Clinical Features And Prognosis Analysis Of Rhegmatogenous Retinal Detachment In Patients With Implantable Collamer Lens

Purpose: This study investigated the clinical characteristics and prognosis of rhegmatogenous retinal detachment (RRD) in patients with implantable collamer lens (ICL). Methods: A retrospective review was conducted of medical records from patients with ICL who underwent RRD surgery between 2015 and 2024. Data collected included medical history, preoperative and postoperative best-corrected visual acuity (BCVA), fundus features, intraocular tamponade type, and arch height (AH). Results: Fifteen eyes from 13 male patients (mean age: 32.93 ± 4.01 years) were included. The mean interval from ICL implantation to RRD was 4.53 ± 2.46 years. Twelve eyes (80%) was macula-off and three eyes (20%) was macula-on detachments. The primary anatomical success rate was 80% (12/15), and the final anatomical success rate was 93% (14/15). At the final follow up, the mean BCVA significantly improved from 1.21 ± 0.75 logMAR (Snellen equivalent: 6/100) at baseline to 0.63 ± 0.64 logMAR (23/100) (P = 0.006). The ICL was retained during primary retinal reattachment surgery. There was no significant change in AH before and after intraocular tamponade (P = 0.216). Conclusion: Surgical management is a key to the success of RRD in patients with ICL. ICL removal is not required during vitreoretinal surgery when using wide-angle viewing systems in our series. Intraocular tamponade does not significantly affect AH.