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

Identifieur interne : 000526 ( PascalFrancis/Curation ); précédent : 000525; suivant : 000527

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

Descripteurs français

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.
pA  
A01 01  1    @0 0886-3350
A02 01      @0 JCSUEV
A03   1    @0 J. cataract refractive surg.
A05       @2 30
A06       @2 1
A08 01  1  ENG  @1 Effect of optic edge design and haptic angulation on postoperative intraocular lens position change
A11 01  1    @1 PETTERNEL (Vanessa)
A11 02  1    @1 MENAPACE (Rupert)
A11 03  1    @1 FINDL (Oliver)
A11 04  1    @1 KISS (Barbara)
A11 05  1    @1 WIRTITSCH (Matthias)
A11 06  1    @1 RAINER (Georg)
A11 07  1    @1 DREXLER (Wolfgang)
A14 01      @1 Department of Ophthalmols, University of Vienna @2 Vienna @3 AUT @Z 1 aut. @Z 2 aut. @Z 3 aut. @Z 4 aut. @Z 5 aut. @Z 6 aut.
A14 02      @1 Institute of Medical Physics, University of Vienna @2 Vienna @3 AUT @Z 7 aut.
A20       @1 52-57
A21       @1 2004
A23 01      @0 ENG
A43 01      @1 INIST @2 20937 @5 354000112036850060
A44       @0 0000 @1 © 2004 INIST-CNRS. All rights reserved.
A45       @0 24 ref.
A47 01  1    @0 04-0321857
A60       @1 P
A61       @0 A
A64 01  1    @0 Journal of cataract and refractive surgery
A66 01      @0 USA
C01 01    ENG  @0 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.
C02 01  X    @0 002B25B
C03 01  X  FRE  @0 Optique @5 02
C03 01  X  ENG  @0 Optics @5 02
C03 01  X  SPA  @0 Optica @5 02
C03 02  X  FRE  @0 Bord @5 03
C03 02  X  ENG  @0 Edge @5 03
C03 02  X  SPA  @0 Borde @5 03
C03 03  X  FRE  @0 Conception @5 05
C03 03  X  ENG  @0 Design @5 05
C03 03  X  SPA  @0 Diseño @5 05
C03 04  X  FRE  @0 Postopératoire @5 06
C03 04  X  ENG  @0 Postoperative @5 06
C03 04  X  SPA  @0 Postoperatorio @5 06
C03 05  X  FRE  @0 Lentille intraoculaire @5 08
C03 05  X  ENG  @0 Intraocular lens @5 08
C03 05  X  SPA  @0 Lente intraocular @5 08
C03 06  X  FRE  @0 Position @5 09
C03 06  X  ENG  @0 Position @5 09
C03 06  X  SPA  @0 Posición @5 09
C03 07  X  FRE  @0 Changement @5 11
C03 07  X  ENG  @0 Change @5 11
C03 07  X  SPA  @0 Cambio @5 11
C03 08  X  FRE  @0 Chirurgie @5 12
C03 08  X  ENG  @0 Surgery @5 12
C03 08  X  SPA  @0 Cirugía @5 12
C03 09  X  FRE  @0 Ophtalmologie @5 14
C03 09  X  ENG  @0 Ophthalmology @5 14
C03 09  X  SPA  @0 Oftalmología @5 14
C03 10  X  FRE  @0 Traitement @5 25
C03 10  X  ENG  @0 Treatment @5 25
C03 10  X  SPA  @0 Tratamiento @5 25
N21       @1 194
N44 01      @1 OTO
N82       @1 OTO

