Prediction of Refractive Outcome of Second Eye with Partial Adjustment of Intraocular Lens Power of the First Eye

Background and Objective: This study aimed at comparing the results of refractive cataract surgery in patients undergoing sequential surgeries in both eyes. Considering the preoperative refraction and final refraction of the first eye, it is possible to correct the refrative result of cataract surge...

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Main Authors: Nooshin Bazzazi, Pouyan Pahlevani, Mehdi Alizadeh
Format: Article
Language:fas
Published: Hamadan University of Medical Sciences 2019-12-01
Series:پزشکی بالینی ابن سینا
Subjects:
Online Access:http://sjh.umsha.ac.ir/article-1-1939-en.html
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author Nooshin Bazzazi
Pouyan Pahlevani
Mehdi Alizadeh
author_facet Nooshin Bazzazi
Pouyan Pahlevani
Mehdi Alizadeh
author_sort Nooshin Bazzazi
collection DOAJ
description Background and Objective: This study aimed at comparing the results of refractive cataract surgery in patients undergoing sequential surgeries in both eyes. Considering the preoperative refraction and final refraction of the first eye, it is possible to correct the refrative result of cataract surgery using the adjustment of the second eye intraocular lens (IOL) power. Materials and Methods: This study was conducted based on a matched-pair clinical-trial design. Regarding the final result of the first eye refraction,  the adjustment of the second eye IOL power was determined by 50% of uncorrected refractive error. Finally, the mean spherical equivalent (SE) of the first and second eyes were determined, and the differences were analyzed using a paired t-test at a significant level of 95%. Results: A total of 470 candidates who underwent bilateral sequential cataract surgery were investigated in this study.  The refractive errors ranged from -8.25 to + 6.50 and from -6.75 to +7.25 for the first and second eyes, respectively. The mean values of SE for the first and second eyes were 2.55 and 2.48 preoperatively, and 1.13 and 0.47 postoperatively, respectively. Moreover, there was a significant difference between the two groups (P<0.001).  Conclusion: The adjustment of IOL power for the second eye by 50% of uncorrected refractive error of the first eye led to acceptable outcomes.
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spelling doaj.art-b01da214791447efad952bafe566ec942022-12-21T23:52:04ZfasHamadan University of Medical Sciencesپزشکی بالینی ابن سینا2588-722X2588-72382019-12-01263137142Prediction of Refractive Outcome of Second Eye with Partial Adjustment of Intraocular Lens Power of the First EyeNooshin Bazzazi0Pouyan Pahlevani1Mehdi Alizadeh2 Assistant Professor, Department of Ophthalmology, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran Background and Objective: This study aimed at comparing the results of refractive cataract surgery in patients undergoing sequential surgeries in both eyes. Considering the preoperative refraction and final refraction of the first eye, it is possible to correct the refrative result of cataract surgery using the adjustment of the second eye intraocular lens (IOL) power. Materials and Methods: This study was conducted based on a matched-pair clinical-trial design. Regarding the final result of the first eye refraction,  the adjustment of the second eye IOL power was determined by 50% of uncorrected refractive error. Finally, the mean spherical equivalent (SE) of the first and second eyes were determined, and the differences were analyzed using a paired t-test at a significant level of 95%. Results: A total of 470 candidates who underwent bilateral sequential cataract surgery were investigated in this study.  The refractive errors ranged from -8.25 to + 6.50 and from -6.75 to +7.25 for the first and second eyes, respectively. The mean values of SE for the first and second eyes were 2.55 and 2.48 preoperatively, and 1.13 and 0.47 postoperatively, respectively. Moreover, there was a significant difference between the two groups (P<0.001).  Conclusion: The adjustment of IOL power for the second eye by 50% of uncorrected refractive error of the first eye led to acceptable outcomes.http://sjh.umsha.ac.ir/article-1-1939-en.htmlcataractintraocular lens powerrefractive outcome
spellingShingle Nooshin Bazzazi
Pouyan Pahlevani
Mehdi Alizadeh
Prediction of Refractive Outcome of Second Eye with Partial Adjustment of Intraocular Lens Power of the First Eye
پزشکی بالینی ابن سینا
cataract
intraocular lens power
refractive outcome
title Prediction of Refractive Outcome of Second Eye with Partial Adjustment of Intraocular Lens Power of the First Eye
title_full Prediction of Refractive Outcome of Second Eye with Partial Adjustment of Intraocular Lens Power of the First Eye
title_fullStr Prediction of Refractive Outcome of Second Eye with Partial Adjustment of Intraocular Lens Power of the First Eye
title_full_unstemmed Prediction of Refractive Outcome of Second Eye with Partial Adjustment of Intraocular Lens Power of the First Eye
title_short Prediction of Refractive Outcome of Second Eye with Partial Adjustment of Intraocular Lens Power of the First Eye
title_sort prediction of refractive outcome of second eye with partial adjustment of intraocular lens power of the first eye
topic cataract
intraocular lens power
refractive outcome
url http://sjh.umsha.ac.ir/article-1-1939-en.html
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AT pouyanpahlevani predictionofrefractiveoutcomeofsecondeyewithpartialadjustmentofintraocularlenspowerofthefirsteye
AT mehdializadeh predictionofrefractiveoutcomeofsecondeyewithpartialadjustmentofintraocularlenspowerofthefirsteye