Corneal Endothelial Changes Following Implantable Collamer Lens Implantation | ||||
| Al-Azhar International Medical Journal | ||||
| Volume 2024, Issue 12, December 2024 | ||||
| DOI: 10.58675/2682-339X.2814 | ||||
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| Authors | ||||
| Anas Mohamed1; Adel Osman2; Ahmed Mohamed2 | ||||
| 1Ophthalmology, Mabarah charity hospital, Cairo, Egypt | ||||
| 2Ophthalmology, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt | ||||
| Abstract | ||||
| Background: Several studies were conducted over an extended period to rectify refractive defects. This was done by traditional methods like spectacles and contact lenses (CL) or via refractive procedures, which have come to be an acceptable option for many. In contrast to laser in situ keratomileusis (LASIK), which may result in corneal keratectasia from following surgery thinning, phakic intraocular lenses (pIOLs), maintain accommodation and preserve the cornea's original prolate shape and thickness. Objective: To investigate corneal endothelial cell alterations (morphology and number) after the implantable collamer lens (ICL) procedure with specular microscopy. Patients and Methods: The investigation was performed on 20 eyes undergoing the ICL procedure for the correction of myopia. They were evaluated using specular microscopy before surgery and after 1 and 3 months from the surgery. Results: The best-corrected visual acuity (BCVA) increased by one to two lines from the prior-to-surgery levels, and the refractive outcomes were stable. Regarding the endothelial cell count, the percentage of reduction in endothelial cell density (ECD) is statistically insignificant regarding the minimal variation has been detected among before and following surgery ECD. Hence, the effect of ICL implantation on corneal endothelium was minimal and ICL implantation for correction of refractive errors can be considered a safe procedure. Conclusion: Our investigation has shown that ICL implantation in cases with high myopia had excellent outcomes, including reversibility, stability of refraction, higher optical quality, and preservation of accommodation. Furthermore, correction isn't limited by corneal thickness or topography. | ||||
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