AI program can help fine-tune ICL sizing, placement
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CHICAGO — Thanks to recent technological improvements, the ICL could take the place at the forefront of vision correction in the near future, according to a speaker here.
In his presentation at Refractive Surgery Subspecialty Day at the American Academy of Ophthalmology meeting, Roger Zaldivar, MD, MSc, MBA, said the addition of the central port to the ICL (STAAR Surgical) has helped improve surgical skills and the procedure’s safety profile.
“We’ve seen a dramatic decrease in serious complications, close to zero,” he said. “Perhaps the only thing that can still be improved or that is worthy for endeavor is sizing methodology.”
Zaldivar said there are two main factors that can cause issues related to sizing and placement of the ICL: the anatomical internal configuration of the eye and where the lens will sit in its final placement.
To help better predict these factors, Zaldivar and colleagues developed an AI program called ICLguru (Revai Care) that uses ultrasound and OCT imaging to predict the final location of the lens and estimate the lens deformation.
Even with different sized eyes, the program allows surgeons to accurately predict the ideal scenario and placement of the ICL.
“We want to help those new surgeons go through this learning curve in a much more comfortable way,” Zaldivar said. “We are telling you, basically, which are the chances to have a very good case with your eye configuration following these parameters.”
Zaldivar said simplifying this process has the potential to improve the ICL’s standing in refractive vision correction.
“This is by far the highest patient satisfaction that I have among patients, the ICL,” he said. “In my opinion, due to these substantial improvements in sizing methodologies, I think this would become kind of the standard of care in vision correction in the next couple of years.”
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Zaldivar R. New formulas and imaging in phakic IOLs. Presented at: American Academy of Ophthalmology meeting; Oct. 18-21, 2024; Chicago.
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