Pilocarpine-induced shift of an accommodating intraocular lens : AT-45 Crystalens
Identifieur interne : 000E60 ( PascalFrancis/Corpus ); précédent : 000E59; suivant : 000E61Pilocarpine-induced shift of an accommodating intraocular lens : AT-45 Crystalens
Auteurs : Christina Koeppl ; Oliver Findl ; Rupert Menapace ; Katharina Kriechbaum ; Matthias Wirtitsch ; Wolf Buehl ; Stefan Sacu ; Wolfgang DrexlerSource :
- Journal of cataract and refractive surgery [ 0886-3350 ] ; 2005.
Descripteurs français
- Pascal (Inist)
English descriptors
Abstract
Purpose: To measure the shift of an accommodating plate-haptic intraocular lens (IOL) along the visual axis induced by ciliary muscle contraction after application of pilocarpine. Setting: Department of Ophthalmology, Medical University of Vienna, Vienna, Austria. Methods: Fifty-four eyes of 28 patients with age-related cataract comprised this prospective study. Each patient received an AT-45 silicone accommodating IOL (Crystalens, Eyeonics Corp.) after standardized cataract surgery. In a subgroup of 24 eyes, capsular bag fibrosis was reduced by extensive polishing of the anterior capsule with a slit cannula. Assessment included measurements of anterior chamber depth, assessed with partial coherence interferometry, before and after application of pilocarpine 2% and evaluation of near visual acuity 1 month and 3 months postoperatively. Results: A slight backward shift of the IOL of 151 μm in the nonpolished group (P<.001) and 122 μm in the polished group (P<.005) could be detected after application of pilocarpine. Polishing the capsule did not influence IOL shift. The median near visual acuity with distance correction 1 month and 3 months postoperatively was J5 and J4, respectively, in the nonpolished group and J6 at both times in the polished group. Conclusions: Pilocarpine induced a counterproductive active backward shift of the AT-45 IOL. Polishing of the capsular bag had no impact on accommodative ability. The reading performance of patients with the AT-45 IOL patients at 1 and 3 months was not significantly different from that of with a standard IOL under similar testing methods.
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Pour connaître la documentation sur le format Inist Standard.
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Format Inist (serveur)
NO : | PASCAL 05-0399236 INIST |
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ET : | Pilocarpine-induced shift of an accommodating intraocular lens : AT-45 Crystalens |
AU : | KOEPPL (Christina); FINDL (Oliver); MENAPACE (Rupert); KRIECHBAUM (Katharina); WIRTITSCH (Matthias); BUEHL (Wolf); SACU (Stefan); DREXLER (Wolfgang) |
AF : | Department of Ophthalmology, Medical University of Vienna/Vienna/Autriche (1 aut., 2 aut., 3 aut., 4 aut., 5 aut., 6 aut., 7 aut.); Department of Medical Physics, University of Vienna/Viena/Autriche (8 aut.) |
DT : | Publication en série; Niveau analytique |
SO : | Journal of cataract and refractive surgery; ISSN 0886-3350; Coden JCSUEV; Etats-Unis; Da. 2005; Vol. 31; No. 7; Pp. 1290-1297; Bibl. 38 ref. |
LA : | Anglais |
EA : | Purpose: To measure the shift of an accommodating plate-haptic intraocular lens (IOL) along the visual axis induced by ciliary muscle contraction after application of pilocarpine. Setting: Department of Ophthalmology, Medical University of Vienna, Vienna, Austria. Methods: Fifty-four eyes of 28 patients with age-related cataract comprised this prospective study. Each patient received an AT-45 silicone accommodating IOL (Crystalens, Eyeonics Corp.) after standardized cataract surgery. In a subgroup of 24 eyes, capsular bag fibrosis was reduced by extensive polishing of the anterior capsule with a slit cannula. Assessment included measurements of anterior chamber depth, assessed with partial coherence interferometry, before and after application of pilocarpine 2% and evaluation of near visual acuity 1 month and 3 months postoperatively. Results: A slight backward shift of the IOL of 151 μm in the nonpolished group (P<.001) and 122 μm in the polished group (P<.005) could be detected after application of pilocarpine. Polishing the capsule did not influence IOL shift. The median near visual acuity with distance correction 1 month and 3 months postoperatively was J5 and J4, respectively, in the nonpolished group and J6 at both times in the polished group. Conclusions: Pilocarpine induced a counterproductive active backward shift of the AT-45 IOL. Polishing of the capsular bag had no impact on accommodative ability. The reading performance of patients with the AT-45 IOL patients at 1 and 3 months was not significantly different from that of with a standard IOL under similar testing methods. |
CC : | 002B25B |
FD : | Pilocarpine; Lentille intraoculaire; Chirurgie; Ophtalmologie; Antiglaucomateux; Traitement |
FG : | Agoniste; Furane dérivé; Parasympathomimétique; Récepteur muscarinique |
