Effects of Decentration of Implantable Collamer Lens V4c on Visual Quality With the OPD-Scan III Aberrometer.

Chen, Xun; Lin, I-Chun; Miao, Huamao; Cheng, Mingrui; Li, Boliang; Jiang, Yinjie; Lei, Yadi; Wang, Xiaoying et al. · Am J Ophthalmol · 2024

prospective_cohort · Level II

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Abstract

This study aimed to analyze the relationship between visual quality and implantable collamer lenses (ICL) decentration. Prospective treatment evaluation clinical study METHODS: This prospective study included 119 eyes with ICL implantation. Refractive parameters and ocular aberrations were examined pre- and postoperatively. ICL decentration and higher-order aberrations (HOAs) were evaluated using the OPD-Scan III aberrometer. At the 1-month follow-up, the mean values for decentration were 0.38 ± 0.19 mm (0.02-0.78). Regarding the position of decentration in right and left eyes, 22.8% and 17.7% were located in the superior nasal section, 0% and 6.5% in the inferior nasal section, 50.9% and 53.2% in the superior temporal section, and 26.3% and 22.6% in the inferior temporal section, respectively. The root mean square values of whole-eye total HOAs, coma, and trefoil had significantly increased. Decentration had a significant negative correlation with variation in the pre- and postoperative trefoils of the whole eye. ICL decentration had a slightly negative correlation with trefoil and slightly affected visual quality.

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