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[Toric intraocular lenses. Clinical results and rotational stability].

Identifieur interne : 001D30 ( PubMed/Curation ); précédent : 001D29; suivant : 001D31

[Toric intraocular lenses. Clinical results and rotational stability].

Auteurs : G. Gerten ; A. Michels ; A. Olmes

Source :

RBID : pubmed:11552409

English descriptors

Abstract

Correction of an astigmatism at the time of cataract surgery can be achieved in two different ways, by alteration of the corneal curvature or by implantation of a toric intraocular lens (toric IOL). In the latter, in addition to the wound architecture and IOL calculation, the influence of rotational stability in the capsular bag is most important for the refractive result.

PubMed: 11552409

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pubmed:11552409

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G. Gerten
<affiliation>
<nlm:affiliation>Laserforum Köln e.V., Zeppelinstr. 1, 50667 Köln.</nlm:affiliation>
<wicri:noCountry code="subField">50667 Köln</wicri:noCountry>
</affiliation>

Le document en format XML

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<title xml:lang="en">[Toric intraocular lenses. Clinical results and rotational stability].</title>
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<name sortKey="Gerten, G" sort="Gerten, G" uniqKey="Gerten G" first="G" last="Gerten">G. Gerten</name>
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<nlm:affiliation>Laserforum Köln e.V., Zeppelinstr. 1, 50667 Köln.</nlm:affiliation>
<wicri:noCountry code="subField">50667 Köln</wicri:noCountry>
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<name sortKey="Michels, A" sort="Michels, A" uniqKey="Michels A" first="A" last="Michels">A. Michels</name>
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<name sortKey="Olmes, A" sort="Olmes, A" uniqKey="Olmes A" first="A" last="Olmes">A. Olmes</name>
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<title xml:lang="en">[Toric intraocular lenses. Clinical results and rotational stability].</title>
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<nlm:affiliation>Laserforum Köln e.V., Zeppelinstr. 1, 50667 Köln.</nlm:affiliation>
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<name sortKey="Michels, A" sort="Michels, A" uniqKey="Michels A" first="A" last="Michels">A. Michels</name>
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<name sortKey="Olmes, A" sort="Olmes, A" uniqKey="Olmes A" first="A" last="Olmes">A. Olmes</name>
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<series>
<title level="j">Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft</title>
<idno type="ISSN">0941-293X</idno>
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<term>Astigmatism (etiology)</term>
<term>Astigmatism (surgery)</term>
<term>Corneal Transplantation</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Lenses, Intraocular</term>
<term>Models, Theoretical</term>
<term>Phacoemulsification</term>
<term>Postoperative Complications</term>
<term>Retrospective Studies</term>
<term>Time Factors</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Astigmatism</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Astigmatism</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Corneal Transplantation</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Lenses, Intraocular</term>
<term>Models, Theoretical</term>
<term>Phacoemulsification</term>
<term>Postoperative Complications</term>
<term>Retrospective Studies</term>
<term>Time Factors</term>
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<front>
<div type="abstract" xml:lang="en">Correction of an astigmatism at the time of cataract surgery can be achieved in two different ways, by alteration of the corneal curvature or by implantation of a toric intraocular lens (toric IOL). In the latter, in addition to the wound architecture and IOL calculation, the influence of rotational stability in the capsular bag is most important for the refractive result.</div>
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<pubmed>
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<PMID Version="1">11552409</PMID>
<DateCreated>
<Year>2001</Year>
<Month>09</Month>
<Day>12</Day>
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<DateCompleted>
<Year>2001</Year>
<Month>12</Month>
<Day>04</Day>
</DateCompleted>
<DateRevised>
<Year>2006</Year>
<Month>11</Month>
<Day>15</Day>
</DateRevised>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Print">0941-293X</ISSN>
<JournalIssue CitedMedium="Print">
<Volume>98</Volume>
<Issue>8</Issue>
<PubDate>
<Year>2001</Year>
<Month>Aug</Month>
</PubDate>
</JournalIssue>
<Title>Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft</Title>
<ISOAbbreviation>Ophthalmologe</ISOAbbreviation>
</Journal>
<ArticleTitle>[Toric intraocular lenses. Clinical results and rotational stability].</ArticleTitle>
<Pagination>
<MedlinePgn>715-20</MedlinePgn>
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<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Correction of an astigmatism at the time of cataract surgery can be achieved in two different ways, by alteration of the corneal curvature or by implantation of a toric intraocular lens (toric IOL). In the latter, in addition to the wound architecture and IOL calculation, the influence of rotational stability in the capsular bag is most important for the refractive result.</AbstractText>
<AbstractText Label="PATIENTS AND METHODS" NlmCategory="METHODS">This retrospective study included 26 eyes from 24 patients with a corneal astigmatism of 2.5-11 D before cataract surgery of which 24 eyes showed a congenital astigmatism and 2 eyes an astigmatism after keratoplasty. After phakoemulsification a three-piece toric PMMA customised IOL (6.5/13.75 mm) was implanted into the capsular bag. Subjective and objective refraction as well as keratometry and corneal topography were performed pre- and postoperatively. The axis of the toric IOL cylinder was marked and could be measured precisely in the postoperative period. The surgically induced astigmatism (SIA) was calculated.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">At a mean follow-up time of 12 months after the implantation of a toric IOL, all eyes showed a reduction of total astigmatism. The mean total refractive astigmatism could be reduced from 4.16 D +/- 1.58 D preoperatively to 1.64 D +/- 1.21 D postoperatively. In 6 out of the 26 eyes (23%) the toric IOL rotated more than 10 degrees in the capsular bag and in all 6 cases the IOL rotation happened in the first 3 weeks postoperation. The IOL position was surgically corrected within 3-6 weeks after initial surgery and remained stable during the follow-up period.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The implantation of a PMMA toric IOL is a promising procedure to correct higher levels of corneal astigmatism in cataract surgery. The initial rotational stability of the haptics in the capsular bag still has to be improved and the corneal SIA has to be reduced by smaller incisions. Therefore, three-piece foldable IOLs with a new haptic design are under development.</AbstractText>
</Abstract>
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<VernacularTitle>Torische Intraokularlinsen. Klinische Ergebnisse und Rotationsstabilität.</VernacularTitle>
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<Country>Germany</Country>
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<RefSource>Ophthalmologe 2001 Oct;98(10):954</RefSource>
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<DescriptorName MajorTopicYN="N" UI="D001251">Astigmatism</DescriptorName>
<QualifierName MajorTopicYN="N" UI="Q000209">etiology</QualifierName>
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