Table 4

Peer reviewed publications on the use of TICL for refractive correction in corneal ectasia

Author(s) year, reference*PubMed, Scopus and scienceNumber of eyes, follow-up for each procedurePreoperative dataPostoperative dataComplicationsFinal outcomes
Kamiya et al, J Refract Surg, 2008442 eyes (2 patients), 12 monthsCase 1: −10.00–6.00×100
Case 2: −8.00–2.00×100
Case 1: +0.50–1.00×90
Case 2: −0.25–1.25×100
Alfonso et al, J Refract Surg, 20084525 eyes (16 patients), 12 monthsSph: −3.00 to −18.00 D
Cyl: −0.50 to −3.00 D
UCDVA: 0.17±0.19
CDVA: 0.12±0.12
SI: 1.05
EI: 0.98
Alfonso et al, J Cataract Refract Surg, 20104630 eyes (21 patients), 12 monthsSph: −5.38±3.26 D
Cyl: −3.48±1.24 D
Mean UDVA: 0.81±0.20
Mean CDVA: 0.83±0.18
SI: 1.16
EI: 1.07
Kamiya et al, Graefes Arch Clin Exp Ophthalmol, 20114727 eyes (14 patients),
6 months
SER: −10.11±2.46 D
Cyl: −3.03±1.58 D
UCDVA: −0.09±0.16
CDVA: −0.15±0.09
SI: 1.12±0.18 EI: 1.01±0.25
Hashemian et al, Clin Exp Optom, 2013522 eyes (14 patients), 6 monthsSph: −4.98±2.63 D
Cyl: −2.77±0.99 D
Sph: −0.33±0.51 D
Cyl: −1.23±0.65 D
UCVA: 0.76±0.23
SI: 1.40±0.32
EI: 1.24±0.34
Kymionis et al, Ophthalmic Surg Lasers Imaging, 2011481 patient, 3 monthsUDVA: C.F
CDVA: 0.7 log MAR
UCVA: 0.3
CDVA: 0.2
Fadlallah et al, J Refract Surg, 20139 916 eyes (10 patients), 6 months after CXL, 6 months after TICLMean UDVA: 1.67±0.49
CDVA: 0.15±0.06 log MAR
SE: −7.24±3.53 D
Mean UDVA: 0.17±0.06
CDVA: 0.12±0.04
SE: −0.89±0.76 D
SI: 1.08±0.13
EI: 0.97±0.08
Coskunseven et al, Am J Ophthalmol, 2007493 eyes (2 patients). TICL minimum 6 months post-Intacs, 12 monthsSE: −18.50±2.61 DSE: 0.42 D
Fernandez-Vega L et al, Invest Ophthalmol Vis, 20105018 eyes (14 patients), 6 monthsUDVA: 0.1±0.05 (decimal) CDVA: 0.7±0.19 (decimal)UDVA: 0.6±0.19
CDVA: 0.8±0.14
Navas et al, Int Ophthalmol, 20125111 eyes (8 patients), 38.18±18.7 monthsSE: −10.52±5.88 D
UDVA: 1.31±0.37 log MAR
CDVA: 0.28±0.14 log MAR
SE: −0.68±0.45 D
UDVA: 0.14±0.04
CDVA: 0.16±0.08
SI: 1.28
EI: 0.88
Coskunseven et al, J Cataract Refract Surg, 20135214 eyes (9 patients), 12 monthsUDVA: 0.01 (decimal) CDVA: 0.14 (decimal)SE: −16.40±3.56 DUDVA: 0.44
CDVA: 0.57
SE: −0.80±1.02 D
Iovieno et al, Eur J Ophthalmol, 2013537 eyes (7 patients), 12.8±8.8 monthsUCDVA: 1.18±0.4
SE: −8.09±3.77 D
UCDVA: 0.2±0.1
SE: −0.33±0.54
Kurian et al, J Cataract Refract Surg, 20125410 eyes (7 patients), 6 monthsMean SE: −7.21±2.25Mean SE: −0.44±1.21 DEI: 0.72
SI: 1.13
Ali M et al, Cornea, 20145529 eyes (16 patients), 3 monthsCH: 9.2±1.4 mm Hg
CRF: 8.4±1.6 mm Hg
CH: 8.8±1.3 mm Hg
