title: Vaulting of myopic and toric Implantable Collamer Lenses during accommodation measured with Visante optical coherence tomography.
abstract: OBJECTIVE
  To study changes in vaulting of myopic and toric Implantable Collamer Lenses (ICLs) version 4 during accommodation with Visante optical coherence tomography (OCT), and analyze the relationship between vaulting and anterior subcapsular opacification.
  
  
  METHODS
  Cross-sectional study.
  
  
  METHODS
  Seventy-seven eyes of 77 myopic patients were examined after implantation with an ICL (48 myopic, 29 toric). The median follow-up time was 63 months (range, 10-84).
  
  
  METHODS
  The distance between the posterior ICL surface and the anterior surface of the crystalline lens was measured in the nonaccommodative state and during accommodation with Visante OCT. The lenses were examined for opacification using slit-lamp microscopy.
  
  
  METHODS
  The distance between the ICL and the anterior surface of the crystalline lens.
  
  
  RESULTS
  At baseline, the mean distance between the ICL and the crystalline lens was 0.31+/-0.19 mm and during accommodation 0.31+/-0.26 mm; the difference did not reach significance (P = 0.77). The distance at baseline was significantly (P = 0.01) less in older patients and significantly (P = 0.04) greater in patients with a toric ICL. Contact was observed at baseline or during accommodation in 12 eyes; there was a significantly lower incidence of contact in eyes implanted with a toric ICL (P = 0.03). Anterior subcapsular opacification developed in 10 eyes, in 5 of these the ICL touched the crystalline lens.
  
  
  CONCLUSIONS
  Anterior subcapsular opacification developed in 13.0% of eyes. We found no difference in vaulting of the ICL at baseline and during accommodation. There was contact between the ICL and the crystalline lens in 15.6% of the eyes. The association between anterior subcapsular opacification and contact was significant (P = 0.004).
authors.affiliation: Department of Ophthalmology, University of Oslo, Norway. are.lindland@uus.no
authors.forename: Are
authors.initials: A
authors.lastname: Lindland
authors.forename: Hilde
authors.initials: H
authors.lastname: Heger
authors.forename: Maria
authors.initials: M
authors.lastname: Kugelberg
authors.forename: Charlotta
authors.initials: C
authors.lastname: Zetterström
mesh_terms: D000065:Accommodation, Ocular; D000328:Adult; D000869:Anterior Eye Segment / Q000473:pathology; D002386:Cataract / Q000175:diagnosis* / Q000209:etiology; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D019654:Lens Implantation, Intraocular; D007908:Lens, Crystalline / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D009216:Myopia / Q000601:surgery*; D054120:Phakic Intraocular Lenses / Q000009:adverse effects*; D041623:Tomography, Optical Coherence; D014792:Visual Acuity / Q000502:physiology; D055815:Young Adult