Combined 23-gauge microincisonal vitrectomy surgery and phacoemulsification with AcrySof toric intraocular lens implantation: a comparative study
Identifieur interne : 001C15 ( Pmc/Checkpoint ); précédent : 001C14; suivant : 001C16Combined 23-gauge microincisonal vitrectomy surgery and phacoemulsification with AcrySof toric intraocular lens implantation: a comparative study
Auteurs : D H Park [Corée du Sud] ; J P Shin [Corée du Sud] ; S Y Kim [Corée du Sud]Source :
- Eye [ 0950-222X ] ; 2011.
Abstract
To compare AcrySof toric intraocular lens (IOL) and non-toric IOL in patients who had combined 23-gauge microincisional vitrectomy surgery (MIVS) and phacoemulsification for vitreoretinal diseases and cataract with pre-existing corneal astigmatism.
This is a prospective comparative study comprised of 30 patients (30 eyes) who had combined 23-gauge MIVS and phacoemulsification for vitreoretinal diseases and cataract with pre-existing regular corneal astigmatism greater than 1 diopters (D). In all, 15 eyes had AcrySof toric IOL (Alcon Laboratories) and 15 eyes had non-toric IOL (Akreos AO MI60; Bausch & Lomb) implantation. Main outcome measures were uncorrected visual acuity (UCVA), refractive cylinder, surgically induced astigmatism (SIA), and IOL misalignment during 6 months.
The mean UCVA of the toric IOL group was better than the non-toric IOL group at postoperative months 1, 3, and 6 (
Combined 23-gauge MIVS and phacoemulsification with AcrySof toric IOL implantation is an effective method of correcting vitreoretinal diseases and cataract and pre-existing corneal astigmatism, and the toric IOL showed good rotational stability, even in vitrectomized eyes for 6 months.
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DOI: 10.1038/eye.2011.168
PubMed: 21760624
PubMed Central: 3194321
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In all, 15 eyes had AcrySof toric IOL (Alcon Laboratories) and 15 eyes had non-toric IOL (Akreos AO MI60; Bausch & Lomb) implantation. Main outcome measures were uncorrected visual acuity (UCVA), refractive cylinder, surgically induced astigmatism (SIA), and IOL misalignment during 6 months.</p></sec><sec><title>Results</title><p>The mean UCVA of the toric IOL group was better than the non-toric IOL group at postoperative months 1, 3, and 6 (<italic>P</italic><0.001, respectively). The mean absolute residual refractive cylinder of the toric IOL group at postoperative week 1, and months 1, 3, and 6 was less than the non-toric IOL group (<italic>P</italic>=0.008, <0.001, <0.001, and <0.001, respectively). There was no difference in the mean SIA between the two groups (<italic>P</italic>>0.05, respectively). The mean toric IOL axis rotation was 3.52±2.75°, which was within 5° in 66.7% of the toric IOL group and within 10° in 100%.</p></sec><sec><title>Conclusions</title><p>Combined 23-gauge MIVS and phacoemulsification with AcrySof toric IOL implantation is an effective method of correcting vitreoretinal diseases and cataract and pre-existing corneal astigmatism, and the toric IOL showed good rotational stability, even in vitrectomized eyes for 6 months.</p></sec></div></front></TEI><pmc article-type="other"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Eye (Lond)</journal-id><journal-title-group><journal-title>Eye</journal-title></journal-title-group><issn pub-type="ppub">0950-222X</issn><issn pub-type="epub">1476-5454</issn><publisher><publisher-name>Nature Publishing Group</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">21760624</article-id><article-id pub-id-type="pmc">3194321</article-id><article-id pub-id-type="pii">eye2011168</article-id><article-id pub-id-type="doi">10.1038/eye.2011.168</article-id><article-categories><subj-group subj-group-type="heading"><subject>Clinical Study</subject></subj-group></article-categories><title-group><article-title>Combined 23-gauge microincisonal vitrectomy surgery and phacoemulsification with AcrySof toric intraocular lens implantation: a comparative study</article-title><alt-title alt-title-type="running">Combined 23-gauge MIVS and phacoemulsification with Toric IOL implantation</alt-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Park</surname><given-names>D H</given-names></name><xref