Postoperative Refractive Errors after Phacovitrectomy with Sulcus Fixation of an Intraocular Lens.
10.3341/jkos.2014.55.4.513
- Author:
Jae Ho JANG
1
;
Seung Woo LEE
Author Information
1. Department of Ophthalmology, Dongguk University College of Medicine, Gyeongju, Korea. jazzhanul@hanmail.net
- Publication Type:Original Article
- Keywords:
Intraocular lens;
Phacovitrectomy;
Refraction;
Sulcus fixation;
Vitrectomy
- MeSH:
Cataract;
Humans;
Lenses, Intraocular*;
Myopia;
Refractive Errors*;
Vitrectomy
- From:Journal of the Korean Ophthalmological Society
2014;55(4):513-518
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To evaluate the difference between the predicted postoperative refraction and the actual postoperative refraction after simultaneous vitrectomy and cataract surgery with sulcus fixation of an intraocular lens (IOL). METHODS: The records of patients with simultaneous vitrectomy and cataract surgery with sulcus IOL implantation (group 1) and with in-the-bag IOL implantation (group 2) were reviewed. We compared the spread between the predicted and actual refractive errors in the two groups. RESULTS: Group 1 consisted of 19 eyes in 19 patients and group 2 consisted of 23 eyes in 20 patients. The spread between the predicted and actual refraction (spread = actual-predicted) was -0.71 +/- 1.02 D in group 1 (p = 0.012) and -0.07 +/- 0.74 D in the group 2 (p = 0.86). The actual refractive errors in group 1 shifted toward myopia from the predicted in-the-bag refraction when compared with group 2. CONCLUSIONS: For the implantation of an IOL in the sulcus after simultaneous vitrectomy and cataract surgery, the IOL power should be approximately 1.0 D less than the power for in-the-bag fixation.
