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Visual outcomes after small incision lenticule extraction and implantable collamer lens V4c for moderate myopia: 1-year results

  • Refractive Surgery
  • Published:
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Abstract

Purpose

To compare 1-year visual outcomes after implantable collamer lens V4c (EVO-ICL) implantation and small incision lenticule extraction (SMILE) for moderate myopia.

Methods

In this retrospective study, 67 eyes of 39 patients with a preoperative manifest refraction spherical equivalent between − 3.00 and − 6.00 diopters (D) were selected from a database of SMILE and ICL implantation procedures performed from April 2018 to December 2018. Thirty-two eyes of 20 patients underwent EVO-ICL implantation, and 35 eyes of 19 patients underwent SMILE. At the routine 1-year follow-up appointment, all selected patients were examined for higher-order ocular aberrations, retinal image quality, and a quality of vision (QoV) questionnaire. This data was then analyzed.

Results

No complications were observed. Uncorrected and corrected visual acuities at 1 year after surgery were − 0.13 ± 0.07 and − 0.15 ± 0.06 logMAR in the SMILE group, and − 0.10 ± 0.07 and − 0.16 ± 0.05 logMAR in the ICL group. Twenty-nine eyes (90.6%) which underwent ICL implantation and 34 eyes (97.1%) which underwent SMILE were within ± 0.5 D of the attempted spherical equivalent (P = 0.49). Changes in coma after ICL were significantly less than after SMILE (P = 0.002). The leading complaints after ICL and SMILE were halos (84.4%) and blurred vision (65.7%), respectively.

Conclusions

Both SMILE and ICL implantation provided good safety, efficacy, and predictability in correcting moderate myopia. The subjective visual complaints consisted mainly of halos after ICL and starbursts and blurred vision after SMILE.

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Data availability

All data generated or analyzed during this study are included in this published article.

References

  1. Shah R, Shah S, Sengupta S (2011) Results of small incision lenticule extraction: all-in-one femtosecond laser refractive surgery. J Cataract Refract Surg 37(1):127–137

    Article  Google Scholar 

  2. Sekundo W, Kunert KS, Blum M (2011) Small incision corneal refractive surgery using the small incision lenticule extraction (SMILE) procedure for the correction of myopia and myopic astigmatism: results of a 6 month prospective study. Brit J Ophthalmol 95(3):335–339

    Article  Google Scholar 

  3. Moshirfar M, McCaughey MV, Reinstein DZ, Shah R, Santiago-Caban L, Fenzl CR (2015) Small-incision lenticule extraction. J Cataract Refract Surg 41(3):652–665

    Article  Google Scholar 

  4. Torky MA, Alzafiri YA (2017) Visual and refractive outcomes of small-incision lenticule extraction in mild, moderate, and high myopia: six-month results. J Cataract Refract Surg 43(4):459–465

    Article  Google Scholar 

  5. Blum M, Lauer AS, Kunert KS, Sekundo W (2019) 10-year results of small incision lenticule extraction. J Refract Surg 35(10):618–623

    Article  Google Scholar 

  6. Shimizu K, Kamiya K, Igarashi A, Shiratani T (2012) Intraindividual comparison of visual performance after posterior chamber phakic intraocular lens with and without a central hole implantation for moderate to high myopia. Am J Ophthalmol 154(3):486–494

    Article  Google Scholar 

  7. Huseynova T, Ozaki S, Ishizuka T, Mita M, Tomita M (2014) Comparative study of 2 types of implantable collamer lenses, 1 with and 1 without a central artificial hole. Am J Ophthalmol 157(6):1136–1143

    Article  Google Scholar 

  8. Chen Y, Wang X, Zhou CD, Wu Q (2017) Evaluation of visual quality of spherical and aspherical intraocular lenses by optical quality analysis system. Int J Ophthalmol 10(6):914–918

    PubMed  PubMed Central  Google Scholar 

  9. Yan Z, Miao H, Zhao F, Wang X, Chen X, Li M, Zhou X (2018) Two-year outcomes of visian implantable collamer lens with a central hole for correcting high myopia. J Ophthalmol 2018:8678352

