IMPLANTABLE COLLAMER

LENS (PHAKIC IOL)

By Hunduma Gelalcha (First year MSc. In clinical Optometry

Student)
Moderator- Mr. Haile Woretaw (MSc, F-LVPEI, Ass’t Proff)
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 Contents
• Introduction
• Impact of Refractive Error
• Refractive error management strategies
• Indications implantable Collamer lens
• Properties of ICL
• How does ICL correct Myopia?
• Beneficiaries of Implantable Collamer Lens
• Contra-indications
• Candidates for ICL
• Risk and complications
• Article summary
• References
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 Introduction
• Advanced, thin, clear lens that functions similarly to a
contact lens.
• Surgically implanted
• Moderate to high myopia and myopic astigmatism

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Impact of Refractive Error (Rose.et al)

• Physical and mental health impact

• Socio-economic impact
• Cost of insurance companies

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Refractive error management strategies

• Spectacles
• Contact lenses
• Surgical intervention

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Indications implantable Collamer lens

• Insufficient thickness of the cornea

• High refractive error
Recommended option
Implantable Collamer lens

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 Courtesy; Google image

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 Properties of ICL

• Bio-compatible
• Flexible
• Highly permeable
• Filters 90% of UV ray
• Available in number of lengths

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 How does ICL correct Myopia?

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Beneficiaries of Implantable Collamer Lens

• Myopia (-0.50 D to -15.00 D)- Full correction

• Myopia (Up to -20.00 D with up to 6.00 D astigmatism)-
Partial correction

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 Candidates for ICL

• Age- Between 21-45

• Myopia- Between -0.50D to -20.00D with 6.00D of
astigmatism
• A/C depth- Greater than 3.0mms
• Have minimum acceptable ECD
• Stable refractive status

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• Be able to lie flat on your back
• No known allergies to any medications
• Non-pregnant/Nursing woman

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 Risk and complications
(Fernandes et. al)
• IOP increment
• Sub-capsular opacity
• Pigment dispersion
• Acute/persistent corneal swelling
• Endophthalmitis
• Glare and haloes
• Hyphema
• Macular edema
• Pupillary block glaucoma
• Dislocation of ICL…….
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 Contra-indications

• Shallow A/C
• Pregnant/Nursing mother
• Low ECD

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 Article Summary
Owners :-Řeháková T., Veliká V., Rozsíval P., Jirásková N.
Department of Ophthalmology, University
Hospital Hradec Králové, Sokolská 581,
Hradec Králové, 500 05 (Chief Doctor:
prof. MUDr. Naďa Jirásková Ph.D., FEBO)
Aim- Result of ICL in correcting moderate-high myopia and
myopic astigmatism

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 Methodology- Retrospective study involving 32 subjects
- ICL implantation from 2007-2016
Conclusions- ICL an effective, relative safe and predictable
method.

Čes. a slov. Oftal., 74, 2018, No. 4, p. 147-152

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 Summary of the presentation

• Effective and relatively safe.

• Pre-operative evaluation and thorough post-operative
observation dictates the success of the procedure.

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 References

• Řeháková T., Veliká V., Rozsíval P., Jirásková N. CORRECTION OF

MYOPIA AND MYOPIC ASTIGMATISM BY IMPLANTATION OF A
PHAKIC POSTERIOR CHAMBER IMPLANTABLE COLLAMER LENS
• STAAR Surgical booklet

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 THANK YOU
ANY QIESTIONS???

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