Compared to keratomileusis, IOL implantation (ICL) shows many advantages, better predictability, higher quality of vision, and better safety, because IOL implantation does not damage the cornea and avoids posterior corneal bulging, according to one surgeon: “The implantation procedure requires a high level of technical skill, and in fact, undisciplined In fact, it is the main cause of complications. But when we tell patients that laser surgery is not surgery and that there are no risks, that can be misleading,” Dr. Danasoury said at the World Ophthalmology Congress (WOC).
Successful IOL surgery in crystalline eyes relies on rigorous screening of patients who are suitable for the procedure. The anterior chamber depth must be about 2.8 mm to 3 mm, and the central corneal endothelial cell density must not be less than 2,200 cells/mm2. “We looked at cases of endothelial loss, some of which occurred 10 to 15 years after surgery. However, when we measured the anterior chamber depth we found that many cases did not meet the surgical requirements,” said Dr. Danasoury.
Lens size is also very important, and technology is now available to accurately measure ciliary sulcus-to-ciliary sulcus and white-to-white distances.
This leads to cataractogenesis, which is the main risk with posterior chamber IOLs. the V4c ICL allows for a much lower incidence of cataract complications because of the central hole design and also facilitates atrial water flow.
“In my cases, the rate of cataracts after ICL implantation is less than 0.5 percent,” says Dr. Danasoury.
“I am now using three types of IOLs to correct not only high myopia, but also low to moderate myopia and to correct astigmatism with toric,” he says.