Refraktive Vorhersagbarkeit und Stabilität von 3-teiligen vs. 1-teiligen Intraokularlinsen bei hoher Achsenmyopie
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Refraktive Vorhersagbarkeit und Stabilität von 3-teiligen vs. 1-teiligen Intraokularlinsen bei hoher Achsenmyopie. / Frings, A; Steinbrugger, I; Wissiak, E; Vidic, B; El-Shabrawi, Y; Ardjomand, N.
In: OPHTHALMOLOGE, Vol. 109, No. 6, 01.06.2012, p. 591-4.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Refraktive Vorhersagbarkeit und Stabilität von 3-teiligen vs. 1-teiligen Intraokularlinsen bei hoher Achsenmyopie
AU - Frings, A
AU - Steinbrugger, I
AU - Wissiak, E
AU - Vidic, B
AU - El-Shabrawi, Y
AU - Ardjomand, N
PY - 2012/6/1
Y1 - 2012/6/1
N2 - BACKGROUND: Based on previous data on single-piece and three-piece intraocular lenses (IOLs) there is no evidence for significant differences in decentration, tilt and refractive shift. The purpose of the current study was to compare single-piece and three-piece IOLs in patients with high axial myopia.MATERIAL AND METHODS: A total of 68 eyes of 50 patients with high axial myopia (axis length ≥ 28.00 mm) with and without cataract who underwent complication-free phacoemulsification and IOL implantation were retrospectively examined. To compare single-piece and three-piece IOLs, the patients were retrospectively grouped depending on IOL type: group 1 acrylic single-piece IOL (n = 37; ACR6D SE, Corneal, France) and group 2 acrylic three-piece IOL with fixed haptic frame (n = 31; AF-1 UY, Hoya, Japan). Patient files were analyzed regarding best spectacle-corrected visual acuity (BSCVA), refractive predictability and stability.RESULTS: In this study the mean BSCVA was determined as 0.22 ± 0.12 logMAR and 0.13 ± 0.11 logMAR 6 months postoperatively for the ACR6D SE group and the AF-1 UV group, respectively (p = 0.09). Refractive predictability was less accurate in the ACR6D SE (+ 1.75 ± 2.2 dpt) compared to the AF-1 UV (- 0.37 ± 1.1) treated eyes (p = 0.001). Refractive stability, defined as the difference in diopters between the first week and the sixth month after surgery, resulted in + 0.40 ± 1.7 dpt and -0.16 ± 1.2 dpt for the ACR6D SE and the AF-1 UV, respectively (p = 0.022).CONCLUSIONS: The three-piece AF-1 UV showed satisfactory refractive predictability and stability in patients with high axial myopia. The ACR6D SE has a high refractive unpredictability and should not be used in eyes with high axial myopia.
AB - BACKGROUND: Based on previous data on single-piece and three-piece intraocular lenses (IOLs) there is no evidence for significant differences in decentration, tilt and refractive shift. The purpose of the current study was to compare single-piece and three-piece IOLs in patients with high axial myopia.MATERIAL AND METHODS: A total of 68 eyes of 50 patients with high axial myopia (axis length ≥ 28.00 mm) with and without cataract who underwent complication-free phacoemulsification and IOL implantation were retrospectively examined. To compare single-piece and three-piece IOLs, the patients were retrospectively grouped depending on IOL type: group 1 acrylic single-piece IOL (n = 37; ACR6D SE, Corneal, France) and group 2 acrylic three-piece IOL with fixed haptic frame (n = 31; AF-1 UY, Hoya, Japan). Patient files were analyzed regarding best spectacle-corrected visual acuity (BSCVA), refractive predictability and stability.RESULTS: In this study the mean BSCVA was determined as 0.22 ± 0.12 logMAR and 0.13 ± 0.11 logMAR 6 months postoperatively for the ACR6D SE group and the AF-1 UV group, respectively (p = 0.09). Refractive predictability was less accurate in the ACR6D SE (+ 1.75 ± 2.2 dpt) compared to the AF-1 UV (- 0.37 ± 1.1) treated eyes (p = 0.001). Refractive stability, defined as the difference in diopters between the first week and the sixth month after surgery, resulted in + 0.40 ± 1.7 dpt and -0.16 ± 1.2 dpt for the ACR6D SE and the AF-1 UV, respectively (p = 0.022).CONCLUSIONS: The three-piece AF-1 UV showed satisfactory refractive predictability and stability in patients with high axial myopia. The ACR6D SE has a high refractive unpredictability and should not be used in eyes with high axial myopia.
KW - Adult
KW - Aged
KW - Equipment Failure Analysis
KW - Humans
KW - Lenses, Intraocular
KW - Male
KW - Middle Aged
KW - Myopia
KW - Prosthesis Design
KW - Refractive Errors
KW - Treatment Outcome
KW - Visual Acuity
U2 - 10.1007/s00347-012-2556-5
DO - 10.1007/s00347-012-2556-5
M3 - SCORING: Zeitschriftenaufsatz
C2 - 22547125
VL - 109
SP - 591
EP - 594
JO - OPHTHALMOLOGE
JF - OPHTHALMOLOGE
SN - 0941-293X
IS - 6
ER -