Two-Year Visual Outcomes of Evolution Implantable Collamer Lens and Small Incision Lenticule Extraction for the Correction of Low Myopia

Mengjun Fu; Meiyan Li; Meiyan Li; Meiyan Li; Meiyan Li; Yiyong Xian; Yiyong Xian; Yiyong Xian; Yiyong Xian; Zhiqiang Yu; Zhiqiang Yu; Zhiqiang Yu; Zhiqiang Yu; Haorun Zhang; Joanne Choi; Lingling Niu; Lingling Niu; Lingling Niu; Lingling Niu; Xiaoying Wang; Xiaoying Wang; Xiaoying Wang; Xiaoying Wang; Xingtao Zhou; Xingtao Zhou; Xingtao Zhou; Xingtao Zhou

doi:10.3389/fmed.2022.780000

Frontiers in Medicine (Apr 2022)

Two-Year Visual Outcomes of Evolution Implantable Collamer Lens and Small Incision Lenticule Extraction for the Correction of Low Myopia

Mengjun Fu,
Meiyan Li,
Meiyan Li,
Meiyan Li,
Meiyan Li,
Yiyong Xian,
Yiyong Xian,
Yiyong Xian,
Yiyong Xian,
Zhiqiang Yu,
Zhiqiang Yu,
Zhiqiang Yu,
Zhiqiang Yu,
Haorun Zhang,
Joanne Choi,
Lingling Niu,
Lingling Niu,
Lingling Niu,
Lingling Niu,
Xiaoying Wang,
Xiaoying Wang,
Xiaoying Wang,
Xiaoying Wang,
Xingtao Zhou,
Xingtao Zhou,
Xingtao Zhou,
Xingtao Zhou

Affiliations

Mengjun Fu: Weifang Eye Hospital, Weifang, China
Meiyan Li: Eye Institute and Department of Ophthalmology, Eye & ENT Hospital, Fudan University, Shanghai, China
Meiyan Li: NHC Key Laboratory of Myopia, Fudan University, Shanghai, China
Meiyan Li: Key Laboratory of Myopia, Chinese Academy of Medical Sciences, Shanghai, China
Meiyan Li: Shanghai Research Center of Ophthalmology and Optometry, Shanghai, China
Yiyong Xian: Eye Institute and Department of Ophthalmology, Eye & ENT Hospital, Fudan University, Shanghai, China
Yiyong Xian: NHC Key Laboratory of Myopia, Fudan University, Shanghai, China
Yiyong Xian: Key Laboratory of Myopia, Chinese Academy of Medical Sciences, Shanghai, China
Yiyong Xian: Shanghai Research Center of Ophthalmology and Optometry, Shanghai, China
Zhiqiang Yu: Eye Institute and Department of Ophthalmology, Eye & ENT Hospital, Fudan University, Shanghai, China
Zhiqiang Yu: NHC Key Laboratory of Myopia, Fudan University, Shanghai, China
Zhiqiang Yu: Key Laboratory of Myopia, Chinese Academy of Medical Sciences, Shanghai, China
Zhiqiang Yu: Shanghai Research Center of Ophthalmology and Optometry, Shanghai, China
Haorun Zhang: Weifang Eye Hospital, Weifang, China
Joanne Choi: Wayne State University School of Medicine, Detroit, MI, United States
Lingling Niu: Eye Institute and Department of Ophthalmology, Eye & 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
Xiaoying Wang: Eye Institute and Department of Ophthalmology, Eye & 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
Xingtao Zhou: Eye Institute and Department of Ophthalmology, Eye & 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

DOI: https://doi.org/10.3389/fmed.2022.780000
Journal volume & issue: Vol. 9

Abstract

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PurposeTo investigate the 2-year visual quality of Evolution Implantable Collamer Lens (EVO-ICL) and small incision lenticule extraction (SMILE) for the correction of low myopia.MethodsIn this prospective study, we included 25 eyes of 25 patients (7 men) who underwent EVO-ICL and 36 eyes of 36 patients (16 men) who underwent SMILE between January 2018 and December 2018. Subjective and objective visual outcomes were compared between ICL and SMILE. All patients were followed for 2 years.ResultsAt the postoperative 2-year visit, the percentage of patients with uncorrected distance visual acuity (UDVA) greater than or equal to preoperative corrected distance visual acuity (CDVA) was comparable in the ICL group (80%, 20/25) and SMILE group (88.89%, 32/36). Spherical equivalent (SE) was within ± 0.50 D in 96% (24/25) of the ICL group and 94.44% (34/36) of the SMILE group. No eyes lost more than 2 lines of CDVA. Postoperative high-order aberrations (HOAs) were significantly increased in the ICL group (p < 0.01) and in the SMILE group (p < 0.01). The most common visual complaint was halo after ICL and starburst after SMILE. There was no correlation between HOAs and visual complaints (p > 0.05).ConclusionEvolution Implantable Collamer Lens provides comparable safety, efficacy, long-term visual stability, and high patient satisfaction when compared to SMILE in correcting low myopia. EVO-ICL could be a favorable alternative for low myopia.Key messages What was known?•Visual outcomes of Evolution Implantable Collamer Lens (EVO-ICL) versus small incision lenticule extraction (SMILE) for correction of mild myopia remain unclear.What this paper adds?•Evolution Implantable Collamer Lens (EVO-ICL) provides comparable safety, efficacy, long-term visual stability, and high patient satisfaction when compared to small incision lenticule extraction (SMILE) in correcting low myopia.•The most common visual complaint was halo after ICL and starburst after SMILE.

Published in Frontiers in Medicine

ISSN: 2296-858X (Online)
Publisher: Frontiers Media S.A.
Country of publisher: Switzerland
LCC subjects: Medicine: Medicine (General)
Website: http://www.frontiersin.org/journals/medicine

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