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Pascal:04-0321857

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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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<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>
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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>
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<front>
<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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<s0>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.</s0>
</fC01>
<fC02 i1="01" i2="X">
<s0>002B25B</s0>
</fC02>
<fC03 i1="01" i2="X" l="FRE">
<s0>Optique</s0>
<s5>02</s5>
</fC03>
<fC03 i1="01" i2="X" l="ENG">
<s0>Optics</s0>
<s5>02</s5>
</fC03>
<fC03 i1="01" i2="X" l="SPA">
<s0>Optica</s0>
<s5>02</s5>
</fC03>
<fC03 i1="02" i2="X" l="FRE">
<s0>Bord</s0>
<s5>03</s5>
</fC03>
<fC03 i1="02" i2="X" l="ENG">
<s0>Edge</s0>
<s5>03</s5>
</fC03>
<fC03 i1="02" i2="X" l="SPA">
<s0>Borde</s0>
<s5>03</s5>
</fC03>
<fC03 i1="03" i2="X" l="FRE">
<s0>Conception</s0>
<s5>05</s5>
</fC03>
<fC03 i1="03" i2="X" l="ENG">
<s0>Design</s0>
<s5>05</s5>
</fC03>
<fC03 i1="03" i2="X" l="SPA">
<s0>Diseño</s0>
<s5>05</s5>
</fC03>
<fC03 i1="04" i2="X" l="FRE">
<s0>Postopératoire</s0>
<s5>06</s5>
</fC03>
<fC03 i1="04" i2="X" l="ENG">
<s0>Postoperative</s0>
<s5>06</s5>
</fC03>
<fC03 i1="04" i2="X" l="SPA">
<s0>Postoperatorio</s0>
<s5>06</s5>
</fC03>
<fC03 i1="05" i2="X" l="FRE">
<s0>Lentille intraoculaire</s0>
<s5>08</s5>
</fC03>
<fC03 i1="05" i2="X" l="ENG">
<s0>Intraocular lens</s0>
<s5>08</s5>
</fC03>
<fC03 i1="05" i2="X" l="SPA">
<s0>Lente intraocular</s0>
<s5>08</s5>
</fC03>
<fC03 i1="06" i2="X" l="FRE">
<s0>Position</s0>
<s5>09</s5>
</fC03>
<fC03 i1="06" i2="X" l="ENG">
<s0>Position</s0>
<s5>09</s5>
</fC03>
<fC03 i1="06" i2="X" l="SPA">
<s0>Posición</s0>
<s5>09</s5>
</fC03>
<fC03 i1="07" i2="X" l="FRE">
<s0>Changement</s0>
<s5>11</s5>
</fC03>
<fC03 i1="07" i2="X" l="ENG">
<s0>Change</s0>
<s5>11</s5>
</fC03>
<fC03 i1="07" i2="X" l="SPA">
<s0>Cambio</s0>
<s5>11</s5>
</fC03>
<fC03 i1="08" i2="X" l="FRE">
<s0>Chirurgie</s0>
<s5>12</s5>
</fC03>
<fC03 i1="08" i2="X" l="ENG">
<s0>Surgery</s0>
<s5>12</s5>
</fC03>
<fC03 i1="08" i2="X" l="SPA">
<s0>Cirugía</s0>
<s5>12</s5>
</fC03>
<fC03 i1="09" i2="X" l="FRE">
<s0>Ophtalmologie</s0>
<s5>14</s5>
</fC03>
<fC03 i1="09" i2="X" l="ENG">
<s0>Ophthalmology</s0>
<s5>14</s5>
</fC03>
<fC03 i1="09" i2="X" l="SPA">
<s0>Oftalmología</s0>
<s5>14</s5>
</fC03>
<fC03 i1="10" i2="X" l="FRE">
<s0>Traitement</s0>
<s5>25</s5>
</fC03>
<fC03 i1="10" i2="X" l="ENG">
<s0>Treatment</s0>
<s5>25</s5>
</fC03>
<fC03 i1="10" i2="X" l="SPA">
<s0>Tratamiento</s0>
<s5>25</s5>
</fC03>
<fN21>
<s1>194</s1>
</fN21>
<fN44 i1="01">
<s1>OTO</s1>
</fN44>
<fN82>
<s1>OTO</s1>
</fN82>
</pA>
</standard>
</inist>
</record>

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