Posterior chamber toric implantable collamer lenses vs LASIK for myopia and astigmatism: systematic review

Stéphanie Goes; Heleen Delbeke

doi:10.1097/j.jcrs.0000000000001007

Posterior chamber toric implantable collamer lenses vs LASIK for myopia and astigmatism: systematic review

J Cataract Refract Surg. 2022 Oct 1;48(10):1204-1210. doi: 10.1097/j.jcrs.0000000000001007.

Authors

Stéphanie Goes¹, Heleen Delbeke

Affiliation

¹ From the Department of Ophthalmology, University Hospitals Leuven, Leuven, Belgium (Goes, Delbeke); KU Leuven, Biomedical Sciences Group, Department of Neurosciences, Research group Ophthalmology, Leuven, Belgium (Delbeke).

PMID: 36179351
DOI: 10.1097/j.jcrs.0000000000001007

Abstract

This systematic review compares the visual and refractive outcome of laser in situ keratomileusis with (toric) implantable collamer lens (ICL) in the treatment of myopic astigmatism. An electronic literature search led to 19 comparative articles. Refractive outcome, efficacy, safety, predictability, and stability as well as differences in contrast sensitivity and higher-order aberrations (HOAs) were analyzed for moderate (-3 to -6 diopters [D]) and high (≥-6 D) myopia. Results were either significantly in favor of (toric)-ICL or equal. Fewer HOAs and better contrast sensitivity after (toric)-ICL seem to be the largest asset in its refractive and clinical superiority. However, longer follow-up studies are indicated, specifically for systematically comparing long-term adverse effects.

Publication types

Systematic Review

MeSH terms

Astigmatism* / surgery
Humans
Keratomileusis, Laser In Situ* / methods
Lens Implantation, Intraocular / methods
Lenses, Intraocular*
Myopia* / surgery
Phakic Intraocular Lenses*
Refraction, Ocular
Treatment Outcome
Visual Acuity