Prediction of Refractive Error in Combined Vitrectomy and Cataract Surgery With One-Piece Acrylic Intraocular Lens
Identifieur interne : 004B74 ( Main/Merge ); précédent : 004B73; suivant : 004B75Prediction of Refractive Error in Combined Vitrectomy and Cataract Surgery With One-Piece Acrylic Intraocular Lens
Auteurs : Dong Kyu Lee [Corée du Sud] ; Sung Jin Lee [Corée du Sud] ; Yong Sung You [Corée du Sud]Source :
- Korean Journal of Ophthalmology : KJO [ 1011-8942 ] ; 2008.
Abstract
To compare the predicted and actual refractive errors of hydrophilic, one-piece, C-flex®570C (C-flex) intraocular lens (IOL) implantation in simultaneous vitrectomy and lens extraction in various conditions.
One hundred fifty-nine eyes of patients who had lens extraction between March 2004 and September 2005 were enrolled in a retrospective study. Group 1 had lens extraction and IOL implantation, and Group 2 had lens extraction and IOL implantation with vitrectomy. IOL calculation was done with axial length and keratometry measurements. The actual and predicted refractive errors were compared at 1 and 6 months postoperatively. The factors influencing the postoperative refractive outcomes were analyzed.
The mean refractive predictive error (i.e., the actual minus predicted spherical equivalent) was +0.19±0.39 D (Diopter) and -0.26±0.45 D at 1 and 6 months postoperatively (all:
Refractive errors in combined surgery showed myopic shift of -0.50 D and -0.32 D at 1 and 6 months postoperatively compared with C-flex IOL implantation alone. With the hyperopic tendency of IOL and myopic tendency of vitrectomy, the combined surgery made postoperative refractive errors near emmetropia.
Url:
DOI: 10.3341/kjo.2008.22.4.214
PubMed: 19096237
PubMed Central: 2629921
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<author><name sortKey="Lee, Dong Kyu" sort="Lee, Dong Kyu" uniqKey="Lee D" first="Dong Kyu" last="Lee">Dong Kyu Lee</name>
<affiliation wicri:level="3"><nlm:aff id="A1">Department of Ophthalmology, Soonchunhyang University College of Medicine, Seoul, Korea.</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Corée du Sud</country>
<wicri:regionArea>Department of Ophthalmology, Soonchunhyang University College of Medicine, Seoul</wicri:regionArea>
<placeName><settlement type="city">Séoul</settlement>
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<author><name sortKey="Lee, Sung Jin" sort="Lee, Sung Jin" uniqKey="Lee S" first="Sung Jin" last="Lee">Sung Jin Lee</name>
<affiliation wicri:level="3"><nlm:aff id="A1">Department of Ophthalmology, Soonchunhyang University College of Medicine, Seoul, Korea.</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Corée du Sud</country>
<wicri:regionArea>Department of Ophthalmology, Soonchunhyang University College of Medicine, Seoul</wicri:regionArea>
<placeName><settlement type="city">Séoul</settlement>
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<author><name sortKey="You, Yong Sung" sort="You, Yong Sung" uniqKey="You Y" first="Yong Sung" last="You">Yong Sung You</name>
<affiliation wicri:level="3"><nlm:aff id="A2">Nune Eye Hospital, Seoul, Korea.</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Corée du Sud</country>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Prediction of Refractive Error in Combined Vitrectomy and Cataract Surgery With One-Piece Acrylic Intraocular Lens</title>
<author><name sortKey="Lee, Dong Kyu" sort="Lee, Dong Kyu" uniqKey="Lee D" first="Dong Kyu" last="Lee">Dong Kyu Lee</name>
<affiliation wicri:level="3"><nlm:aff id="A1">Department of Ophthalmology, Soonchunhyang University College of Medicine, Seoul, Korea.</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Corée du Sud</country>
<wicri:regionArea>Department of Ophthalmology, Soonchunhyang University College of Medicine, Seoul</wicri:regionArea>
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<author><name sortKey="Lee, Sung Jin" sort="Lee, Sung Jin" uniqKey="Lee S" first="Sung Jin" last="Lee">Sung Jin Lee</name>
<affiliation wicri:level="3"><nlm:aff id="A1">Department of Ophthalmology, Soonchunhyang University College of Medicine, Seoul, Korea.</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Corée du Sud</country>
<wicri:regionArea>Department of Ophthalmology, Soonchunhyang University College of Medicine, Seoul</wicri:regionArea>
<placeName><settlement type="city">Séoul</settlement>
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<author><name sortKey="You, Yong Sung" sort="You, Yong Sung" uniqKey="You Y" first="Yong Sung" last="You">Yong Sung You</name>
<affiliation wicri:level="3"><nlm:aff id="A2">Nune Eye Hospital, Seoul, Korea.</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Corée du Sud</country>
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<placeName><settlement type="city">Séoul</settlement>
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<series><title level="j">Korean Journal of Ophthalmology : KJO</title>
<idno type="ISSN">1011-8942</idno>
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<front><div type="abstract" xml:lang="en"><sec><title>Purpose</title>
<p>To compare the predicted and actual refractive errors of hydrophilic, one-piece, C-flex®570C (C-flex) intraocular lens (IOL) implantation in simultaneous vitrectomy and lens extraction in various conditions.</p>
</sec>
<sec><title>Methods</title>
<p>One hundred fifty-nine eyes of patients who had lens extraction between March 2004 and September 2005 were enrolled in a retrospective study. Group 1 had lens extraction and IOL implantation, and Group 2 had lens extraction and IOL implantation with vitrectomy. IOL calculation was done with axial length and keratometry measurements. The actual and predicted refractive errors were compared at 1 and 6 months postoperatively. The factors influencing the postoperative refractive outcomes were analyzed.</p>
</sec>
<sec><title>Results</title>
<p>The mean refractive predictive error (i.e., the actual minus predicted spherical equivalent) was +0.19±0.39 D (Diopter) and -0.26±0.45 D at 1 and 6 months postoperatively (all: <italic>p</italic>
<0.001) in group 1, and -0.22±0.39 D and -0.06±0.62 D at 1 and 6 months postoperatively (<italic>p</italic>
=0.013, <italic>p</italic>
=0.399 respectively). In group 2, all surgical factors related to refractive errors were not statistically significant (all: <italic>p</italic>
>0.05).</p>
</sec>
<sec><title>Conclusions</title>
<p>Refractive errors in combined surgery showed myopic shift of -0.50 D and -0.32 D at 1 and 6 months postoperatively compared with C-flex IOL implantation alone. With the hyperopic tendency of IOL and myopic tendency of vitrectomy, the combined surgery made postoperative refractive errors near emmetropia.</p>
</sec>
</div>
</front>
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