Comparison of iris-fixated foldable lens and scleral-fixated foldable lens implantation in eyes with insufficient capsular support
AIM: To compare the outcomes of vision using two different intraocular lens (IOL) replacement techniques, iris-fixated foldable intraocular lens (IF-IOL) and scleral-fixated foldable intraocular lens (SF-IOL) in patients with insufficient capsular support. METHODS: Total 63 eyes (62 patients) with...
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| Format: | Article |
| Language: | English |
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Press of International Journal of Ophthalmology (IJO PRESS)
2016-11-01
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| Series: | International Journal of Ophthalmology |
| Subjects: | |
| Online Access: | http://www.ijo.cn/en_publish/2016/11/20161111.pdf |
| _version_ | 1818063949987315712 |
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| author | Han Zhang Jun Zhao Li-Jun Zhang Jing Liu Yuan Liu Wei Song Qing-Fen Tian Qi Wang David-Rex Hamilton |
| author_facet | Han Zhang Jun Zhao Li-Jun Zhang Jing Liu Yuan Liu Wei Song Qing-Fen Tian Qi Wang David-Rex Hamilton |
| author_sort | Han Zhang |
| collection | DOAJ |
| description | AIM: To compare the outcomes of vision using two different intraocular lens (IOL) replacement techniques, iris-fixated foldable intraocular lens (IF-IOL) and scleral-fixated foldable intraocular lens (SF-IOL) in patients with insufficient capsular support.
METHODS: Total 63 eyes (62 patients) with insufficient posterior capsule support underwent replacement of IF-IOL or SF-IOL between January 2008 and August 2011. Outcome measures included changes in visual acuity, slit lamp examination, refractive indices and corneal curvatures.
RESULTS: The mean improvement of uncorrected visual acuity (UCVA) was greater in IF-IOL group compared to the SF-IOL group (0.43 D±0.19 D vs 0.35 D±0.18 D, P<0.05). Moreover, 12 (38.71%) eyes in IF-IOL group and 4 (12.50%) in SF-IOL group had a higher postoperative UCVA than preoperative best corrected visual acuity (BCVA) while 9 (29.03%) eyes in IF-IOL group and 18 (56.25%) in SF-IOL group had a lower postoperative UCVA than preoperative BCVA. The myopic mean manifest sphere and mean cylinder magnitude were lower in the IF-IOL group than that in the SF-IOL group (-0.47 D±0.58 D vs 0.50 D±0.43 D, P<0.01; 0.84 D±0.53 D vs 1.23 D±0.70 D, P<0.05). No difference of corneal astigmatism and surgically induced astigmatism was found between the two groups. In addition, fewer complications were observed in IF-IOL eyes.
CONCLUSION: IF-IOL implantation can give a significant improvement in vision with fewer complications than SF-IOL in patients with insufficient capsular support. |
| first_indexed | 2024-12-10T14:28:14Z |
| format | Article |
| id | doaj.art-6f51de5fe09546409c5ecbacf360df4c |
| institution | Directory Open Access Journal |
| issn | 2222-3959 2227-4898 |
| language | English |
| last_indexed | 2024-12-10T14:28:14Z |
| publishDate | 2016-11-01 |
| publisher | Press of International Journal of Ophthalmology (IJO PRESS) |
| record_format | Article |
| series | International Journal of Ophthalmology |
| spelling | doaj.art-6f51de5fe09546409c5ecbacf360df4c2022-12-22T01:45:01ZengPress of International Journal of Ophthalmology (IJO PRESS)International Journal of Ophthalmology2222-39592227-48982016-11-019111608161310.18240/ijo.2016.11.11Comparison of iris-fixated foldable lens and scleral-fixated foldable lens implantation in eyes with insufficient capsular supportHan Zhang0Jun Zhao1Li-Jun Zhang2Jing Liu3Yuan Liu4Wei Song5Qing-Fen Tian6Qi Wang7David-Rex Hamilton8Department of Ophthalmology, the Second Hospital of Shandong University, Jinan 250033, Shandong Province, ChinaDepartment of Ophthalmology, General Hospital of Liaohe Oil Field, Panjin 124010, Liaoning Province, ChinaRefractive Center, Third Hospital