The changes and causes of asthenopia after ICL implantation

• Published in: International ophthalmology Vol. 43; no. 12; pp. 4879 - 4885
• Main Authors: Haiting, Chen, Yu, Liu, Xinqiao, Zhang, Xing, Li, Ying, Liu
• Format: Journal Article
• Language: English
• Published: Dordrecht Springer Netherlands 01.12.2023; Springer Nature B.V
• Subjects: Accommodation; Accommodation, Ocular; Asthenopia; Asthenopia - diagnosis; Asthenopia - etiology; Asthenopia - surgery; Astigmatism; Correlation analysis; Humans; Implantation; Lens Implantation, Intraocular; Medicine; Medicine & Public Health; Myopia; Myopia - surgery; Ophthalmology; Original Paper; Phakic Intraocular Lenses; Surgery; Accommodation; Dry eye; Implantable collamer lens; Asthenopia
• ISSN: 1573-2630; 0165-5701; 1573-2630
• DOI: 10.1007/s10792-023-02890-0

Objective To detect the presence of asthenopia after implantation of Implantable Collamer Lens (ICL). Method Design: prospective observational case series. Patients with myopia and/or astigmatism who underwent ICL surgeries and completed 3-month follow-up were enrolled. Asthenopia scores, amplitude of accommodation (AA), positive/negative relative accommodation (PRA/NRA), accommodative facility (AF), the ratio of accommodative convergence and accommodation (AC/A), Schirmer test, noninvasive breakup time (NBUT), and HOA were examined before surgeries and at 1 week, 1 month and 3 months postoperatively then statistically analyzed. Results Symptoms of asthenopia were significantly decreased at 1 week after ICL surgeries than those before surgeries, but increased gradually as time went by, eventually recovered at 3 months postoperatively. AA, AF, AC/A decreased 1 week postoperatively, returned to the baseline at 1 month and were improved at 3 months after surgeries. NBUT at 1 week, 1 month and 3 months after surgeries were significantly decreased and was the lowest at 1 week postoperatively. PRA, NRA, Schiermer values and HOA had no significant change. Correlation analysis showed that the lower AF and NBUT after ICL surgeries, the more severe the asthenopia symptoms. Conclusion The symptoms of asthenopia aggravated transiently after ICL implantation surgeries, but improved gradually with time. AF and NBUT were important factors affecting the changes of asthenopia.