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Effect of optic edge design and haptic angulation on postoperative intraocular lens position change

Identifieur interne : 006C33 ( Main/Curation ); précédent : 006C32; suivant : 006C34

Effect of optic edge design and haptic angulation on postoperative intraocular lens position change

Auteurs : Vanessa Petternel [Autriche] ; Rupert Menapace [Autriche] ; Oliver Findl [Autriche] ; Barbara Kiss [Autriche] ; Matthias Wirtitsch [Autriche] ; Georg Rainer [Autriche] ; Wolfgang Drexler [Autriche]

Source :

RBID : Pascal:04-0321857

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English descriptors

Abstract

Purpose: To assess the effect of optic edge design and optic-haptic angulation of open-loop intraocular lenses (lOLs) on postoperative axial movement and the final position of the optic by measuring the anterior chamber depth (ACD) during the first postoperative year using partial coherence interferometry (PCI). Setting: Department of Ophthalmology, Vienna General Hospital, Institute of Medical Physics, University of Vienna, Vienna, Austria. Methods: In study 1, a 3-piece silicone IOL with nonangulated modified C-loop haptics (MicroSil®, Dr. Schmidt) was implanted in 78 eyes of 39 patients; patients were randomized to receive a round-edged optic IOL in 1 eye and a sharp-edged optic IOL in the other eye. The ACD was measured by PCI 1 day, 1 week, 3 months, and 1 year after surgery. In study 2, a foldable, 3-piece acrylic IOL with modified 10-degree angulated J-loop haptics (AcrySof® MA60BM, Alcon) was implanted in 32 eyes of 32 patients. The ACD was measured by PCI 1 day, 1 week, and 3 months after surgery. Results: In eyes with a nonangulated silicone IOL, there was a significant postoperative change in ACD with both sharp-edged and round-edged designs (P<.01). There was forward movement of both IOL designs in the first week, with no significant difference between the 2 models. From 1 week to 3 months, there was backward movement of lOLs of both designs, with the sharp-edged IOL moving a significantly greater amount (P<.001). From 3 months to 1 year, lOLs with both optic edge designs moved slightly backward. Sixty-six percent of angulated lOLs showed continuous but variable forward movement and 34%, backward movement. Conclusions: Optic edge design influenced postoperative axial optic movement and thus had an impact on the development of postoperative refraction (refractive shift, deviation from target refraction). The influence of optic-haptic angulation proved to be significantly greater and more variable than edge design.