ED : | Pilocarpine; Intraocular lens; Surgery; Ophthalmology; Antiglaucomatous agent; Treatment |
EG : | Agonist; Furan derivatives; Parasympathomimetic; Muscarinic receptor |
SD : | Pilocarpina; Lente intraocular; Cirugía; Oftalmología; Antiglaucomatoso; Tratamiento |
LO : | INIST-20937.354000131572020040 |
ID : | 05-0399236 |
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<front><div type="abstract" xml:lang="en">Purpose: To measure the shift of an accommodating plate-haptic intraocular lens (IOL) along the visual axis induced by ciliary muscle contraction after application of pilocarpine. Setting: Department of Ophthalmology, Medical University of Vienna, Vienna, Austria. Methods: Fifty-four eyes of 28 patients with age-related cataract comprised this prospective study. Each patient received an AT-45 silicone accommodating IOL (Crystalens, Eyeonics Corp.) after standardized cataract surgery. In a subgroup of 24 eyes, capsular bag fibrosis was reduced by extensive polishing of the anterior capsule with a slit cannula. Assessment included measurements of anterior chamber depth, assessed with partial coherence interferometry, before and after application of pilocarpine 2% and evaluation of near visual acuity 1 month and 3 months postoperatively. Results: A slight backward shift of the IOL of 151 μm in the nonpolished group (P<.001) and 122 μm in the polished group (P<.005) could be detected after application of pilocarpine. Polishing the capsule did not influence IOL shift. The median near visual acuity with distance correction 1 month and 3 months postoperatively was J5 and J4, respectively, in the nonpolished group and J6 at both times in the polished group. Conclusions: Pilocarpine induced a counterproductive active backward shift of the AT-45 IOL. Polishing of the capsular bag had no impact on accommodative ability. The reading performance of patients with the AT-45 IOL patients at 1 and 3 months was not significantly different from that of with a standard IOL under similar testing methods.</div>
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<server><NO>PASCAL 05-0399236 INIST</NO>
<ET>Pilocarpine-induced shift of an accommodating intraocular lens : AT-45 Crystalens</ET>
<AU>KOEPPL (Christina); FINDL (Oliver); MENAPACE (Rupert); KRIECHBAUM (Katharina); WIRTITSCH (Matthias); BUEHL (Wolf); SACU (Stefan); DREXLER (Wolfgang)</AU>
<AF>Department of Ophthalmology, Medical University of Vienna/Vienna/Autriche (1 aut., 2 aut., 3 aut., 4 aut., 5 aut., 6 aut., 7 aut.); Department of Medical Physics, University of Vienna/Viena/Autriche (8 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Journal of cataract and refractive surgery; ISSN 0886-3350; Coden JCSUEV; Etats-Unis; Da. 2005; Vol. 31; No. 7; Pp. 1290-1297; Bibl. 38 ref.</SO>
<LA>Anglais</LA>
<EA>Purpose: To measure the shift of an accommodating plate-haptic intraocular lens (IOL) along the visual axis induced by ciliary muscle contraction after application of pilocarpine. Setting: Department of Ophthalmology, Medical University of Vienna, Vienna, Austria. Methods: Fifty-four eyes of 28 patients with age-related cataract comprised this prospective study. Each patient received an AT-45 silicone accommodating IOL (Crystalens, Eyeonics Corp.) after standardized cataract surgery. In a subgroup of 24 eyes, capsular bag fibrosis was reduced by extensive polishing of the anterior capsule with a slit cannula. Assessment included measurements of anterior chamber depth, assessed with partial coherence interferometry, before and after application of pilocarpine 2% and evaluation of near visual acuity 1 month and 3 months postoperatively. Results: A slight backward shift of the IOL of 151 μm in the nonpolished group (P<.001) and 122 μm in the polished group (P<.005) could be detected after application of pilocarpine. Polishing the capsule did not influence IOL shift. The median near visual acuity with distance correction 1 month and 3 months postoperatively was J5 and J4, respectively, in the nonpolished group and J6 at both times in the polished group. Conclusions: Pilocarpine induced a counterproductive active backward shift of the AT-45 IOL. Polishing of the capsular bag had no impact on accommodative ability. The reading performance of patients with the AT-45 IOL patients at 1 and 3 months was not significantly different from that of with a standard IOL under similar testing methods.</EA>
<CC>002B25B</CC>
<FD>Pilocarpine; Lentille intraoculaire; Chirurgie; Ophtalmologie; Antiglaucomateux; Traitement</FD>
<FG>Agoniste; Furane dérivé; Parasympathomimétique; Récepteur muscarinique</FG>
<ED>Pilocarpine; Intraocular lens; Surgery; Ophthalmology; Antiglaucomatous agent; Treatment</ED>
<EG>Agonist; Furan derivatives; Parasympathomimetic; Muscarinic receptor</EG>
<SD>Pilocarpina; Lente intraocular; Cirugía; Oftalmología; Antiglaucomatoso; Tratamiento</SD>
<LO>INIST-20937.354000131572020040</LO>
<ID>05-0399236</ID>
</server>
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