Kinetic visual acuity, stereopsis, and ocular deviation with an implantable collamer lens

Purpose: To compare kinetic visual acuity, stereopsis, ocular deviation, and fusion amplitude before and after implantable collamer lens (ICL) surgery. Setting: Sanno Hospital. Design: Retrospective analysis. Methods: The charts of adult patients who underwent implantation of an ICL with a central aquaport (V4c) for emmetropia were reviewed. The mean preoperative spherical equivalent and subjective astigmatism were -7.87 diopters (D) +/- 3.13 (SD) and -0.75 +/- 0.78 D, respectively. All measurements were obtained with full refraction before surgery and without spectacle correction after surgery. The kinetic visual acuity was measured with the AS4D device. Stereopsis and ocular deviation were measured with the Titmus Stereotest and an alternate prism cover test, respectively. Fusion amplitude was determined from breakpoints measured using a prism. Results: The study comprised 29 adult patients (58 eyes). One month postoperatively, the mean safety and efficacy indices were 1.13 +/- 0.20 and 0.96 +/- 0.25, respectively, and 57 eyes (98.7%) were within +/- 0.5 D of the target correction. The mean kinetic visual acuity (logarithm of the minimum angle of resolution) was 0.30 +/- 0.21 preoperatively and 0.20 +/- 0.15 (Snellen 20/40 versus 20/32) postoperatively and the mean stereopsis (seconds of arc), 48.5 +/- 1.6 versus 41.5 +/- 1.1; both improved significantly (P < .001 and P = .012, respectively). The mean distance ocular deviation (-4.0 +/- 3.8 prism diopters [Delta] versus 2.8 +/- 3.6 Delta; P =.002) and near ocular deviation (-6.5 +/- 6.7 A versus 5.4 +/- 6.9 Delta; P =.04) decreased significantly. The fusion amplitude increased for near vision only. Conclusions: ICL implantation improved kinetic visual acuity and stereopsis, decreased ocular deviation, and increased near fusion amplitude. (C) 2019 ASCRS and ESCRS.