnostics 13, no. 19: 3097. https://doi.org/10.3390/diagnostics13193097