Abstract
Purpose The aim of this study was to analyze retinal pathologies incidentally discovered on preoperative preparation of implantable contact lens (ICL) candidate patients. Patients and methods We retrospectively analyzed all data concerning preoperative retinal examination in 304 eyes prepared for posterior chamber phakic intraocular lens surgery. This was a multicenter study conducted between May 2012 and January 2014. This was a retrospective case series. Results The study enrolled 297 of 304 eyes subjected to preoperative screening before the ICL implantation procedure. We encountered 23 (7.56%) eyes with a variety of retinal pathologies on preoperative assessment, which included stage 3 macular hole, myopic choroidal neovascular membrane scar, white without pressure, perforated lattice degeneration, peripheral retinal flat holes that required laser retinopexy, nonproliferative diabetic retinopathy, peripapillary old toxoplasma scar, and active myopic choroidal neovascular membrane. In no case did rhegmatogenous retinal detachment occur following the ICL procedure. Conclusion Preoperative retinal assessment of ICL patients is crucial to detect undiagnosed myopic retinal changes and other latent pathologies not related to myopia.
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