ref-type="aff" rid="aff1">1</xref></contrib><contrib contrib-type="author"><name><surname>Shin</surname><given-names>J P</given-names></name><xref ref-type="aff" rid="aff1">1</xref></contrib><contrib contrib-type="author"><name><surname>Kim</surname><given-names>S Y</given-names></name><xref ref-type="aff" rid="aff2">2</xref><xref ref-type="corresp" rid="caf1">*</xref></contrib><aff id="aff1"><label>1</label><institution>Department of Ophthalmology, School of Medicine, Kyungpook National University</institution>, Chung-gu, Daegu,<country>South Korea</country></aff><aff id="aff2"><label>2</label><institution>Nune Eye Hospital</institution>, Daegu,<country>South Korea</country></aff></contrib-group><author-notes><corresp id="caf1"><label>*</label><institution>Nune Eye Hospital</institution>, 41-3, Beomeo-dong, Suseong-gu, Daegu 706-010, <country>South Korea</country> Tel: +82 53 420 5817; Fax: +82 53 426 6552. E-mail: <email>kimsy@knu.ac.kr</email></corresp></author-notes><pub-date pub-type="ppub"><month>10</month><year>2011</year></pub-date><pub-date pub-type="epub"><day>15</day><month>07</month><year>2011</year></pub-date><volume>25</volume><issue>10</issue><fpage>1327</fpage><lpage>1332</lpage><history><date date-type="received"><day>22</day><month>12</month><year>2010</year></date><date date-type="rev-recd"><day>24</day><month>05</month><year>2011</year></date><date date-type="accepted"><day>24</day><month>05</month><year>2011</year></date></history><permissions><copyright-statement>Copyright © 2011 Royal College of Ophthalmologists</copyright-statement><copyright-year>2011</copyright-year><copyright-holder>Royal College of Ophthalmologists</copyright-holder></permissions><abstract><sec><title>Aim</title><p>To compare AcrySof toric intraocular lens (IOL) and non-toric IOL in patients who had combined 23-gauge microincisional vitrectomy surgery (MIVS) and phacoemulsification for vitreoretinal diseases and cataract with pre-existing corneal astigmatism.</p></sec><sec sec-type="methods"><title>Methods</title><p>This is a prospective comparative study comprised of 30 patients (30 eyes) who had combined 23-gauge MIVS and phacoemulsification for vitreoretinal diseases and cataract with pre-existing regular corneal astigmatism greater than 1 diopters (D). In all, 15 eyes had AcrySof toric IOL (Alcon Laboratories) and 15 eyes had non-toric IOL (Akreos AO MI60; Bausch & Lomb) implantation. Main outcome measures were uncorrected visual acuity (UCVA), refractive cylinder, surgically induced astigmatism (SIA), and IOL misalignment during 6 months.</p></sec><sec><title>Results</title><p>The mean UCVA of the toric IOL group was better than the non-toric IOL group at postoperative months 1, 3, and 6 (<italic>P</italic><0.001, respectively). The mean absolute residual refractive cylinder of the toric IOL group at postoperative week 1, and months 1, 3, and 6 was less than the non-toric IOL group (<italic>P</italic>=0.008, <0.001, <0.001, and <0.001, respectively). There was no difference in the mean SIA between the two groups (<italic>P</italic>>0.05, respectively). The mean toric IOL axis rotation was 3.52±2.75°, which was within 5° in 66.7% of the toric IOL group and within 10° in 100%.</p></sec><sec><title>Conclusions</title><p>Combined 23-gauge MIVS and phacoemulsification with AcrySof toric IOL implantation is an effective method of correcting vitreoretinal diseases and cataract and pre-existing corneal astigmatism, and the toric IOL showed good rotational stability, even in vitrectomized eyes for 6 months.</p></sec></abstract><kwd-group><kwd>toric intraocular lens</kwd><kwd>corneal astigmatism</kwd><kwd>IOL rotation</kwd><kwd>phacovitrectomy</kwd></kwd-group></article-meta></front></pmc><affiliations><list><country><li>Corée du Sud</li></country></list><tree><country name="Corée du Sud"><noRegion><name sortKey="Park, D H" sort="Park, D H" uniqKey="Park D" first="D H" last="Park">D H Park</name></noRegion><name sortKey="Kim, S Y" sort="Kim, S Y" uniqKey="Kim S" first="S Y" last="Kim">S Y Kim</name><name sortKey="Shin, J P" sort="Shin, J P" uniqKey="Shin J" first="J P" last="Shin">J P Shin</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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