Intraocular lens movement caused by ciliary muscle contraction
Identifieur interne : 007479 ( Main/Merge ); précédent : 007478; suivant : 007480Intraocular lens movement caused by ciliary muscle contraction
Auteurs : Oliver Findl [Autriche] ; Barbara Kiss [Autriche] ; Vanessa Petternel [Autriche] ; Rupert Menapace [Autriche] ; Michael Georgopoulos [Autriche] ; Georg Rainer [Autriche] ; Wolfgang Drexler [Autriche]Source :
- Journal of cataract and refractive surgery [ 0886-3350 ] ; 2003.
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- Pascal (Inist)
- Wicri :
English descriptors
- KwdEn :
Abstract
Purpose: To investigate intraocular lens (IOL) movement, measured as a change in anterior chamber depth (ACD) caused by pilocarpine-induced ciliary muscle contraction. Setting: Department of Ophthalmology, University of Vienna, Vienna, Austria. Methods: In this prospective study, the ACD was measured using high-precision, high-resolution, dual-beam partial coherence interferometry in 62 pseudophakic eyes of 55 patients under pilocarpine- and cyclopentolate-induced ciliary muscle contraction and relaxation. The following were studied: 2 models of a ring-haptic IOL (designed to accommodate), a plate-haptic IOL, and 3 types of 3-piece lOLs. Measurements were performed 3 months after surgery. Results: The ring-haptic lOLs and plate-haptic IOL showed a forward movement (ring haptic 43A, -116 μm; ring haptic 43E, -222 μm; plate haptic -162 μm). The 3-piece lOLs showed no change in ACD except in 1 IOL type in which there was backward movement (156 μm). Conclusions: Pilocarpine-induced ciliary muscle contraction caused forward movement of ring- and plate-haptic lOLs that resulted in an estimated accommodative amplitude of less than 0.50 diopter in most cases. The accommodating ring-haptic lOLs did not perform better than the conventional plate-haptic IOL.
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<series><title level="j" type="main">Journal of cataract and refractive surgery</title>
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<seriesStmt><title level="j" type="main">Journal of cataract and refractive surgery</title>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Accommodation</term>
<term>Anterior chamber</term>
<term>Biometrics</term>
<term>Ciliary muscle</term>
<term>Depth</term>
<term>Experimental study</term>
<term>Furan derivatives</term>
<term>Human</term>
<term>Intraocular lens</term>
<term>Motion</term>
<term>Muscle contraction</term>
<term>Parasympathomimetic</term>
<term>Pilocarpine</term>
<term>Posterior chamber</term>
<term>Postoperative</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Muscle ciliaire</term>
<term>Contraction musculaire</term>
<term>Profondeur</term>
<term>Lentille intraoculaire</term>
<term>Chambre postérieure</term>
<term>Mouvement</term>
<term>Pilocarpine</term>
<term>Etude expérimentale</term>
<term>Parasympathomimétique</term>
<term>Chambre antérieure</term>
<term>Homme</term>
<term>Accommodation</term>
<term>Biométrie</term>
<term>Postopératoire</term>
<term>Furane dérivé</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term>
<term>Biométrie</term>
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<front><div type="abstract" xml:lang="en">Purpose: To investigate intraocular lens (IOL) movement, measured as a change in anterior chamber depth (ACD) caused by pilocarpine-induced ciliary muscle contraction. Setting: Department of Ophthalmology, University of Vienna, Vienna, Austria. Methods: In this prospective study, the ACD was measured using high-precision, high-resolution, dual-beam partial coherence interferometry in 62 pseudophakic eyes of 55 patients under pilocarpine- and cyclopentolate-induced ciliary muscle contraction and relaxation. The following were studied: 2 models of a ring-haptic IOL (designed to accommodate), a plate-haptic IOL, and 3 types of 3-piece lOLs. Measurements were performed 3 months after surgery. Results: The ring-haptic lOLs and plate-haptic IOL showed a forward movement (ring haptic 43A, -116 μm; ring haptic 43E, -222 μm; plate haptic -162 μm). The 3-piece lOLs showed no change in ACD except in 1 IOL type in which there was backward movement (156 μm). Conclusions: Pilocarpine-induced ciliary muscle contraction caused forward movement of ring- and plate-haptic lOLs that resulted in an estimated accommodative amplitude of less than 0.50 diopter in most cases. The accommodating ring-haptic lOLs did not perform better than the conventional plate-haptic IOL.</div>
</front>
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<affiliations><list><country><li>Autriche</li>
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<tree><country name="Autriche"><region name="Vienne (Autriche)"><name sortKey="Findl, Oliver" sort="Findl, Oliver" uniqKey="Findl O" first="Oliver" last="Findl">Oliver Findl</name>
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<name sortKey="Drexler, Wolfgang" sort="Drexler, Wolfgang" uniqKey="Drexler W" first="Wolfgang" last="Drexler">Wolfgang Drexler</name>
<name sortKey="Georgopoulos, Michael" sort="Georgopoulos, Michael" uniqKey="Georgopoulos M" first="Michael" last="Georgopoulos">Michael Georgopoulos</name>
<name sortKey="Kiss, Barbara" sort="Kiss, Barbara" uniqKey="Kiss B" first="Barbara" last="Kiss">Barbara Kiss</name>
<name sortKey="Menapace, Rupert" sort="Menapace, Rupert" uniqKey="Menapace R" first="Rupert" last="Menapace">Rupert Menapace</name>
<name sortKey="Petternel, Vanessa" sort="Petternel, Vanessa" uniqKey="Petternel V" first="Vanessa" last="Petternel">Vanessa Petternel</name>
<name sortKey="Rainer, Georg" sort="Rainer, Georg" uniqKey="Rainer G" first="Georg" last="Rainer">Georg Rainer</name>
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