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Inter-eye and postoperative prediction of vault after implantation of EVO + Visian phakic implantable collamer lens

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Abstract

Purpose

To assess whether the postoperative outcomes of the implantation of an EVO + implantable collamer lens (ICL) in one eye can be used as a predictor of the vault of the fellow eye, and to evaluate the vault changes of the implantation in both eyes during the postoperative period.

Methods

A prospective study including 40 eyes of 20 patients with a bilateral EVO + ICL implantation was performed. Subjects were evaluated before the surgery and 1 day, 1 week and 1, 3 and 6 months postoperatively. Central vault was assessed using spectral-domain optical coherence tomography. The inter-eye and follow-up analyses were performed using lineal models and the Bland–Altman method.

Results

The vault of the first implanted eye at the 1-day visit highly predicts the vault of the second eye (R2 = .87; P < .001); the mean inter-eye difference was − 0.95 μm, and the superior and inferior limits of agreement were −50.27 μm and 148.37 μm, respectively. This relationship was maintained during the medium-term follow-up, not finding differences in the slopes among visits (P ≥ .09). A progressive decrease of vault was found during the follow-up (P < .001). Larger vault change 6 months after the surgery was associated with higher vault 1 day after the ICL implantation (R2 = .19;P = .005).

Conclusion

One-day postoperative vault in the first eye can help to predict the optimal ICL sizing in the second eye. Vault tends to decrease during the first 6 months after EVO + ICL implantation. Eyes with higher initial vaults will also show larger reductions during the medium-term follow-up.

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Funding

This study was supported in part by the Spanish Ministry of Economy and Competitiveness (Instituto de Salud Carlos III) through Research Projects RETICS RD16/008/0001 (Oftared); EM-P was supported by Junta de Castilla y León and European Social Fund (EDU/1100/2017). The funders of the study had no role in study design, data collection, data analysis, data interpretation, or writing of the report.

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Authors and Affiliations

  1. Instituto de Oftalmobiología Aplicada (IOBA), Universidad de Valladolid, Paseo de Belén 17, 47011, Valladolid, Spain

    Elena Martínez-Plaza, Alberto López-Miguel, Alberto López-de la Rosa & Miguel J. Maldonado

  2. Red Temática de Investigación Colaborativa en Oftalmología (OftaRed), Instituto de Salud Carlos III, Madrid, Spain

    Alberto López-Miguel & Miguel J. Maldonado

Authors
  1. Elena Martínez-Plaza
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  2. Alberto López-Miguel
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  3. Alberto López-de la Rosa
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  4. Miguel J. Maldonado
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Contributions

All authors contributed to the study conception and design. Material preparation, data collection and analysis were performed by all authors. The first draft of the manuscript was written by Elena Martínez-Plaza and Alberto López-de la Rosa, and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

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Correspondence to Alberto López-Miguel.

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No author has a financial or proprietary interest in any material or method mentioned.

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This study was performed in line with the principles of the Declaration of Helsinki. Approval was granted by the East Valladolid Health Area Ethics Committee (Valladolid, Spain) (No PI 15–310).

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Martínez-Plaza, E., López-Miguel, A., López-de la Rosa, A. et al. Inter-eye and postoperative prediction of vault after implantation of EVO + Visian phakic implantable collamer lens. Int Ophthalmol 43, 1501–1510 (2023). https://doi.org/10.1007/s10792-022-02546-5

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