Size exchange and vault response in posterior chamber phakic intraocular lens implantation: 12 years at a high-volume center
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The authors aimed to evaluate changes in vault after implantable collamer lens (ICL) exchange and identify predictors of outcomes, particularly the effects of age. They found that downsizing effectively reduced excessive vault, same-size exchange resulted in minimal changes, and upsizing increased vault but yielded smaller gains in older patients. The study highlights the importance of considering exchange strategy, preoperative vault, and patient age in ICL exchange planning.
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