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Efficacy and safety of the implantation of a single-piece angulated foldable IOL in the sulcus.
Blanckaert, Gauthier; Van Calster, Joachim; Jansen, Joyce; Vander Mijnsbrugge, Joris; Delbecq, Ann-Laure; De Clerck, Ivo; Fils, Jean-François; Stalmans, Peter.
Afiliación
  • Blanckaert G; Department of Ophthalmology, University Hospitals Leuven, Leuven, Belgium.
  • Van Calster J; Department of Ophthalmology, University Hospitals Leuven, Leuven, Belgium.
  • Jansen J; Department of Ophthalmology, University Hospitals Leuven, Leuven, Belgium.
  • Vander Mijnsbrugge J; Department of Ophthalmology, University Hospitals Leuven, Leuven, Belgium.
  • Delbecq AL; Department of Ophthalmology, University Hospitals Leuven, Leuven, Belgium.
  • De Clerck I; Department of Ophthalmology, University Hospitals Leuven, Leuven, Belgium.
  • Fils JF; Ars Statistica, Nijvel, Belgium.
  • Stalmans P; Department of Ophthalmology, University Hospitals Leuven, Leuven, Belgium. peter.stalmans@uzleuven.be.
Graefes Arch Clin Exp Ophthalmol ; 262(9): 2907-2915, 2024 Sep.
Article en En | MEDLINE | ID: mdl-38602516
ABSTRACT

PURPOSE:

To study the visual results and tolerance of a Zeiss CT Lucia 601P intraocular lens (IOL) implanted in the sulcus after complicated cataract surgery or during IOL exchange for clouded IOL.

METHODS:

In total, 64 patients who underwent sulcus implantation were recalled to the hospital to undergo subjective and objective refraction, best corrected visual acuity measurement, tonometry, optical coherence tomography, laser flare photometry, biometry, and wavefront aberrometry.

RESULTS:

In spite of a large variation in preoperative refraction, the target refraction was obtained within 1.5 diopters in approximately 97% of patients and within 0.5 diopter in 53% of patients. Average BCVA was high (Snellen 0.86) and related to concomitant (mostly retinal) pathologies in eyes with poorer visual performance. Wavefront aberrometry showed no evidence of IOL tilting or decentration after long-term implantation in the sulcus. Tonometry was not different from the fellow eye of the patient (p > 0.5). In 53 patients with bilateral pseudophakia, the laser flare photometry was not significantly different from the fellow eye (p < 0.05).

CONCLUSION:

This study demonstrates that this single-piece angulated foldable acrylic IOL can be considered for implantation in the sulcus. The visual results are favorable, and the IOL can be well-positioned and tolerated in the sulcus. Moreover, there were no safety issues found since there was no evidence of elevated IOP or chronic uveitis.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Diseño de Prótesis / Refracción Ocular / Agudeza Visual / Seudofaquia / Implantación de Lentes Intraoculares / Tomografía de Coherencia Óptica / Lentes Intraoculares Límite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Graefes Arch Clin Exp Ophthalmol Año: 2024 Tipo del documento: Article País de afiliación: Bélgica Pais de publicación: Alemania
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Diseño de Prótesis / Refracción Ocular / Agudeza Visual / Seudofaquia / Implantación de Lentes Intraoculares / Tomografía de Coherencia Óptica / Lentes Intraoculares Límite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Graefes Arch Clin Exp Ophthalmol Año: 2024 Tipo del documento: Article País de afiliación: Bélgica Pais de publicación: Alemania