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Vertical implantable collamer lens (ICL) rotation for the management of high vault due to lens oversizing

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Abstract

Purpose

To describe the good outcome of implantable collamer lens (ICL) rotation to reduce post-operative vault.

Methods

Retrospective analysis of case report. A 43-year-old woman had V4c EVO + myopic non-toric ICL implantation and post-operatively she presented with anisocoria and high vault. She underwent surgery to rotate the ICL 90 degrees to a vertical orientation.

Results

We achieved a reduction in the vault from 1020 to 486 μm after vertical ICL rotation. Satisfactory refractive outcome and optimal vault were achieved and maintained during the period of follow-up.

Conclusion

Optimal ICL sizing is important as too high vault/clearance is associated with problems such as angle closure glaucoma, pupil dilatation and anisocoria and too low vault/clearance to increased risk of cataract formation. Non-toric ICL rotation can be a simple surgical technique to deal with oversized lenses thus avoiding ICL exchange.

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Acknowledgements

Alex Day was supported by the National Institute for Health Research (NIHR) Biomedical Research Centre based at Moorfields Eye Hospital NHS Foundation Trust and UCL Institute of Ophthalmology. The views expressed are those of the author(s) and not necessarily those of the NHS, the NIHR or the Department of Health.

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Authors and Affiliations

  1. Moorfields Eye Hospital, 162 City Road, London, EC1V 2PD, UK

    Francesco Matarazzo, Alexander Clifford Day, Luis Fernandez-Vega Cueto & Vincenzo Maurino

  2. The NIHR Biomedical Research Centre at Moorfields Eye Hospital NHS Foundation Trust, UCL Institute of Ophthalmology, London, EC1V 2PD, UK

    Alexander Clifford Day

  3. Fernández-Vega Ophthalmological Institute, Oviedo, Spain

    Luis Fernandez-Vega Cueto

Authors
  1. Francesco Matarazzo
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  2. Alexander Clifford Day
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  3. Luis Fernandez-Vega Cueto
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  4. Vincenzo Maurino
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Corresponding author

Correspondence to Vincenzo Maurino.

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Conflict of interest

Mr. Maurino: Honorarium Instructor for Staar (last in 2015) and remaining authors declare that they have no competing interests.

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The patient has consented to the submission of the case report for submission to the journal.

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Matarazzo, F., Day, A.C., Fernandez-Vega Cueto, L. et al. Vertical implantable collamer lens (ICL) rotation for the management of high vault due to lens oversizing. Int Ophthalmol 38, 2689–2692 (2018). https://doi.org/10.1007/s10792-017-0757-2

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  • DOI: https://doi.org/10.1007/s10792-017-0757-2

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