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Pascal:04-0321857

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<term>Acrylic Resins</term>
<term>Anterior Chamber (pathology)</term>
<term>Change</term>
<term>Design</term>
<term>Edge</term>
<term>Humans</term>
<term>Intraocular lens</term>
<term>Lens Implantation, Intraocular (methods)</term>
<term>Lenses, Intraocular</term>
<term>Ophthalmology</term>
<term>Optics</term>
<term>Phacoemulsification (methods)</term>
<term>Position</term>
<term>Postoperative</term>
<term>Postoperative Complications</term>
<term>Prospective Studies</term>
<term>Prosthesis Design</term>
<term>Refraction, Ocular</term>
<term>Silicone Elastomers</term>
<term>Surgery</term>
<term>Treatment</term>
<term>Visual Acuity</term>
</keywords>
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<term>Acrylic Resins</term>
<term>Silicone Elastomers</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Lens Implantation, Intraocular</term>
<term>Phacoemulsification</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Anterior Chamber</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Humans</term>
<term>Lenses, Intraocular</term>
<term>Postoperative Complications</term>
<term>Prospective Studies</term>
<term>Prosthesis Design</term>
<term>Refraction, Ocular</term>
<term>Visual Acuity</term>
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<term>Optique</term>
<term>Bord</term>
<term>Conception</term>
<term>Postopératoire</term>
<term>Lentille intraoculaire</term>
<term>Position</term>
<term>Changement</term>
<term>Chirurgie</term>
<term>Ophtalmologie</term>
<term>Traitement</term>
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<div type="abstract" xml:lang="en">Purpose: To assess the effect of optic edge design and optic-haptic angulation of open-loop intraocular lenses (lOLs) on postoperative axial movement and the final position of the optic by measuring the anterior chamber depth (ACD) during the first postoperative year using partial coherence interferometry (PCI). Setting: Department of Ophthalmology, Vienna General Hospital, Institute of Medical Physics, University of Vienna, Vienna, Austria. Methods: In study 1, a 3-piece silicone IOL with nonangulated modified C-loop haptics (MicroSil®, Dr. Schmidt) was implanted in 78 eyes of 39 patients; patients were randomized to receive a round-edged optic IOL in 1 eye and a sharp-edged optic IOL in the other eye. The ACD was measured by PCI 1 day, 1 week, 3 months, and 1 year after surgery. In study 2, a foldable, 3-piece acrylic IOL with modified 10-degree angulated J-loop haptics (AcrySof® MA60BM, Alcon) was implanted in 32 eyes of 32 patients. The ACD was measured by PCI 1 day, 1 week, and 3 months after surgery. Results: In eyes with a nonangulated silicone IOL, there was a significant postoperative change in ACD with both sharp-edged and round-edged designs (P<.01). There was forward movement of both IOL designs in the first week, with no significant difference between the 2 models. From 1 week to 3 months, there was backward movement of lOLs of both designs, with the sharp-edged IOL moving a significantly greater amount (P<.001). From 3 months to 1 year, lOLs with both optic edge designs moved slightly backward. Sixty-six percent of angulated lOLs showed continuous but variable forward movement and 34%, backward movement. Conclusions: Optic edge design influenced postoperative axial optic movement and thus had an impact on the development of postoperative refraction (refractive shift, deviation from target refraction). The influence of optic-haptic angulation proved to be significantly greater and more variable than edge design.</div>
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<title xml:lang="en" level="a">Effect of optic edge design and haptic angulation on postoperative intraocular lens position change</title>
<author>
<name sortKey="Petternel, Vanessa" sort="Petternel, Vanessa" uniqKey="Petternel V" first="Vanessa" last="Petternel">Vanessa Petternel</name>
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<country>Autriche</country>
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<settlement type="city">Vienne (Autriche)</settlement>
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</author>
<author>
<name sortKey="Menapace, Rupert" sort="Menapace, Rupert" uniqKey="Menapace R" first="Rupert" last="Menapace">Rupert Menapace</name>
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<s1>Department of Ophthalmols, University of Vienna</s1>
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<country>Autriche</country>
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<settlement type="city">Vienne (Autriche)</settlement>
<region nuts="2" type="province">Vienne (Autriche)</region>
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</author>
<author>
<name sortKey="Findl, Oliver" sort="Findl, Oliver" uniqKey="Findl O" first="Oliver" last="Findl">Oliver Findl</name>
