Intraocular lens exchange through a 3.2-mm corneal incision for opacified intraocular lenses
Identifieur interne : 002B20 ( Main/Curation ); précédent : 002B19; suivant : 002B21Intraocular lens exchange through a 3.2-mm corneal incision for opacified intraocular lenses
Auteurs : Anil Kubaloglu ; Esin Sogutlu Sari ; Arif Koytak ; Yasin Cinar ; Kazim Erol ; Yusuf OzertürkSource :
- Indian Journal of Ophthalmology [ 0301-4738 ] ; 2011.
Abstract
The aim was to evaluate visual and refractive results and complications of intraocular lens (IOL) exchange through a 3.2 mm corneal incision for opacified IOLs.
This retrospective study comprised 33 eyes of 32 patients with IOL opacification requiring an IOL exchange between July 2003 and March 2007. Exchange surgery was performed through a 3.2-mm temporal clear corneal incision followed by implantation of a new foldable hydrophobic IOL. Uncorrected visual acuity (UCVA), best spectacle-corrected visual acuity (BSCVA), topographical astigmatism, and refractive cylinder were evaluated. Surgically induced astigmatism (SIA) was calculated and complications were recorded.
Opacification was observed in 25 eyes (76%) with Aqua-Sense, 3 eyes (9%) with Hydroview, 3 eyes (9%) with MemoryLens IOLs, and 2 eyes (6%) with DgR. The mean follow-up period was 36.54 months. An uneventful IOL exchange was achieved in 18 eyes (55%). Zonular dehiscence occurred in 9 eyes (27%), and posterior capsule tear developed in 4 eyes (12%). The mean preoperative BSCVA (mean ± standard deviation, decimal scale) was 0.13 ± 0.08 (mean: 20/150, range 20/2000 to 20/60) and improved to 0.63 ± 0.18 (mean: 20/32, range 20/60 to 20/20,
IOL exchange is a technically challenging procedure with potential risks of reversing the advantages of a prior small-incision cataract surgery. The use of a small corneal incision for IOL exchange could preserve the advantages of modern phacoemulsification surgery with acceptable SIA related to the procedure.
Url:
DOI: 10.4103/0301-4738.73713
PubMed: 21157067
PubMed Central: 3032237
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Intraocular lens exchange through a 3.2-mm corneal incision for opacified intraocular lenses</title><author><name sortKey="Kubaloglu, Anil" sort="Kubaloglu, Anil" uniqKey="Kubaloglu A" first="Anil" last="Kubaloglu">Anil Kubaloglu</name><affiliation><nlm:aff id="AF0001"></nlm:aff></affiliation></author><author><name sortKey="Sari, Esin Sogutlu" sort="Sari, Esin Sogutlu" uniqKey="Sari E" first="Esin Sogutlu" last="Sari">Esin Sogutlu Sari</name><affiliation><nlm:aff id="AF0001"></nlm:aff></affiliation></author><author><name sortKey="Koytak, Arif" sort="Koytak, Arif" uniqKey="Koytak A" first="Arif" last="Koytak">Arif Koytak</name><affiliation><nlm:aff id="AF0001"></nlm:aff></affiliation></author><author><name sortKey="Cinar, Yasin" sort="Cinar, Yasin" uniqKey="Cinar Y" first="Yasin" last="Cinar">Yasin Cinar</name><affiliation><nlm:aff id="AF0001"></nlm:aff></affiliation></author><author><name sortKey="Erol, Kazim" sort="Erol, Kazim" uniqKey="Erol K" first="Kazim" last="Erol">Kazim Erol</name><affiliation><nlm:aff id="AF0001"></nlm:aff></affiliation></author><author><name sortKey="Ozerturk, Yusuf" sort="Ozerturk, Yusuf" uniqKey="Ozerturk Y" first="Yusuf" last="Ozertürk">Yusuf Ozertürk</name><affiliation><nlm:aff id="AF0001"></nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">21157067</idno><idno type="pmc">3032237</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3032237</idno><idno type="RBID">PMC:3032237</idno><idno type="doi">10.4103/0301-4738.73713</idno><date when="2011">2011</date><idno type="wicri:Area/Pmc/Corpus">001F81</idno><idno type="wicri:Area/Pmc/Curation">001F81</idno><idno type="wicri:Area/Pmc/Checkpoint">001B05</idno><idno type="wicri:Area/Ncbi/Merge">001812</idno><idno type="wicri:Area/Ncbi/Curation">001812</idno><idno type="wicri:Area/Ncbi/Checkpoint">001812</idno><idno type="wicri:doubleKey">0301-4738:2011:Kubaloglu A:intraocular:lens:exchange</idno><idno type="wicri:Area/Main/Merge">002B55</idno><idno