CLINICAL FEATURES AND PROGNOSIS ANALYSIS OF RHEGMATOGENOUS RETINAL DETACHMENT IN PATIENTS WITH IMPLANTABLE COLLAMER LENS.

Abstract

This study investigated the clinical characteristics and prognosis of rhegmatogenous retinal detachment (RRD) in patients with implantable collamer lens (ICL). A retrospective review was conducted of medical records from patients with ICL who underwent RRD surgery between 2015 and 2024. Data collected included medical history, preoperative and postoperative best-corrected visual acuity (BCVA), fundus features, intraocular tamponade type, and arch height (AH). Fifteen eyes from 13 male patients (mean age: 32.93 ± 4.01 years) were included. The mean interval from ICL implantation to RRD was 4.53 ± 2.46 years. Twelve eyes (80%) were macula-off and three eyes (20%) were macula-on detachments. The primary anatomical success rate was 80% (12/15), and the final anatomical success rate was 93% (14/15). At the final follow up, the mean BCVA significantly improved from 1.21 ± 0.75 logMAR (Snellen equivalent: 6/100) at baseline to 0.63 ± 0.64 logMAR (23/100) ( P = 0.006). The ICL was retained during primary retinal reattachment surgery. There was no significant change in AH before and after intraocular tamponade ( P = 0.216). Surgical management is a key to the success of RRD in patients with ICL. Implantable collamer lens removal is not required during vitreoretinal surgery when using wide-angle viewing systems in our series. Intraocular tamponade does not significantly affect AH.