The influence of iris -ciliary angle (ICA) on the vault after implantation of V4c implantable collamer lens: a chain mediation model of ICL haptic related factors

BMC Ophthalmology

Research

Lina Jin¹  Chao Pan¹  Qingyan Zeng¹  Weina Tan¹  Xiaohua Lei¹  Bao Shu¹  Qian Chen²  Zheng Wang³ 

[1] Aier Eye Hospital of Wuhan University (Wuhan Aier Eye Hospital), Wuhan, Hubei Province, People’s Republic of China;Hankou Aier Eye Hospital, Wuhan, Hubei Province, People’s Republic of China;Aier Eye Hospital of Wuhan University (Wuhan Aier Eye Hospital), Wuhan, Hubei Province, People’s Republic of China;Hongshan Aier Eye Hospital, Wuhan, Hubei Province, People’s Republic of China;Aier Institute of Refractive Surgery, Guangzhou, Guangdong Province, People’s Republic of China;

关键词: Iris -ciliary angle;    Implantable collamer lens;    Haptic;    Ultrasound biomicroscopy;    Vault;   

DOI  :  10.1186/s12886-023-03122-w

 received in 2022-12-04, accepted in 2023-09-01,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundThis study aims to identify the relationship between iris -ciliary angle (ICA) and the vault. Additionally, we also seek to investigate the chain mediating effects of the ICL haptic related factors on this relationship.MethodsThe participants were categorized into three groups according to the ICA value as follows: low ICA group (< 35°); moderate ICA group (35°-70°); high ICA group (> 70°). We compared the preoperative ocular characteristics and postoperative examinations among the three groups. Multiple variable stepwise regression was performed to establish the vault prediction formula. The Process V4.0 in SPSS and Hayes’s PROCESS model 6 was conducted to further elucidate the mediating effects of the final tip point of ICL haptic and the ICL arc-lens arc on the relationship between the ICA and vault.ResultsThere was a significant difference in the positions of the ICL haptic among three ICA groups. The regression vault equation was Vault = 679.42–7.26*TCA + 192.30*ACD-196.37*CLR + 73.21* STS(horizontal).A significant negative correlation was found between the ICA and vault (P < 0.01).The chain mediation model revealed that the final tip point of ICL haptic and the ICL arc-Lens arc were sequential mediators between ICA and vault (effect = -1.63, 95% CI = -2.72–-0.73).ConclusionThe ICA was associated with vault via the mediation effect of the final tip point of the ICL haptic and the ICL arc -lens arc. Assessment of ICL haptic related parameters adds significant information to interpret the vault after surgery.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023

【 图 表 】

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