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Kim, Ryu, Kim, and Yang: Effects of Transient Prone Position on Vault and Anterior Chamber Angle in ICL Implanted Patients
Original Article
Journal of the Korean Ophthalmological Society

Journal of the Korean Ophthalmological Society 2012; 53(6): 761-766.

Published online: 16 June 2012

DOI: https://doi.org/10.3341/jkos.2012.53.6.761

Effects of Transient Prone Position on Vault and Anterior Chamber Angle in ICL Implanted Patients

Wook Kyum Kim, MD, Ik Hee Ryu, MD, Jin Kuk Kim, MD, Hun Yang, MD

B&VIIT Eye Center, Seoul, Korea.

Address reprint requests to Hun Yang, MD. B&VIIT Eye Center, #14F, 3 Seocho-daero 77-gil, Seocho-gu, Seoul 137-856, Korea. Tel: 82-80-722-0202, Fax: 82-2-501-6435, hunny502@hanmail.net

Received 2 August 2011       Accepted 29 April 2012

Copyright © 2012 The Korean Ophthalmological Society

Abstract

Purpose

To evaluate the effects of transient prone position on vault and anterior chamber angle parameters in ICL implanted patients.

Methods

40 eyes of 20 ICL implanted patients with at least 1 month of follow-up were included in the present study. The central ICL vault and anterior chamber parameters including angle opening distance at 500 (AOD500) were measured with the Visante anterior segment optical coherence tomography (OCT) (Carl Zeiss, Dublin, CA) in both the sitting and prone positions by tilting the OCT 90 degrees in the vertical axis and having the patient fixate downwards towards the floor.

Results

The mean central vault was 0.55 ± 0.21 mm (SD) and 0.59 ± 0.21 mm (SD) in the sitting and prone positions, respectively (p < 0.0001). The nasal and temporal AOD500 were 0.26 ± 0.11 mm and 0.28 ± 0.08 mm, respectively in the sitting position, which decreased to 0.24 ± 0.10 mm and 0.26 ± 0.08 mm in the prone position, however, both were not statistically significant (p = 0.08, p = 0.09). AOD500 was inversely correlated with vault (r = -0.47; p = 0.0024). There were no significant correlations between increase of vault and anterior chamber depth or white to white nor ICL vault.

Conclusions

Transient prone positioning of ICL implanted patients can induce a significant increase in ICL vault.

Keywords: Angle opening distance 500, Implantable collamer lens, Phakic intraocular lens, Position change, Vaulting

Figures and Tables

Figure 1
Box plot showing the change in vault (A), nasal AOD500 (B) and temporal AOD500 (C) between prone position and sitting position.
jkos-53-761-g001
Figure 2
Scatter diagrams with line of equality showing the changes in nasal AOD500 (A) and temporal AOD500 (B) induced by transient prone position.
jkos-53-761-g002
Table 1
General characteristics of 20 patients
jkos-53-761-i001

Values are presented as number or mean ± SD.

Table 2
General characteristics of 40 eyes of 20 patients
jkos-53-761-i002

Values are presented as mean ± SD.

ACD = anterior chamber depth; CCT = central corneal thickness.

Table 3
Comparison of parameters between sitting and prone position
jkos-53-761-i003

Paired t-test was done.

Values are presented as mean ± SD.

AOD500 = angle opening distance at 500 µm.

Table 4
Pearson correlation matrix of parameters
jkos-53-761-i004

ACD = anterior chamber depth; WTW = white to white by topography; UBM = sulcus to sulcus by UBM; AOD500 = angle opening distance at 500 µm.

*p<0.05; †p<0.01; ‡p<0.005.

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