    PubMed  PubMed Central  Google Scholar 

  10. Kamiya K, Shimizu K, Igarashi A, Kitazawa Y, Kojima T, Nakamura T, Oka Y, Matsumoto R (2018) Posterior chamber phakic intraocular lens implantation: comparative, multicentre study in 351 eyes with low-to-moderate or high myopia. Br J Ophthalmol 102(2):177–181

    Article  Google Scholar 

  11. Kamiya K, Igarashi A, Shimizu K, Matsumura K, Komatsu M (2012) Visual performance after posterior chamber phakic intraocular lens implantation and wavefront-guided laser in situ keratomileusis for low to moderate myopia. Am J Ophthalmol 153(6):1178–1186 e1

    Article  Google Scholar 

  12. Miao H, He L, Shen Y, Li M, Yu Y, Zhou X (2014) Optical quality and intraocular scattering after femtosecond laser small incision lenticule extraction. J Refract Surg 30(5):296–302

    Article  Google Scholar 

  13. Li M, Li M, Chen Y, Miao H, Yang D, Ni K, Zhou X (2019) Five-year results of small incision lenticule extraction (SMILE) and femtosecond laser LASIK (FS-LASIK) for myopia. Acta Ophthalmol 97(3):e373–e380

    Article  Google Scholar 

  14. Niu L, Miao H, Tian M, Fu D, Wang X, Zhou X (2020) One-year visual outcomes and optical quality of femtosecond laser small incision lenticule extraction and visian implantable collamer lens (ICL V4c) implantation for high myopia. Acta Ophthalmol 98(6):e662–e667

    Article  Google Scholar 

  15. Vilaseca M, Peris E, Pujol J, Borras R, Arjona M (2010) Intra- and intersession repeatability of a double-pass instrument. Optom Vis Sci 87(9):675–681

    Article  Google Scholar 

  16. Miao H, Chen X, Tian M, Chen Y, Wang X, Zhou X (2018) Refractive outcomes and optical quality after implantation of posterior chamber phakic implantable collamer lens with a central hole (ICL V4c). BMC Ophthalmol 18(1):141

    Article  Google Scholar 

  17. Li M, Zhao J, Miao H, Shen Y, Sun L, Tian M, Wadium E, Zhou X (2014) Mild decentration measured by a Scheimpflug camera and its impact on visual quality following SMILE in the early learning curve. Invest Ophthalmol Vis Sci 55(6):3886–3892

    Article  Google Scholar 

  18. McAlinden C, Pesudovs K, Moore JE (2010) The development of an instrument to measure quality of vision: the Quality of Vision (QoV) questionnaire. Invest Ophthalmol Vis Sci 51(11):5537–5545

    Article  Google Scholar 

  19. Igarashi A, Shimizu K, Kamiya K (2014) Eight-year follow-up of posterior chamber phakic intraocular lens implantation for moderate to high myopia. Am J Ophthalmol 157(3):532–539 e1

    Article  CAS  Google Scholar 

  20. Tsiklis NS, Kymionis GD, Karp CL, Naoumidi T, Pallikaris AI (2007) Nine-year follow-up of a posterior chamber phakic IOL in one eye and LASIK in the fellow eye of the same patient. J Refract Surg 23(9):935–937

    Article  Google Scholar 

  21. Ganesh S, Brar S, Pawar A (2017) Matched population comparison of visual outcomes and patient satisfaction between 3 modalities for the correction of low to moderate myopic astigmatism. Clin Ophthalmol 11:1253–1263

    Article  Google Scholar 

  22. Miao H, Tian M, Xu Y, Chen Y, Zhou X (2015) Visual outcomes and optical quality after femtosecond laser small incision lenticule extraction: an 18-month prospective study. J Refract Surg 31(11):726–731

