Intraocular lens movement caused by ciliary muscle contraction
Identifieur interne : 007000 ( Main/Exploration ); précédent : 006F99; suivant : 007001Intraocular lens movement caused by ciliary muscle contraction
Auteurs : Oliver Findl [Autriche] ; Barbara Kiss [Autriche] ; Vanessa Petternel [Autriche] ; Rupert Menapace [Autriche] ; Michael Georgopoulos [Autriche] ; Georg Rainer [Autriche] ; Wolfgang Drexler [Autriche]Source :
- Journal of cataract and refractive surgery [ 0886-3350 ] ; 2003.
Descripteurs français
- Pascal (Inist)
- Wicri :
English descriptors
- KwdEn :
- Accommodation, Accommodation, Ocular (physiology), Aged, Aged, 80 and over, Anterior Chamber (physiology), Anterior Chamber (ultrasonography), Anterior chamber, Biometrics, Capsulorhexis, Ciliary Body (physiology), Ciliary Body (ultrasonography), Ciliary muscle, Cyclopentolate (pharmacology), Depth, Experimental study, Furan derivatives, Human, Humans, Interferometry, Intraocular lens, Lens Implantation, Intraocular, Lenses, Intraocular, Light, Middle Aged, Motion, Muscle Contraction (drug effects), Muscle Contraction (physiology), Muscle contraction, Muscle, Smooth (physiology), Muscle, Smooth (ultrasonography), Parasympatholytics (pharmacology), Parasympathomimetic, Phacoemulsification, Pilocarpine, Pilocarpine (pharmacology), Posterior chamber, Postoperative, Prospective Studies, Pseudophakia (physiopathology), Pseudophakia (ultrasonography), Tomography.
- MESH :
- chemical , pharmacology : Cyclopentolate, Parasympatholytics, Pilocarpine.
- drug effects : Muscle Contraction.
- physiology : Accommodation, Ocular, Anterior Chamber, Ciliary Body, Muscle Contraction, Muscle, Smooth.
- physiopathology : Pseudophakia.
- ultrasonography : Anterior Chamber, Ciliary Body, Muscle, Smooth, Pseudophakia.
- Aged, Aged, 80 and over, Capsulorhexis, Humans, Interferometry, Lens Implantation, Intraocular, Lenses, Intraocular, Light, Middle Aged, Phacoemulsification, Prospective Studies, Tomography.
Abstract
Purpose: To investigate intraocular lens (IOL) movement, measured as a change in anterior chamber depth (ACD) caused by pilocarpine-induced ciliary muscle contraction. Setting: Department of Ophthalmology, University of Vienna, Vienna, Austria. Methods: In this prospective study, the ACD was measured using high-precision, high-resolution, dual-beam partial coherence interferometry in 62 pseudophakic eyes of 55 patients under pilocarpine- and cyclopentolate-induced ciliary muscle contraction and relaxation. The following were studied: 2 models of a ring-haptic IOL (designed to accommodate), a plate-haptic IOL, and 3 types of 3-piece lOLs. Measurements were performed 3 months after surgery. Results: The ring-haptic lOLs and plate-haptic IOL showed a forward movement (ring haptic 43A, -116 μm; ring haptic 43E, -222 μm; plate haptic -162 μm). The 3-piece lOLs showed no change in ACD except in 1 IOL type in which there was backward movement (156 μm). Conclusions: Pilocarpine-induced ciliary muscle contraction caused forward movement of ring- and plate-haptic lOLs that resulted in an estimated accommodative amplitude of less than 0.50 diopter in most cases. The accommodating ring-haptic lOLs did not perform better than the conventional plate-haptic IOL.
