How do you predict ICL vault?
- May 13, 2025
- 1 min read
🔁 Repost from Dr. Romesh Angunawela
💬 “How do you predict ICL vault?”A fantastic case shared by Dr. Angunawela highlighting the importance of accurate vault prediction — especially in complex scenarios like keratoconus and low anterior chamber depth (ACD).
In this case, the patient’s ACD was 2.8 mm — just below the recommended 3.0 mm for hyperopic ICLs. Using data from the Sonomed UBM, the ICLguru algorithm predicted a 12.6 mm ICL, compared to OCOS’s 12.1 mm recommendation. The result?✅ Excellent vault✅ Normal IOP✅ Glasses-free vision
We're proud that Sonomed Escalon technology, along with ICLguru’s AI-driven calculations, contributed to a confident sizing decision and an outstanding outcome for both patient and surgeon.
Thank you, Dr. Romesh Angunawela, for sharing this insightful case and for your trust in Sonomed Escalon.
































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