Frontiers in Medicine (Nov 2021)
Safety of EVO ICL Implantation With an Ophthalmic Viscosurgical Device-Free Technique in the Early 24 h After Surgery
- Zhe Zhang,
- Zhe Zhang,
- Zhe Zhang,
- Zhe Zhang,
- Zhe Zhang,
- Lingling Niu,
- Lingling Niu,
- Lingling Niu,
- Lingling Niu,
- Lingling Niu,
- Jing Zhao,
- Jing Zhao,
- Jing Zhao,
- Jing Zhao,
- Jing Zhao,
- Huamao Miao,
- Huamao Miao,
- Huamao Miao,
- Huamao Miao,
- Huamao Miao,
- Zhuoyi Chen,
- Zhuoyi Chen,
- Zhuoyi Chen,
- Zhuoyi Chen,
- Zhuoyi Chen,
- Yang Shen,
- Yang Shen,
- Yang Shen,
- Yang Shen,
- Yang Shen,
- Xun Chen,
- Xun Chen,
- Xun Chen,
- Xun Chen,
- Xun Chen,
- Yuhao Ye,
- Yuhao Ye,
- Yuhao Ye,
- Yuhao Ye,
- Yuhao Ye,
- Xiaoying Wang,
- Xiaoying Wang,
- Xiaoying Wang,
- Xiaoying Wang,
- Xiaoying Wang,
- Xingtao Zhou,
- Xingtao Zhou,
- Xingtao Zhou,
- Xingtao Zhou,
- Xingtao Zhou
Affiliations
- Zhe Zhang
- Department of Ophthalmology, Eye Institute, Eye and ENT Hospital, Fudan University, Shanghai, China
- Zhe Zhang
- NHC Key Laboratory of Myopia, Fudan University, Shanghai, China
- Zhe Zhang
- Key Laboratory of Myopia, Chinese Academy of Medical Sciences, Shanghai, China
- Zhe Zhang
- Shanghai Research Center of Ophthalmology and Optometry, Shanghai, China
- Zhe Zhang
- Shanghai Engineering Research Center of Laser and Autostereoscopic 3D for Vision Care, Shanghai, China
- Lingling Niu
- Department of Ophthalmology, Eye Institute, Eye and ENT Hospital, Fudan University, Shanghai, China
- Lingling Niu
- NHC Key Laboratory of Myopia, Fudan University, Shanghai, China
- Lingling Niu
- Key Laboratory of Myopia, Chinese Academy of Medical Sciences, Shanghai, China
- Lingling Niu
- Shanghai Research Center of Ophthalmology and Optometry, Shanghai, China
- Lingling Niu
- Shanghai Engineering Research Center of Laser and Autostereoscopic 3D for Vision Care, Shanghai, China
- Jing Zhao
- Department of Ophthalmology, Eye Institute, Eye and ENT Hospital, Fudan University, Shanghai, China
- Jing Zhao
- NHC Key Laboratory of Myopia, Fudan University, Shanghai, China
- Jing Zhao
- Key Laboratory of Myopia, Chinese Academy of Medical Sciences, Shanghai, China
- Jing Zhao
- Shanghai Research Center of Ophthalmology and Optometry, Shanghai, China
- Jing Zhao
- Shanghai Engineering Research Center of Laser and Autostereoscopic 3D for Vision Care, Shanghai, China
- Huamao Miao
- Department of Ophthalmology, Eye Institute, Eye and ENT Hospital, Fudan University, Shanghai, China
- Huamao Miao
- NHC Key Laboratory of Myopia, Fudan University, Shanghai, China
- Huamao Miao
- Key Laboratory of Myopia, Chinese Academy of Medical Sciences, Shanghai, China
- Huamao Miao
- Shanghai Research Center of Ophthalmology and Optometry, Shanghai, China
- Huamao Miao
- Shanghai Engineering Research Center of Laser and Autostereoscopic 3D for Vision Care, Shanghai, China
- Zhuoyi Chen
- Department of Ophthalmology, Eye Institute, Eye and ENT Hospital, Fudan University, Shanghai, China
- Zhuoyi Chen
- NHC Key Laboratory of Myopia, Fudan University, Shanghai, China
- Zhuoyi Chen
- Key Laboratory of Myopia, Chinese Academy of Medical Sciences, Shanghai, China
- Zhuoyi Chen
- Shanghai Research Center of Ophthalmology and Optometry, Shanghai, China
- Zhuoyi Chen
- Shanghai Engineering Research Center of Laser and Autostereoscopic 3D for Vision Care, Shanghai, China
- Yang Shen
- Department of Ophthalmology, Eye Institute, Eye and ENT Hospital, Fudan University, Shanghai, China
- Yang Shen
- NHC Key Laboratory of Myopia, Fudan University, Shanghai, China
- Yang Shen
- Key Laboratory of Myopia, Chinese Academy of Medical Sciences, Shanghai, China
- Yang Shen
- Shanghai Research Center of Ophthalmology and Optometry, Shanghai, China
- Yang Shen
- Shanghai Engineering Research Center of Laser and Autostereoscopic 3D for Vision Care, Shanghai, China