Affiliations:
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Le document en format XML
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Accommodation</term>
<term>Accommodation, Ocular (physiology)</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Anterior Chamber (physiology)</term>
<term>Anterior Chamber (ultrasonography)</term>
<term>Anterior chamber</term>
<term>Biometrics</term>
<term>Capsulorhexis</term>
<term>Ciliary Body (physiology)</term>
<term>Ciliary Body (ultrasonography)</term>
<term>Ciliary muscle</term>
<term>Cyclopentolate (pharmacology)</term>
<term>Depth</term>
<term>Experimental study</term>
<term>Furan derivatives</term>
<term>Human</term>
<term>Humans</term>
<term>Interferometry</term>
<term>Intraocular lens</term>
<term>Lens Implantation, Intraocular</term>
<term>Lenses, Intraocular</term>
<term>Light</term>
<term>Middle Aged</term>
<term>Motion</term>
<term>Muscle Contraction (drug effects)</term>
<term>Muscle Contraction (physiology)</term>
<term>Muscle contraction</term>
<term>Muscle, Smooth (physiology)</term>
<term>Muscle, Smooth (ultrasonography)</term>
<term>Parasympatholytics (pharmacology)</term>
<term>Parasympathomimetic</term>
<term>Phacoemulsification</term>
<term>Pilocarpine</term>
<term>Pilocarpine (pharmacology)</term>
<term>Posterior chamber</term>
<term>Postoperative</term>
<term>Prospective Studies</term>
<term>Pseudophakia (physiopathology)</term>
<term>Pseudophakia (ultrasonography)</term>
<term>Tomography</term>
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<keywords scheme="MESH" type="chemical" qualifier="pharmacology" xml:lang="en"><term>Cyclopentolate</term>
<term>Parasympatholytics</term>
<term>Pilocarpine</term>
</keywords>
<keywords scheme="MESH" qualifier="drug effects" xml:lang="en"><term>Muscle Contraction</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Accommodation, Ocular</term>
<term>Anterior Chamber</term>
<term>Ciliary Body</term>
<term>Muscle Contraction</term>
<term>Muscle, Smooth</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Pseudophakia</term>
</keywords>
<keywords scheme="MESH" qualifier="ultrasonography" xml:lang="en"><term>Anterior Chamber</term>
<term>Ciliary Body</term>
<term>Muscle, Smooth</term>
<term>Pseudophakia</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Aged</term>
<term>Aged, 80 and over</term>
<term>Capsulorhexis</term>
<term>Humans</term>
<term>Interferometry</term>
<term>Lens Implantation, Intraocular</term>
<term>Lenses, Intraocular</term>
<term>Light</term>
<term>Middle Aged</term>
<term>Phacoemulsification</term>
<term>Prospective Studies</term>
<term>Tomography</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Muscle ciliaire</term>
<term>Contraction musculaire</term>
<term>Profondeur</term>
<term>Lentille intraoculaire</term>
<term>Chambre postérieure</term>
<term>Mouvement</term>
<term>Pilocarpine</term>
<term>Etude expérimentale</term>
<term>Parasympathomimétique</term>
<term>Chambre antérieure</term>
<term>Homme</term>
<term>Accommodation</term>
<term>Biométrie</term>
<term>Postopératoire</term>
<term>Furane dérivé</term>
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<front><div type="abstract" xml:lang="en">Purpose: To investigate intraocular lens (IOL) movement, measured as a change in anterior chamber depth (ACD) caused by pilocarpine-induced ciliary muscle contraction. Setting: Department of Ophthalmology, University of Vienna, Vienna, Austria. Methods: In this prospective study, the ACD was measured using high-precision, high-resolution, dual-beam partial coherence interferometry in 62 pseudophakic eyes of 55 patients under pilocarpine- and cyclopentolate-induced ciliary muscle contraction and relaxation. The following were studied: 2 models of a ring-haptic IOL (designed to accommodate), a plate-haptic IOL, and 3 types of 3-piece lOLs. Measurements were performed 3 months after surgery. Results: The ring-haptic lOLs and plate-haptic IOL showed a forward movement (ring haptic 43A, -116 μm; ring haptic 43E, -222 μm; plate haptic -162 μm). The 3-piece lOLs showed no change in ACD except in 1 IOL type in which there was backward movement (156 μm). Conclusions: Pilocarpine-induced ciliary muscle contraction caused forward movement of ring- and plate-haptic lOLs that resulted in an estimated accommodative amplitude of less than 0.50 diopter in most cases. The accommodating ring-haptic lOLs did not perform better than the conventional plate-haptic IOL.</div>
</front>
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<affiliations><list><country><li>Autriche</li>
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<region><li>Vienne (Autriche)</li>
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<settlement><li>Vienne (Autriche)</li>
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<tree><country name="Autriche"><region name="Vienne (Autriche)"><name sortKey="Findl, Oliver" sort="Findl, Oliver" uniqKey="Findl O" first="Oliver" last="Findl">Oliver Findl</name>
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<name sortKey="Drexler, Wolfgang" sort="Drexler, Wolfgang" uniqKey="Drexler W" first="Wolfgang" last="Drexler">Wolfgang Drexler</name>
<name sortKey="Georgopoulos, Michael" sort="Georgopoulos, Michael" uniqKey="Georgopoulos M" first="Michael" last="Georgopoulos">Michael Georgopoulos</name>
<name sortKey="Kiss, Barbara" sort="Kiss, Barbara" uniqKey="Kiss B" first="Barbara" last="Kiss">Barbara Kiss</name>
<name sortKey="Menapace, Rupert" sort="Menapace, Rupert" uniqKey="Menapace R" first="Rupert" last="Menapace">Rupert Menapace</name>
<name sortKey="Petternel, Vanessa" sort="Petternel, Vanessa" uniqKey="Petternel V" first="Vanessa" last="Petternel">Vanessa Petternel</name>
<name sortKey="Rainer, Georg" sort="Rainer, Georg" uniqKey="Rainer G" first="Georg" last="Rainer">Georg Rainer</name>
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