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<country>Autriche</country>
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<settlement type="city">Vienne (Autriche)</settlement>
<region nuts="2" type="province">Vienne (Autriche)</region>
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<author>
<name sortKey="Kiss, Barbara" sort="Kiss, Barbara" uniqKey="Kiss B" first="Barbara" last="Kiss">Barbara Kiss</name>
<affiliation wicri:level="3">
<inist:fA14 i1="01">
<s1>Department of Ophthalmols, University of Vienna</s1>
<s2>Vienna</s2>
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<sZ>1 aut.</sZ>
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<country>Autriche</country>
<placeName>
<settlement type="city">Vienne (Autriche)</settlement>
<region nuts="2" type="province">Vienne (Autriche)</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Wirtitsch, Matthias" sort="Wirtitsch, Matthias" uniqKey="Wirtitsch M" first="Matthias" last="Wirtitsch">Matthias Wirtitsch</name>
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<inist:fA14 i1="01">
<s1>Department of Ophthalmols, University of Vienna</s1>
<s2>Vienna</s2>
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<country>Autriche</country>
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<settlement type="city">Vienne (Autriche)</settlement>
<region nuts="2" type="province">Vienne (Autriche)</region>
</placeName>
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</author>
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<name sortKey="Rainer, Georg" sort="Rainer, Georg" uniqKey="Rainer G" first="Georg" last="Rainer">Georg Rainer</name>
<affiliation wicri:level="3">
<inist:fA14 i1="01">
<s1>Department of Ophthalmols, University of Vienna</s1>
<s2>Vienna</s2>
<s3>AUT</s3>
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<country>Autriche</country>
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<settlement type="city">Vienne (Autriche)</settlement>
<region nuts="2" type="province">Vienne (Autriche)</region>
</placeName>
</affiliation>
</author>
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<name sortKey="Drexler, Wolfgang" sort="Drexler, Wolfgang" uniqKey="Drexler W" first="Wolfgang" last="Drexler">Wolfgang Drexler</name>
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<inist:fA14 i1="02">
<s1>Institute of Medical Physics, University of Vienna</s1>
<s2>Vienna</s2>
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<country>Autriche</country>
<placeName>
<settlement type="city">Vienne (Autriche)</settlement>
<region nuts="2" type="province">Vienne (Autriche)</region>
</placeName>
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<series>
<title level="j" type="main">Journal of cataract and refractive surgery</title>
<title level="j" type="abbreviated">J. cataract refractive surg.</title>
<idno type="ISSN">0886-3350</idno>
<imprint>
<date when="2004">2004</date>
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<title level="j" type="main">Journal of cataract and refractive surgery</title>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Change</term>
<term>Design</term>
<term>Edge</term>
<term>Intraocular lens</term>
<term>Ophthalmology</term>
<term>Optics</term>
<term>Position</term>
<term>Postoperative</term>
<term>Surgery</term>
<term>Treatment</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr">
<term>Optique</term>
<term>Bord</term>
<term>Conception</term>
<term>Postopératoire</term>
<term>Lentille intraoculaire</term>
<term>Position</term>
<term>Changement</term>
<term>Chirurgie</term>
<term>Ophtalmologie</term>
<term>Traitement</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr">
<term>Optique</term>
<term>Chirurgie</term>
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<div type="abstract" xml:lang="en">Purpose: To assess the effect of optic edge design and optic-haptic angulation of open-loop intraocular lenses (lOLs) on postoperative axial movement and the final position of the optic by measuring the anterior chamber depth (ACD) during the first postoperative year using partial coherence interferometry (PCI). Setting: Department of Ophthalmology, Vienna General Hospital, Institute of Medical Physics, University of Vienna, Vienna, Austria. Methods: In study 1, a 3-piece silicone IOL with nonangulated modified C-loop haptics (MicroSil®, Dr. Schmidt) was implanted in 78 eyes of 39 patients; patients were randomized to receive a round-edged optic IOL in 1 eye and a sharp-edged optic IOL in the other eye. The ACD was measured by PCI 1 day, 1 week, 3 months, and 1 year after surgery. In study 2, a foldable, 3-piece acrylic IOL with modified 10-degree angulated J-loop haptics (AcrySof® MA60BM, Alcon) was implanted in 32 eyes of 32 patients. The ACD was measured by PCI 1 day, 1 week, and 3 months after surgery. Results: In eyes with a nonangulated silicone IOL, there was a significant postoperative change in ACD with