- Xun Chen
- Department of Ophthalmology, Eye Institute, Eye and ENT Hospital, Fudan University, Shanghai, China
- Xun Chen
- NHC Key Laboratory of Myopia, Fudan University, Shanghai, China
- Xun Chen
- Key Laboratory of Myopia, Chinese Academy of Medical Sciences, Shanghai, China
- Xun Chen
- Shanghai Research Center of Ophthalmology and Optometry, Shanghai, China
- Xun Chen
- Shanghai Engineering Research Center of Laser and Autostereoscopic 3D for Vision Care, Shanghai, China
- Yuhao Ye
- Department of Ophthalmology, Eye Institute, Eye and ENT Hospital, Fudan University, Shanghai, China
- Yuhao Ye
- NHC Key Laboratory of Myopia, Fudan University, Shanghai, China
- Yuhao Ye
- Key Laboratory of Myopia, Chinese Academy of Medical Sciences, Shanghai, China
- Yuhao Ye
- Shanghai Research Center of Ophthalmology and Optometry, Shanghai, China
- Yuhao Ye
- Shanghai Engineering Research Center of Laser and Autostereoscopic 3D for Vision Care, Shanghai, China
- Xiaoying Wang
- Department of Ophthalmology, Eye Institute, Eye and ENT Hospital, Fudan University, Shanghai, China
- Xiaoying Wang
- NHC Key Laboratory of Myopia, Fudan University, Shanghai, China
- Xiaoying Wang
- Key Laboratory of Myopia, Chinese Academy of Medical Sciences, Shanghai, China
- Xiaoying Wang
- Shanghai Research Center of Ophthalmology and Optometry, Shanghai, China
- Xiaoying Wang
- Shanghai Engineering Research Center of Laser and Autostereoscopic 3D for Vision Care, Shanghai, China
- Xingtao Zhou
- Department of Ophthalmology, Eye Institute, Eye and ENT Hospital, Fudan University, Shanghai, China
- Xingtao Zhou
- NHC Key Laboratory of Myopia, Fudan University, Shanghai, China
- Xingtao Zhou
- Key Laboratory of Myopia, Chinese Academy of Medical Sciences, Shanghai, China
- Xingtao Zhou
- Shanghai Research Center of Ophthalmology and Optometry, Shanghai, China
- Xingtao Zhou
- Shanghai Engineering Research Center of Laser and Autostereoscopic 3D for Vision Care, Shanghai, China
- DOI
- https://doi.org/10.3389/fmed.2021.764653
- Journal volume & issue
-
Vol. 8
Abstract
Purpose: To compare the safety of the non-ophthalmic viscosurgical device (OVD) technique with that of the minimum OVD technique in EVO Implantable Collamer Lens (EVO-ICL) implantation.Methods: A total of 180 eyes of 90 consecutive patients were enrolled in the study, of which 100 eyes of 50 patients were treated with non-OVD technique, with a 55% success rate. The remaining 80 eyes of 40 patients were treated with min-OVD technique, so they were classified into the min-OVD group. Preoperative and postoperative intraocular pressure (IOP) measurements were collected and analyzed at 1, 2, 3, and 24 h. Visual acuity, corneal endothelial cell density (ECD), and corneal densitometry 24 h postoperatively were evaluated.Results: No significant difference was found in visual outcomes (P = 0.54) or ECD (P = 0.78) between the two groups. The operation time was significantly shorter in the non-OVD group (P < 0.0001). The IOP was significantly higher at 1 h (P < 0.0001), 2 h (P < 0.0001) and 3 h (P = 0.0045) postoperatively in the min-OVD group. The non-OVD group had significantly lower IOP than the min-OVD group at 1 h (P = 0.01) and 2 h (P = 0.013) postoperatively. The temporal corneal densitometry in the non-OVD group were significantly lower than those in the minimum group (P = 0.0063) 1 day after surgery.Conclusion: The non-OVD technique is safe and efficient for ICL implantation. It can be a safer method of ICL implantation in that it completely eliminates ophthalmic viscoelastic devices related complications without causing additional complications in short term.
Keywords
- ophthalmic viscosurgical device (OVD)
- intraocular pressure (IOP)
- implantable collamer lens (ICL)
- endothelial cell density (ECD)
- corneal densitometry
