Investigation of 3D iris morphology early alteration after implantable collamer lens implantation by using SS-OCT

Purpose: Using a fully automated multitask deep learning method, which enabled simultaneous segmentation and quantification of all major anterior segment structures with swept-source optical coherence tomography (SS-OCT), we aimed to investigate the three-dimensional (3D) alterations in iris morphol...

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Main Authors: Zhengwei Zhang, Shuimiao Chang, Kaiwen Li, Jinhan Yao, Zhao Wang, Jiewei Liu, Lin Jiang, Feiyan Chai, Xiaogang Wang
Format: Article
Language:English
Published: Elsevier 2025-01-01
Series:Heliyon
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Online Access:http://www.sciencedirect.com/science/article/pii/S2405844024175731
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author Zhengwei Zhang
Shuimiao Chang
Kaiwen Li
Jinhan Yao
Zhao Wang
Jiewei Liu
Lin Jiang
Feiyan Chai
Xiaogang Wang
author_facet Zhengwei Zhang
Shuimiao Chang
Kaiwen Li
Jinhan Yao
Zhao Wang
Jiewei Liu
Lin Jiang
Feiyan Chai
Xiaogang Wang
author_sort Zhengwei Zhang
collection DOAJ
description Purpose: Using a fully automated multitask deep learning method, which enabled simultaneous segmentation and quantification of all major anterior segment structures with swept-source optical coherence tomography (SS-OCT), we aimed to investigate the three-dimensional (3D) alterations in iris morphology before and after implantable collamer lens (ICL) surgery. Methods: All enrolled patients underwent anterior segment SS-OCT (ANTERION) within one week before and after ICL surgery. A multitask network automatically performed iris SS-OCT image segmentation and quantitative measurements of 3D iris morphology (iris thickness and volume of the inner 1-mm annular area and the outer 1–2-mm annular area, iris curvature [I-Curve], and iris smooth index [SI]). Results: Forty-six eyes of 27 patients (average age, 26.0 ± 5.3 years) were included in the final data analysis. The spherical equivalent ranged from −15.75 to −4.00 diopters (D). The mean ICL vault values were 537.92 ± 161.69 μm, which positively and significantly correlated with the pre- (r = 0.333, P = 0.024) and postoperative (r = 0.351, P = 0.017) anterior chamber depth (ACD). The mean pupil diameter significantly decreased, whereas both ACD and lens thickness significantly increased postoperatively. The iris thickness, iris volume of the inner 1-mm annular area and the outer 1–2-mm annular area, and SI decreased significantly within one week after ICL implantation. All mean values of the I-Curve increased dramatically postoperatively. Conclusion: Iris morphology, ACD, and lens thickness were significantly altered after ICL implantation.
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spelling doaj-art-506a2da739a94e46862d96bce9efb7f22025-01-17T04:51:35ZengElsevierHeliyon2405-84402025-01-01111e41542Investigation of 3D iris morphology early alteration after implantable collamer lens implantation by using SS-OCTZhengwei Zhang0Shuimiao Chang1Kaiwen Li2Jinhan Yao3Zhao Wang4Jiewei Liu5Lin Jiang6Feiyan Chai7Xiaogang Wang8Department of Ophthalmology, Wuxi No.2 People's Hospital, Affiliated Wuxi Clinical College of Nantong University, Wuxi, Jiangsu, 214002, China; Department of Ophthalmology, Jiangnan University Medical Centre, Wuxi, Jiangsu, 214002, ChinaShanxi Medical University, Taiyuan, Shanxi, ChinaSchool of Electronic Science and Engineering, University of Electronic Science and Technology of China, Chengdu, Sichuan, 610054, ChinaShanxi Medical University, Taiyuan, Shanxi, ChinaSchool of Electronic Science and Engineering, University of Electronic Science and Technology of China, Chengdu, Sichuan, 610054, ChinaDepartment of Cataract, Shanxi Eye Hospital Affiliated to Shanxi Medical University, Taiyuan, Shanxi, 030001, ChinaDepartment of Cataract, Shanxi Eye Hospital Affiliated to Shanxi Medical University, Taiyuan, Shanxi, 030001, ChinaDepartment of Cataract, Shanxi Eye Hospital Affiliated to Shanxi Medical University, Taiyuan, Shanxi, 030001, ChinaDepartment of Cataract, Shanxi Eye Hospital Affiliated to Shanxi Medical University, Taiyuan, Shanxi, 030001, China; Corresponding author. No. 100 Fudong Street, Shanxi Eye Hospital Affiliated to Shanxi Medical University, Shanxi, 030002, China.Purpose: Using a fully automated multitask deep learning method, which enabled simultaneous segmentation and quantification of all major anterior segment structures with swept-source optical coherence tomography (SS-OCT), we aimed to investigate the three-dimensional (3D) alterations in iris morphology before and after implantable collamer lens (ICL) surgery. Methods: All enrolled patients underwent anterior segment SS-OCT (ANTERION) within one week before and after ICL surgery. A multitask network automatically performed iris SS-OCT image segmentation and quantitative measurements of 3D iris morphology (iris thickness and volume of the inner 1-mm annular area and the outer 1–2-mm annular area, iris curvature [I-Curve], and iris smooth index [SI]). Results: Forty-six eyes of 27 patients (average age, 26.0 ± 5.3 years) were included in the final data analysis. The spherical equivalent ranged from −15.75 to −4.00 diopters (D). The mean ICL vault values were 537.92 ± 161.69 μm, which positively and significantly correlated with the pre- (r = 0.333, P = 0.024) and postoperative (r = 0.351, P = 0.017) anterior chamber depth (ACD). The mean pupil diameter significantly decreased, whereas both ACD and lens thickness significantly increased postoperatively. The iris thickness, iris volume of the inner 1-mm annular area and the outer 1–2-mm annular area, and SI decreased significantly within one week after ICL implantation. All mean values of the I-Curve increased dramatically postoperatively. Conclusion: Iris morphology, ACD, and lens thickness were significantly altered after ICL implantation.http://www.sciencedirect.com/science/article/pii/S2405844024175731Implantable collamer lensIris morphologyICL vaultDeep learningSwept-source optical coherence tomography
spellingShingle Zhengwei Zhang
Shuimiao Chang
Kaiwen Li
Jinhan Yao
Zhao Wang
Jiewei Liu
Lin Jiang
Feiyan Chai
Xiaogang Wang
Investigation of 3D iris morphology early alteration after implantable collamer lens implantation by using SS-OCT
Heliyon
Implantable collamer lens
Iris morphology
ICL vault
Deep learning
Swept-source optical coherence tomography
title Investigation of 3D iris morphology early alteration after implantable collamer lens implantation by using SS-OCT
title_full Investigation of 3D iris morphology early alteration after implantable collamer lens implantation by using SS-OCT
title_fullStr Investigation of 3D iris morphology early alteration after implantable collamer lens implantation by using SS-OCT
title_full_unstemmed Investigation of 3D iris morphology early alteration after implantable collamer lens implantation by using SS-OCT
title_short Investigation of 3D iris morphology early alteration after implantable collamer lens implantation by using SS-OCT
title_sort investigation of 3d iris morphology early alteration after implantable collamer lens implantation by using ss oct
topic Implantable collamer lens
Iris morphology
ICL vault
Deep learning
Swept-source optical coherence tomography
url http://www.sciencedirect.com/science/article/pii/S2405844024175731
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