Diagnostic Techniques to Increase the Safety of Phakic Intraocular Lenses
Preoperative and postoperative diagnostics play an important role in ensuring the safety of patients with phakic intraocular lenses (pIOLs). The risk of endothelial cell loss can be addressed by regularly measuring the endothelial cell density using specular microscopy and considering the endothelia...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-07-01
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| Series: | Diagnostics |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2075-4418/13/15/2503 |
| _version_ | 1827731335545880576 |
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| author | Tadas Naujokaitis Gerd U. Auffarth Grzegorz Łabuz Lucy Joanne Kessler Ramin Khoramnia |
| author_facet | Tadas Naujokaitis Gerd U. Auffarth Grzegorz Łabuz Lucy Joanne Kessler Ramin Khoramnia |
| author_sort | Tadas Naujokaitis |
| collection | DOAJ |
| description | Preoperative and postoperative diagnostics play an important role in ensuring the safety of patients with phakic intraocular lenses (pIOLs). The risk of endothelial cell loss can be addressed by regularly measuring the endothelial cell density using specular microscopy and considering the endothelial cell loss rate and the endothelial reserve in accordance with the patient’s age when deciding whether to explant a pIOL. The anterior chamber morphometrics, including the anterior chamber depth and the distance between the pIOL and the endothelium, measured using Scheimpflug tomography and anterior segment optical coherence tomography (AS-OCT), can help to assess the risk of the endothelial cell loss. In patients undergoing posterior chamber pIOL implantation, accurate prediction of the vault and its postoperative measurements using AS-OCT or Scheimpflug tomography are important when assessing the risk of anterior subcapsular cataract and secondary glaucoma. Novel approaches based on ultrasound biomicroscopy and AS-OCT have been proposed to increase the vault prediction accuracy and to identify eyes in which prediction errors are more likely. Careful patient selection and regular postoperative follow-up visits can reduce the complication risk and enable early intervention if a complication occurs. |
| first_indexed | 2024-03-11T00:29:57Z |
| format | Article |
| id | doaj.art-fe71d10f66b14f369dc76f3114fc593d |
| institution | Directory Open Access Journal |
| issn | 2075-4418 |
| language | English |
| last_indexed | 2024-03-11T00:29:57Z |
| publishDate | 2023-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj.art-fe71d10f66b14f369dc76f3114fc593d2023-11-18T22:46:23ZengMDPI AGDiagnostics2075-44182023-07-011315250310.3390/diagnostics13152503Diagnostic Techniques to Increase the Safety of Phakic Intraocular LensesTadas Naujokaitis0Gerd U. Auffarth1Grzegorz Łabuz2Lucy Joanne Kessler3Ramin Khoramnia4Department of Ophthalmology, University of Heidelberg, 69120 Heidelberg, GermanyDepartment of Ophthalmology, University of Heidelberg, 69120 Heidelberg, GermanyDepartment of Ophthalmology, University of Heidelberg, 69120 Heidelberg, GermanyDepartment of Ophthalmology, University of Heidelberg, 69120 Heidelberg, GermanyDepartment of Ophthalmology, University of Heidelberg, 69120 Heidelberg, GermanyPreoperative and postoperative diagnostics play an important role in ensuring the safety of patients with phakic intraocular lenses (pIOLs). The risk of endothelial cell loss can be addressed by regularly measuring the endothelial cell density using specular microscopy and considering the endothelial cell loss rate and the endothelial reserve in accordance with the patient’s age when deciding whether to explant a pIOL. The anterior chamber morphometrics, including the anterior chamber depth and the distance between the pIOL and the endothelium, measured using Scheimpflug tomography and anterior segment optical coherence tomography (AS-OCT), can help to assess the risk of the endothelial cell loss. In patients undergoing posterior chamber pIOL implantation, accurate prediction of the vault and its postoperative measurements using AS-OCT or Scheimpflug tomography are important when assessing the risk of anterior subcapsular cataract and secondary glaucoma. Novel approaches based on ultrasound biomicroscopy and AS-OCT have been proposed to increase the vault prediction accuracy and to identify eyes in which prediction errors are more likely. Careful patient selection and regular postoperative follow-up visits can reduce the complication risk and enable early intervention if a complication occurs.https://www.mdpi.com/2075-4418/13/15/2503anterior chamber depthcataractendothelial cell densityendothelial cell lossiris-fixated pIOLglaucoma |
| spellingShingle | Tadas Naujokaitis Gerd U. Auffarth Grzegorz Łabuz Lucy Joanne Kessler Ramin Khoramnia Diagnostic Techniques to Increase the Safety of Phakic Intraocular Lenses Diagnostics anterior chamber depth cataract endothelial cell density endothelial cell loss iris-fixated pIOL glaucoma |
| title | Diagnostic Techniques to Increase the Safety of Phakic Intraocular Lenses |
| title_full | Diagnostic Techniques to Increase the Safety of Phakic Intraocular Lenses |
| title_fullStr | Diagnostic Techniques to Increase the Safety of Phakic Intraocular Lenses |
| title_full_unstemmed | Diagnostic Techniques to Increase the Safety of Phakic Intraocular Lenses |
| title_short | Diagnostic Techniques to Increase the Safety of Phakic Intraocular Lenses |
| title_sort | diagnostic techniques to increase the safety of phakic intraocular lenses |
| topic | anterior chamber depth cataract endothelial cell density endothelial cell loss iris-fixated pIOL glaucoma |
| url | https://www.mdpi.com/2075-4418/13/15/2503 |
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