Comparative Analysis of Refractive Result Predictability During Iridocapsular and Iridovitreal Fixation of Biplanar Intraocular Lens

Purpose: to carry out a comparative analysis of refractive outcomes and features during preoperational calculation of the biplanar intraocular lens (IOL) with iridocapsular and iridovitreal fixation.Patients and methods. Study included the analysis IOL model RSP-3 implantation after phacoemulsificat...

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Main Authors: B. E. Malyugin, E. N. Panteleev, A. N. Bessarabov, D. F. Pokrovskiy, A. S. Semakina, S. A. Abdullaeva
Format: Article
Language:Russian
Published: Ophthalmology Publishing Group 2018-07-01
Series:Oftalʹmologiâ
Subjects:
Online Access:https://www.ophthalmojournal.com/opht/article/view/599
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author B. E. Malyugin
E. N. Panteleev
A. N. Bessarabov
D. F. Pokrovskiy
A. S. Semakina
S. A. Abdullaeva
author_facet B. E. Malyugin
E. N. Panteleev
A. N. Bessarabov
D. F. Pokrovskiy
A. S. Semakina
S. A. Abdullaeva
author_sort B. E. Malyugin
collection DOAJ
description Purpose: to carry out a comparative analysis of refractive outcomes and features during preoperational calculation of the biplanar intraocular lens (IOL) with iridocapsular and iridovitreal fixation.Patients and methods. Study included the analysis IOL model RSP-3 implantation after phacoemulsification cataract surgery with  subluxated lens grade 2. Analyzed 309 eyes of 304 patients with iridocapsular (n = 44) (ICF) and iridovitreal fixation (n = 265)  (IVF). In both groups IOL power was calculated with use of A- constant (118.2) recommended by manufacturer. Mean period of  examination was 6 months. To count optimized A-constant in both  groups we used next data: IOL power and axial length before  surgery, keratometry, spherical equivalent and IOL effective position  during 6 months after surgery.Results. In group with ICF postoperative refraction was achieved ± 0,5 D in 10 cases (23%), in group IVF — in 29 cases (11%). Mean  value of optimized A-constant for IOL model RSP-3 in groups with  ICF and IVF were 117.2 ± 1.18 (114.0–120.8) and 116.9 ± 1,89  (109.6 до 123.6). There were no statistically significant difference  between compared groups (p = 0.46).Conclusion. Use of A-constant recommended by manufacturer do  not allow achieving target refraction in most cases. Mean values of  biplanar IOL A-constant counted for ICF and IVF were 117,2 and  116,9 respectively, what should be taken into account during IOL  power count, according to its fixation method.
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spelling doaj.art-c100f6ac0e3a403f979b16746c907dbb2023-03-13T09:08:38ZrusOphthalmology Publishing GroupOftalʹmologiâ1816-50952500-08452018-07-0115213914510.18008/1816-5095-2018-2-139-145394Comparative Analysis of Refractive Result Predictability During Iridocapsular and Iridovitreal Fixation of Biplanar Intraocular LensB. E. Malyugin0E. N. Panteleev1A. N. Bessarabov2D. F. Pokrovskiy3A. S. Semakina4S. A. Abdullaeva5ФГАУ «МНТК “Микрохирургия глаза” им. академика С.Н. Федорова» Министерства здравоохранения Российской ФедерацииФГАУ «МНТК “Микрохирургия глаза” им. академика С.Н. Федорова» Министерства здравоохранения Российской ФедерацииФГАУ «МНТК “Микрохирургия глаза” им. академика С.Н. Федорова» Министерства здравоохранения Российской ФедерацииФГБОУ ВО «Российский национальный исследовательский медицинский университет имени Н.И. Пирогова» Министерства здравоохранения Российской ФедерацииФГАУ «МНТК “Микрохирургия глаза” им. академика С.Н. Федорова» Министерства здравоохранения Российской ФедерацииФГАУ «МНТК “Микрохирургия глаза” им. академика С.Н. Федорова» Министерства здравоохранения Российской ФедерацииPurpose: to carry out a comparative analysis of refractive outcomes and features during preoperational calculation of the biplanar intraocular lens (IOL) with iridocapsular and iridovitreal fixation.Patients and methods. Study included the analysis IOL model RSP-3 implantation after phacoemulsification cataract surgery with  subluxated lens grade 2. Analyzed 309 eyes of 304 patients with iridocapsular (n = 44) (ICF) and iridovitreal fixation (n = 265)  (IVF). In both groups IOL power was calculated with use of A- constant (118.2) recommended by manufacturer. Mean period of  examination was 6 months. To count optimized A-constant in both  groups we used next data: IOL power and axial length before  surgery, keratometry, spherical equivalent and IOL effective position  during 6 months after surgery.Results. In group with ICF postoperative refraction was achieved ± 0,5 D in 10 cases (23%), in group IVF — in 29 cases (11%). Mean  value of optimized A-constant for IOL model RSP-3 in groups with  ICF and IVF were 117.2 ± 1.18 (114.0–120.8) and 116.9 ± 1,89  (109.6 до 123.6). There were no statistically significant difference  between compared groups (p = 0.46).Conclusion. Use of A-constant recommended by manufacturer do  not allow achieving target refraction in most cases. Mean values of  biplanar IOL A-constant counted for ICF and IVF were 117,2 and  116,9 respectively, what should be taken into account during IOL  power count, according to its fixation method.https://www.ophthalmojournal.com/opht/article/view/599рсп-3а-константаиридо-капсульная фиксациядвухплоскостная иол
spellingShingle B. E. Malyugin
E. N. Panteleev
A. N. Bessarabov
D. F. Pokrovskiy
A. S. Semakina
S. A. Abdullaeva
Comparative Analysis of Refractive Result Predictability During Iridocapsular and Iridovitreal Fixation of Biplanar Intraocular Lens
Oftalʹmologiâ
рсп-3
а-константа
иридо-капсульная фиксация
двухплоскостная иол
title Comparative Analysis of Refractive Result Predictability During Iridocapsular and Iridovitreal Fixation of Biplanar Intraocular Lens
title_full Comparative Analysis of Refractive Result Predictability During Iridocapsular and Iridovitreal Fixation of Biplanar Intraocular Lens
title_fullStr Comparative Analysis of Refractive Result Predictability During Iridocapsular and Iridovitreal Fixation of Biplanar Intraocular Lens
title_full_unstemmed Comparative Analysis of Refractive Result Predictability During Iridocapsular and Iridovitreal Fixation of Biplanar Intraocular Lens
title_short Comparative Analysis of Refractive Result Predictability During Iridocapsular and Iridovitreal Fixation of Biplanar Intraocular Lens
title_sort comparative analysis of refractive result predictability during iridocapsular and iridovitreal fixation of biplanar intraocular lens
topic рсп-3
а-константа
иридо-капсульная фиксация
двухплоскостная иол
url https://www.ophthalmojournal.com/opht/article/view/599
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