type="wicri:Area/Main/Curation">002B20</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Intraocular lens exchange through a 3.2-mm corneal incision for opacified intraocular lenses</title><author><name sortKey="Kubaloglu, Anil" sort="Kubaloglu, Anil" uniqKey="Kubaloglu A" first="Anil" last="Kubaloglu">Anil Kubaloglu</name><affiliation><nlm:aff id="AF0001"></nlm:aff></affiliation></author><author><name sortKey="Sari, Esin Sogutlu" sort="Sari, Esin Sogutlu" uniqKey="Sari E" first="Esin Sogutlu" last="Sari">Esin Sogutlu Sari</name><affiliation><nlm:aff id="AF0001"></nlm:aff></affiliation></author><author><name sortKey="Koytak, Arif" sort="Koytak, Arif" uniqKey="Koytak A" first="Arif" last="Koytak">Arif Koytak</name><affiliation><nlm:aff id="AF0001"></nlm:aff></affiliation></author><author><name sortKey="Cinar, Yasin" sort="Cinar, Yasin" uniqKey="Cinar Y" first="Yasin" last="Cinar">Yasin Cinar</name><affiliation><nlm:aff id="AF0001"></nlm:aff></affiliation></author><author><name sortKey="Erol, Kazim" sort="Erol, Kazim" uniqKey="Erol K" first="Kazim" last="Erol">Kazim Erol</name><affiliation><nlm:aff id="AF0001"></nlm:aff></affiliation></author><author><name sortKey="Ozerturk, Yusuf" sort="Ozerturk, Yusuf" uniqKey="Ozerturk Y" first="Yusuf" last="Ozertürk">Yusuf Ozertürk</name><affiliation><nlm:aff id="AF0001"></nlm:aff></affiliation></author></analytic><series><title level="j">Indian Journal of Ophthalmology</title><idno type="ISSN">0301-4738</idno><idno type="eISSN">1998-3689</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="st1"><title>Aim:</title><p>The aim was to evaluate visual and refractive results and complications of intraocular lens (IOL) exchange through a 3.2 mm corneal incision for opacified IOLs.</p></sec><sec id="st2"><title>Materials and Methods:</title><p>This retrospective study comprised 33 eyes of 32 patients with IOL opacification requiring an IOL exchange between July 2003 and March 2007. Exchange surgery was performed through a 3.2-mm temporal clear corneal incision followed by implantation of a new foldable hydrophobic IOL. Uncorrected visual acuity (UCVA), best spectacle-corrected visual acuity (BSCVA), topographical astigmatism, and refractive cylinder were evaluated. Surgically induced astigmatism (SIA) was calculated and complications were recorded.</p></sec><sec id="st3"><title>Results:</title><p>Opacification was observed in 25 eyes (76%) with Aqua-Sense, 3 eyes (9%) with Hydroview, 3 eyes (9%) with MemoryLens IOLs, and 2 eyes (6%) with DgR. The mean follow-up period was 36.54 months. An uneventful IOL exchange was achieved in 18 eyes (55%). Zonular dehiscence occurred in 9 eyes (27%), and posterior capsule tear developed in 4 eyes (12%). The mean preoperative BSCVA (mean ± standard deviation, decimal scale) was 0.13 ± 0.08 (mean: 20/150, range 20/2000 to 20/60) and improved to 0.63 ± 0.18 (mean: 20/32, range 20/60 to 20/20, <italic>P</italic> < 0.001). The mean SIA was 0.70 D. Seven eyes (21%) had 0.5 D or lower SIA.</p></sec><sec id="st4"><title>Conclusion:</title><p>IOL exchange is a technically challenging procedure with potential risks of reversing the advantages of a prior small-incision cataract surgery. The use of a small corneal incision for IOL exchange could preserve the advantages of modern phacoemulsification surgery with acceptable SIA related to the procedure.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Linebarger, Ej" uniqKey="Linebarger E">EJ Linebarger</name></author><author><name sortKey="Hardten, Dr" uniqKey="Hardten D">DR Hardten</name></author><author><name sortKey="Shah, Gk" uniqKey="Shah G">GK Shah</name></author><author><name sortKey="Lindstrom, Rl" uniqKey="Lindstrom R">RL Lindstrom</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Uusitalo, Rj" uniqKey="Uusitalo R">RJ Uusitalo</name></author><author><name sortKey="Tarkkanen, A" uniqKey="Tarkkanen A">A Tarkkanen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Olson, Rj" uniqKey="Olson R">RJ Olson</name></author><author><name sortKey="Caldwell, Kd" uniqKey="Caldwell K">KD 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