Vision (Basel, Switzerland) · 2026
One Year Longitudinal Assessment of Subjective and Objective Accommodation After Phakic IOL Implantation.
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López-Artero Esther, García-Montero María, Poyales Blanca, Pérez-Izquierdo Ricardo, Sáez Alba, Garzón Nuria
Аннотация
PURPOSE: To evaluate the 1 year behavior of accommodation and optical quality one year after the implantation of phakic intraocular lenses, specifically the implantable collamer lens (ICL), in myopic patients, comparing outcomes between low- and high-myopia groups.
METHODS: This comparative longitudinal study included 38 eyes of 38 patients who underwent ICL implantation for myopia correction. Patients were divided into two groups based on preoperative manifest sphere: low myopia (-2.50 D to -6.25 D) and high myopia (>-6.25 D to -12.50 D). The amplitude of accommodation (AA), subjective accommodative response (AR), optical quality parameters including the modulation transfer function (MTF) cut-off, objective scatter index (OSI) and Strehl ratio (SR), and objective accommodative response with a double-pass system (HD Analyzer, Visiometrics) were assessed preoperatively, 1 month, and 1 year postoperatively.
RESULTS: Both groups achieved postoperative refractive outcomes close to emmetropia, with high efficacy and safety indices. A statistically significant decrease in the amplitude of accommodation was observed at 1 month and remained stable at 1 year in both groups; however, this change was not clinically meaningful. The optical quality parameters (MTF cut-off, OSI, and Strehl ratio) and objective accommodative response with the HD Analyzer showed no clinically relevant changes over time, with no significant intergroup differences detected (p-value > 0.05).
CONCLUSIONS: An initial reduction in accommodative amplitude was observed after ICL implantation without recovery over time; however, it was not clinically relevant, as it fell within the test-retest variability in the minus lens technique. Other accommodative parameters and optical quality remained stable at 1 year in both low and high myopia.
METHODS: This comparative longitudinal study included 38 eyes of 38 patients who underwent ICL implantation for myopia correction. Patients were divided into two groups based on preoperative manifest sphere: low myopia (-2.50 D to -6.25 D) and high myopia (>-6.25 D to -12.50 D). The amplitude of accommodation (AA), subjective accommodative response (AR), optical quality parameters including the modulation transfer function (MTF) cut-off, objective scatter index (OSI) and Strehl ratio (SR), and objective accommodative response with a double-pass system (HD Analyzer, Visiometrics) were assessed preoperatively, 1 month, and 1 year postoperatively.
RESULTS: Both groups achieved postoperative refractive outcomes close to emmetropia, with high efficacy and safety indices. A statistically significant decrease in the amplitude of accommodation was observed at 1 month and remained stable at 1 year in both groups; however, this change was not clinically meaningful. The optical quality parameters (MTF cut-off, OSI, and Strehl ratio) and objective accommodative response with the HD Analyzer showed no clinically relevant changes over time, with no significant intergroup differences detected (p-value > 0.05).
CONCLUSIONS: An initial reduction in accommodative amplitude was observed after ICL implantation without recovery over time; however, it was not clinically relevant, as it fell within the test-retest variability in the minus lens technique. Other accommodative parameters and optical quality remained stable at 1 year in both low and high myopia.