CRF: 8.8±1.6 mm Hg
Alió et al,
J Cataract Refract Surg, 20146
20 eyes received an iris claw phakic IOL, and 28 eyes a PC phakic IOL, 36 monthsMean SE: −9.31±4.20 (decimal)
UDVA: 0.08±0.09
CDVA: 0.77±0.2
Mean SE: −0.46±0.88 (decimal)
UDVA: 0.71±0.26
CDVA: 0.87±0.98
Antonios et al, J Ophthalmol, 20155630 eyes (19 patients), 2 years.UDVA: 1.57±0.56
CDVA: 0.17±0.08
UDVA: 0.17±0.06
CDVA: 0.11±0.05
SI: 1.08±0.13
EI: 0.97±0.08
Kamiya et al, Br J Ophthalmol, 2015221 eyes (11 patients), 3 yearsSE: −9.70±2.33 D
UCVA: 1.46±0.15 log MAR
UDVA: −0.06±0.11
CDVA: −0.12±0.09
Dirani et al, Eur J Ophthalmol, 20145711 eyes (7 patients), 6 monthsUCVA: 1.47±0.38 log MAR
CDVA: 0.50±0.22 log MAR
UCVA: 0.27±0.20
CDVA: 0.19±0.11
Kummelil et al, SYMPOSIUM:KCN, 20135810 eyes (7 patients), 6 monthsMean SE: −7.21±2.25 DMean SE: −0.44±1.21 DEI: 0.72
SI: 1.13
Park et al, Korean J Ophthalmol, 201359Case report, 37-year-old man, 20 monthsRefraction: −12.0–3.5×30Refraction: −1.75×180
Camoriano et al, J Cataract Refract Surg, 20126010 eyes (5 patients), 3 yearsMean SE: −6.71±0.9 D
CDVA: 0±0.03 log MAR
SE: −0.58±0.1 D
CDVA: −0.04±0.03
1 eye requiring removal and replacement of the toric phakic IOL
Emara et al, J Cataract Refract Surg, 20156111 eyes (9 myopic, 2 hyperopic), 16.8 months (in myopic eyes)Mean SE: −11.07 D, SE: +8.75 D, CDVA: 20/171 for myopia
CDVA: 20/130 for hyperopia
Mean SE: −1.40 D
CDVA: 20/51
2 hyperopic eyes
Prakash et al, BMJ, 2015.62Case report, 35-year-old manRight UCVA: 4/60
CDVA: 6/18
Refraction: +0.50–0.50×85, UDVA: 6/12,
CDVA: 6/9
Alfonso et al,
J Cataract Refract Surg, 201163
40 eyes (31 patients), 6 monthsUDVA (decimal): 0.11±0.05 CDVA: 0.56±0.23
Sph: −7.56±7.27
Cyl: −4.19±2.08
UDVA (decimal): 0.50±0.27
CDVA: 0.73±0.20
SE: −1.19±1.33 D
EI: 0.88
SI: 1.28
Shaheen et al,
Cornea, 20141
16 eyes (n: 11), 3 yearsUDVA: 0.63
CDVA: 0.56 (decimal)
UDVA: 0.88
CDVA: 0.89
  • CDVA, corrected distance visual acuity; CF, Count Fingers; CH, corneal hysteresis; CRF, corneal resistance factor; CXL, corneal collagen crosslinking; Cyl, cylinder; EI, efficacy index; log MAR, logarithm of the minimum angle of resolution; IOL, intra ocular lens; MCDVA, mean corrected distance visual acuity; MUDVA, mean uncorrected distance visual acuity; MSE, manifest spherical equivalent; PC, posterior chamber; SE, spherical equivalent; SER, spherical equivalent refraction; SI, safety index; Sph, sphere; TICL, toric implantable collamer lens; UCDVA, uncorrected distance visual acuity; UCVA, uncorrected visual acuity; UDVA, uncorrected distance visual acuity.