Affiliated of Dalian Medical University, Dalian 116033, Liaoning Province, ChinaDepartment of Ophthalmology, the Second Hospital of Shandong University, Jinan 250033, Shandong Province, ChinaDepartment of Ophthalmology, Zibo Kangming Ophthalmology Hospital, Zibo 255025, Shandong Province, ChinaDepartment of Ophthalmology, the Second Hospital of Shandong University, Jinan 250033, Shandong Province, ChinaDepartment of Ophthalmology, the Second Hospital of Shandong University, Jinan 250033, Shandong Province, ChinaDepartment of Ophthalmology, General Hospital of Liaohe Oil Field, Panjin 124010, Liaoning Province, ChinaUCLA Laser Refractive Center, Los Angeles, CA 90095, USAAIM: To compare the outcomes of vision using two different intraocular lens (IOL) replacement techniques, iris-fixated foldable intraocular lens (IF-IOL) and scleral-fixated foldable intraocular lens (SF-IOL) in patients with insufficient capsular support. METHODS: Total 63 eyes (62 patients) with insufficient posterior capsule support underwent replacement of IF-IOL or SF-IOL between January 2008 and August 2011. Outcome measures included changes in visual acuity, slit lamp examination, refractive indices and corneal curvatures. RESULTS: The mean improvement of uncorrected visual acuity (UCVA) was greater in IF-IOL group compared to the SF-IOL group (0.43 D±0.19 D vs 0.35 D±0.18 D, P<0.05). Moreover, 12 (38.71%) eyes in IF-IOL group and 4 (12.50%) in SF-IOL group had a higher postoperative UCVA than preoperative best corrected visual acuity (BCVA) while 9 (29.03%) eyes in IF-IOL group and 18 (56.25%) in SF-IOL group had a lower postoperative UCVA than preoperative BCVA. The myopic mean manifest sphere and mean cylinder magnitude were lower in the IF-IOL group than that in the SF-IOL group (-0.47 D±0.58 D vs 0.50 D±0.43 D, P<0.01; 0.84 D±0.53 D vs 1.23 D±0.70 D, P<0.05). No difference of corneal astigmatism and surgically induced astigmatism was found between the two groups. In addition, fewer complications were observed in IF-IOL eyes. CONCLUSION: IF-IOL implantation can give a significant improvement in vision with fewer complications than SF-IOL in patients with insufficient capsular support.http://www.ijo.cn/en_publish/2016/11/20161111.pdfiris-fixated foldable intraocular lensscleral-fixated foldable intraocular lensvisual acuityrefractionrefraction |
| spellingShingle | Han Zhang Jun Zhao Li-Jun Zhang Jing Liu Yuan Liu Wei Song Qing-Fen Tian Qi Wang David-Rex Hamilton Comparison of iris-fixated foldable lens and scleral-fixated foldable lens implantation in eyes with insufficient capsular support International Journal of Ophthalmology iris-fixated foldable intraocular lens scleral-fixated foldable intraocular lens visual acuity refraction refraction |
| title | Comparison of iris-fixated foldable lens and scleral-fixated foldable lens implantation in eyes with insufficient capsular support |
| title_full | Comparison of iris-fixated foldable lens and scleral-fixated foldable lens implantation in eyes with insufficient capsular support |
| title_fullStr | Comparison of iris-fixated foldable lens and scleral-fixated foldable lens implantation in eyes with insufficient capsular support |
| title_full_unstemmed | Comparison of iris-fixated foldable lens and scleral-fixated foldable lens implantation in eyes with insufficient capsular support |
| title_short | Comparison of iris-fixated foldable lens and scleral-fixated foldable lens implantation in eyes with insufficient capsular support |
| title_sort | comparison of iris fixated foldable lens and scleral fixated foldable lens implantation in eyes with insufficient capsular support |
| topic | iris-fixated foldable intraocular lens scleral-fixated foldable intraocular lens visual acuity refraction refraction |
| url | http://www.ijo.cn/en_publish/2016/11/20161111.pdf |
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