    Article  Google Scholar 

  23. Igarashi A, Kamiya K, Shimizu K, Komatsu M (2009) Visual performance after implantable collamer lens implantation and wavefront-guided laser in situ keratomileusis for high myopia. Am J Ophthalmol 148(1):164–170 e1

    Article  Google Scholar 

  24. Qin Q, Bao L, Yang L, He Z, Huang Z (2019) Comparison of visual quality after EVO-ICL implantation and SMILE to select the appropriate surgical method for high myopia. BMC Ophthalmol 19(1):21

    Article  Google Scholar 

  25. Siedlecki J, Schmelter V, Mayer WJ, Schworm B, Priglinger SG, Dirisamer M, Luft N (2020) SMILE versus implantable collamer lens implantation for high myopia: a matched comparative study. J Refract Surg 36(3):150–159

    Article  Google Scholar 

  26. Lim DH, Lyu IJ, Choi SH, Chung ES, Chung TY (2014) Risk factors associated with night vision disturbances after phakic intraocular lens implantation. Am J Ophthalmol 157(1):135–141 e1

    Article  Google Scholar 

  27. Eppig T, Spira C, Tsintarakis T, El-Husseiny M, Cayless A, Muller M, Seitz B, Langenbucher A (2015) Ghost-image analysis in phakic intraocular lenses with central hole as a potential cause of dysphotopsia. J Cataract Refract Surg 41(11):2552–2559

    Article  Google Scholar 

  28. Wei R, Li M, Zhang H, Aruma A, Miao H, Wang X, Zhou J, Zhou X (2020) Comparison of objective and subjective visual quality early after implantable collamer lens V4c (ICL V4c) and small incision lenticule extraction (SMILE) for high myopia correction. Acta Ophthalmol. https://doi.org/10.1111/aos.14459

  29. Li M, Zhao J, Shen Y, Li T, He L, Xu H, Yu Y, Zhou X (2013) Comparison of dry eye and corneal sensitivity between small incision lenticule extraction and femtosecond LASIK for myopia. PLoS One 8(10):e77797

    Article  CAS  Google Scholar 

Download references

Funding

This study was supported by the National Natural Science Foundation of China (Grant No. 81770955), Joint Research Project of New Frontier Technology in Municipal Hospitals (SHDC12018103), and the Project of Shanghai Science and Technology (Grant No. 17411950200).

Author information

Author notes

  1. Aruma Aruma and Meiyan Li contributed equally to this work and are co-first authors.

Authors and Affiliations

  1. Department of Ophthalmology and Optometry, Eye and ENT Hospital, Fudan University, Shanghai, China

    Aruma Aruma, Meiyan Li, Huamao Miao, Ruoyan Wei, Danjuan Yang, Peijun Yao, Ling Sun, Xiaoying Wang & Xingtao Zhou

  2. NHC Key Laboratory of Myopia (Fudan University), No. 83 Fenyang Road, Shanghai, 200031, People’s Republic of China

    Aruma Aruma, Meiyan Li, Huamao Miao, Ruoyan Wei, Danjuan Yang, Peijun Yao, Ling Sun, Xiaoying Wang & Xingtao Zhou

  3. Shanghai Research Center of Ophthalmology and Optometry, Shanghai, China

    Aruma Aruma, Meiyan Li, Huamao Miao, Ruoyan Wei, Danjuan Yang, Peijun Yao, Ling Sun, Xiaoying Wang & Xingtao Zhou

  4. Kresge Eye Institute/Department of Ophthalmology, Wayne State University, Detroit, MI, USA

    Joanne Choi

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  1. Aruma Aruma
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Correspondence to Xingtao Zhou.

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This study was approved by the Ethics Committee of the Fudan University EENT Hospital Review Board.

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Aruma, A., Li, M., Choi, J. et al. Visual outcomes after small incision lenticule extraction and implantable collamer lens V4c for moderate myopia: 1-year results. Graefes Arch Clin Exp Ophthalmol 259, 2431–2440 (2021). https://doi.org/10.1007/s00417-020-04982-4

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  • DOI: https://doi.org/10.1007/s00417-020-04982-4

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