The Effects of Implantable Collamer Lens ICL Implantation in High Myopia Patients’ Mental Health

Abstract

Purpose

To investigate the psychological changes in patients pre and post implantable collamer lens (ICL, EVO) implantation surgery in the posterior chamber.

Patients and methods

Self-rating anxiety scale (SAS) and self-rating depression scale (SDS) were used to assess the mental states of 43 patients who underwent ICL implantation surgery performed by the same surgeon between January 2021 and December 2022.

Results

Comparing the results before and one week after the operation, there is a significant difference in both the SAS scale (P<0.05) and the SDS scale (P<0.05). Similarly, when comparing the pre-operation and one-month post-operation results, there is also a significant difference in both the SAS scale (P<0.05) and the SDS scale (P<0.05). However, when comparing the one-week post-operation and one-month post-operation results, there is no significant difference in either the SAS scale (P>0.05) or the SDS scale (P>0.05). Moving on to the comparison between the pre-operation results and the national norm level, there is a significant difference in both the SAS scale (P<0.05) and the SDS scale (P<0.05). When comparing the one-week post-operation results and the national norm level, there is a significant difference in the SAS scale (P<0.05). Similarly, when comparing the one-month post-operation results and the national norm level, there is a significant difference in the SAS scale (P<0.05).

Conclusion

After undergoing ICL implantation surgery, patients typically experience a notable decrease in anxiety (SAS) and depression (SDS) scales. These improvements gradually stabilize and enhance during the postoperative recovery period. However, it may require a significant amount of time for patients to fully restore their psychological well-being to levels comparable to the national norm, particularly in terms of anxiety levels.

Keywords:

• implantable collamer lens implantation
• myopia
• mental state
• self-rating anxiety scale
• self-rating depression scale

Data Sharing Statement

Data supporting the results reported in the manuscript can be found: https://data.mendeley.com/datasets/t6pmbvkvtd/2.

Ethics Approval and Informed Consent

The research has received approval from the Second People’s Hospital of Foshan ethics committee (2022)-0091 and has been conducted in compliance with ethical guidelines established in the 1964 Declaration of Helsinki, as well as subsequent amendments, or equivalent ethical standards.

Consent for Publication

This article is distributed under the terms of the Creative Commons Attribution License allows for unrestricted utilization, distribution, and reproduction in any medium, as long as proper attribution to the original author(s) and the source is given.

Author Contributions

All authors made a significant contribution to the work reported, whether that is in the conception, study design, execution, acquisition of data, analysis and interpretation, or in all these areas; took part in drafting, revising or critically reviewing the article; gave final approval of the version to be published; have agreed on the journal to which the article has been submitted; and agree to be accountable for all aspects of the work.

Disclosure

The authors have no conflict of interest to declare

Additional information

Funding

This study was funded by Research and analysis of corneal biomechanical characteristics before and after phakic posterior Visian implantable collamer lens (ICL) implantation, Grant number: 20230333. This study was also funded by Foshan City “14th Five-Year Plan” Medical Key Specialty Construction Project, Grant number: FSGSP145064. This trial was conducted and data collected with complete independently from other researchers.