both sharp-edged and round-edged designs (P<.01). There was forward movement of both IOL designs in the first week, with no significant difference between the 2 models. From 1 week to 3 months, there was backward movement of lOLs of both designs, with the sharp-edged IOL moving a significantly greater amount (P<.001). From 3 months to 1 year, lOLs with both optic edge designs moved slightly backward. Sixty-six percent of angulated lOLs showed continuous but variable forward movement and 34%, backward movement. Conclusions: Optic edge design influenced postoperative axial optic movement and thus had an impact on the development of postoperative refraction (refractive shift, deviation from target refraction). The influence of optic-haptic angulation proved to be significantly greater and more variable than edge design.</div>
</front>
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<name sortKey="Petternel, Vanessa" sort="Petternel, Vanessa" uniqKey="Petternel V" first="Vanessa" last="Petternel">Vanessa Petternel</name>
<affiliation wicri:level="3">
<nlm:affiliation>Department of Ophthalmology, University of Vienna, Vienna, Austria.</nlm:affiliation>
<country xml:lang="fr">Autriche</country>
<wicri:regionArea>Department of Ophthalmology, University of Vienna, Vienna</wicri:regionArea>
<placeName>
<settlement type="city">Vienne (Autriche)</settlement>
<region nuts="2" type="province">Vienne (Autriche)</region>
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<name sortKey="Menapace, Rupert" sort="Menapace, Rupert" uniqKey="Menapace R" first="Rupert" last="Menapace">Rupert Menapace</name>
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<author>
<name sortKey="Findl, Oliver" sort="Findl, Oliver" uniqKey="Findl O" first="Oliver" last="Findl">Oliver Findl</name>
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<name sortKey="Kiss, Barbara" sort="Kiss, Barbara" uniqKey="Kiss B" first="Barbara" last="Kiss">Barbara Kiss</name>
</author>
<author>
<name sortKey="Wirtitsch, Matthias" sort="Wirtitsch, Matthias" uniqKey="Wirtitsch M" first="Matthias" last="Wirtitsch">Matthias Wirtitsch</name>
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<name sortKey="Rainer, Georg" sort="Rainer, Georg" uniqKey="Rainer G" first="Georg" last="Rainer">Georg Rainer</name>
</author>
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<name sortKey="Drexler, Wolfgang" sort="Drexler, Wolfgang" uniqKey="Drexler W" first="Wolfgang" last="Drexler">Wolfgang Drexler</name>
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<nlm:affiliation>Department of Ophthalmology, University of Vienna, Vienna, Austria.</nlm:affiliation>
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<author>
<name sortKey="Findl, Oliver" sort="Findl, Oliver" uniqKey="Findl O" first="Oliver" last="Findl">Oliver Findl</name>
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<name sortKey="Kiss, Barbara" sort="Kiss, Barbara" uniqKey="Kiss B" first="Barbara" last="Kiss">Barbara Kiss</name>
</author>
<author>
<name sortKey="Wirtitsch, Matthias" sort="Wirtitsch, Matthias" uniqKey="Wirtitsch M" first="Matthias" last="Wirtitsch">Matthias Wirtitsch</name>
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<name sortKey="Rainer, Georg" sort="Rainer, Georg" uniqKey="Rainer G" first="Georg" last="Rainer">Georg Rainer</name>
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<title level="j">Journal of cataract and refractive surgery</title>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Acrylic Resins</term>
<term>Anterior Chamber (pathology)</term>
<term>Humans</term>
<term>Lens Implantation, Intraocular (methods)</term>
<term>Lenses, Intraocular</term>
<term>Phacoemulsification (methods)</term>
<term>Postoperative Complications</term>
<term>Prospective Studies</term>
<term>Prosthesis Design</term>
<term>Refraction, Ocular</term>
<term>Silicone Elastomers</term>
<term>Visual Acuity</term>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en">
<term>Acrylic Resins</term>
<term>Silicone Elastomers</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Lens Implantation, Intraocular</term>
<term>Phacoemulsification</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Anterior Chamber</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Humans</term>
<term>Lenses, Intraocular</term>
<term>Postoperative Complications</term>
<term>Prospective Studies</term>
<term>Prosthesis Design</term>
<term>Refraction, Ocular</term>
<term>Visual Acuity</term>
</keywords>
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<front>
<div type="abstract" xml:lang="en">To assess the effect of optic edge design and optic-haptic angulation of open-loop intraocular lenses (IOLs) on postoperative axial movement and the final position of the optic by measuring the anterior chamber depth (ACD) during the first postoperative year using partial coherence interferometry (PCI).</div>
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