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[Long-term outcome after implantation of various intraocular lenses through a corneal tunnel].

Identifieur interne : 002009 ( PubMed/Corpus ); précédent : 002008; suivant : 002010

[Long-term outcome after implantation of various intraocular lenses through a corneal tunnel].

Auteurs : B. Dick ; T. Kohnen ; F. Jacobi ; K W Jacobi

Source :

RBID : pubmed:9379635

English descriptors

Abstract

A prospective, randomized study was carried out to evaluate functional and biomicroscopic long-term results of different posterior chamber intraocular lenses (IOLs) over a period of two years after clear corneal cataract surgery.

DOI: 10.1055/s-2008-1035105
PubMed: 9379635

Links to Exploration step

pubmed:9379635

Le document en format XML

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<title xml:lang="en">[Long-term outcome after implantation of various intraocular lenses through a corneal tunnel].</title>
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<name sortKey="Dick, B" sort="Dick, B" uniqKey="Dick B" first="B" last="Dick">B. Dick</name>
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<nlm:affiliation>Universitäts-Augenklinik Mainz.</nlm:affiliation>
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<name sortKey="Kohnen, T" sort="Kohnen, T" uniqKey="Kohnen T" first="T" last="Kohnen">T. Kohnen</name>
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<name sortKey="Jacobi, F" sort="Jacobi, F" uniqKey="Jacobi F" first="F" last="Jacobi">F. Jacobi</name>
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<name sortKey="Jacobi, K W" sort="Jacobi, K W" uniqKey="Jacobi K" first="K W" last="Jacobi">K W Jacobi</name>
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<term>Astigmatism (etiology)</term>
<term>Astigmatism (physiopathology)</term>
<term>Corneal Topography</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Intraocular Pressure (physiology)</term>
<term>Lenses, Intraocular</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Polymethyl Methacrylate</term>
<term>Postoperative Complications (etiology)</term>
<term>Postoperative Complications (physiopathology)</term>
<term>Prospective Studies</term>
<term>Prosthesis Design</term>
<term>Silicones</term>
<term>Treatment Outcome</term>
<term>Visual Acuity (physiology)</term>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en">
<term>Polymethyl Methacrylate</term>
<term>Silicones</term>
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<term>Astigmatism</term>
<term>Postoperative Complications</term>
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<term>Visual Acuity</term>
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<term>Postoperative Complications</term>
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<term>Aged, 80 and over</term>
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<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Lenses, Intraocular</term>
<term>Male</term>
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<div type="abstract" xml:lang="en">A prospective, randomized study was carried out to evaluate functional and biomicroscopic long-term results of different posterior chamber intraocular lenses (IOLs) over a period of two years after clear corneal cataract surgery.</div>
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<Day>11</Day>
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<Month>Aug</Month>
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<AbstractText Label="UNLABELLED">A prospective, randomized study was carried out to evaluate functional and biomicroscopic long-term results of different posterior chamber intraocular lenses (IOLs) over a period of two years after clear corneal cataract surgery.</AbstractText>
<AbstractText Label="PATIENTS AND METHODS" NlmCategory="METHODS">2 years after phacoemulsification through a temporal two-step clear corneal incision a total of 67 patients were examined. In 26 eyes (group A) a foldable plate-haptic silicone IOL (Chiron Adatomed, C10), in 25 eyes (group B) a foldable disc silicone IOL (Chiron Adatomed, 90D) had been implanted through a 3.5 (group A) or 4 mm (group B) corneal incision using a cartridge injector. In 16 eyes (group C) a one-piece PMMA-IOL (Pharmacia & Upjohn, 809C) had been implanted through a 5 mm incision. All eyes underwent functional and biomicroscopic examinations, as well as computerized videokeratographic analysis to obtain corneal topography data.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">In group A uncorrected visual acuity valued 0.64 (+/-0.29 SD), in group B 0.59 (+/-0.24) and in group C 0.56 (+/-0.27). Median of uncorrected visual acuity was 0.6 for all groups. Corrected visual acuity was 0.81 (+/-0.29) in group A, 0.8 (+/-0.25) in group B and 0.83 (+/-0.3) in group C. Intraocular pressure (mm Hg) was 13 (+/-2.5) in group A, 14.7 (+/-2) in group B and 15.1 (+/-2.5) in group C. Fibrosis of the anterior capsular rim occurred in 42% of the cases. One eye demonstrated folds in the posterior capsule (group B). Posterior capsular opacification valued 11.9% for all groups. In one eye a Nd:YAG-capsulotomy had already been performed. In group A a decentration of more than 1 mm was objected in one case, in group B in two cases and in group C in one case, but no patient complained about any functional impairment. Two years postoperatively, no signs of a re-flattening in the incision area could be detected using difference mapping tools in the videokeratographic analysis.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Two years after implantation of foldable silicone IOLs and PMMA-IOLs via a temporal clear corneal tunnel incision after phacoemulsification only slight functional and morphologic differences between the three IOL-types could be observed.</AbstractText>
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