Sutured Posterior Chamber Intraocular Lens in the Vitrectomized Eye: Comparison of PMMA and Acrysof(R) Foldable Lenses.
- Author:
Joo Eun LEE
1
;
Tae Jin YOON
;
Seung Youn JEA
;
Jong Soo LEE
;
Boo Sup OUM
Author Information
1. Department of Ophthalmology, College of Medicine, Pusan National University, Pusan, Korea. jooeun2@korea.com
- Publication Type:Original Article
- Keywords:
Acrysof foldable IOL;
Scleral fixation;
Vitrectomized eyes
- MeSH:
Astigmatism;
Choroid;
Glaucoma;
Humans;
Hyphema;
Lenses, Intraocular*;
Macular Edema;
Polymethyl Methacrylate*;
Postoperative Complications;
Refractive Errors;
Retinal Detachment;
Vitrectomy
- From:Journal of the Korean Ophthalmological Society
2004;45(8):1268-1275
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To compare the clinical outcomes of scleral fixated posterior chamber intraocular lens in vitrectomized eyes according to IOL types. METHODS: Clinical outcomes of 28 eyes of 28 patients who underwent scleral fixated posterior chamber IOL after pars plana vitrectomy and lensectomy were evaluated according to the IOL type used: 19 eyes with PMMA lens (group 1) and 9 with Acrysof(R) foldable lens (group 2) RESULTS: Postoperative BCVA improved or was stabilized in 7 eyes (36.8%) of group 1, and 7 eyes (77.7%) of group 2 (P=0.04). Mean postoperative change in astigmatism was 1.19 +/- 0.79 diopter in group 1 and 0.62 +/- 0.47 diopter in group 2 (P=0.25). Estimated refractive error was -0.76 +/- 0.26 and -0.74 +/- 0.24 diopter in groups 1 and 2, respectively, and postoperative refractive error was -1.31 +/- 1.27 and -1.23 +/- 1.34 diopter, respectively. This showed a slight myopic shift in both groups. There were postoperative complications such as hyphema in 4 eyes (26.3%) in group 1 and in 1 eye (11.1%) in group 2, and transiently increased IOP in 5 eyes (26.3%) and in 1 eye (11.1%), respectively. The other complications that were found in group 1 were glaucoma, retinal detachment, choroidal detachment, and cystoid macular edema. CONCLUSIONS: Scleral fixation using foldable IOL is thought to be a relevant method in vitrectomized eyes, as it showed less postoperative astigmatism change and complications, and better visual outcome.
