Abstract | PURPOSE: METHODS: In all eyes a posterior capsule tear developed during phacoemulsification surgery and an IOL to the ciliary sulcus was implanted primarily. A total of 89 eyes of 88 patients received hydrophilic foldable acrylic IOL (acrylic group). A total of 72 eyes of 72 patients received PMMA IOL ( PMMA group). The mean age was 67.1 years and 68.1 years and postoperative follow-up period was 19.2 months and 17.9 months in acrylic and PMMA groups, respectively. RESULTS: Temporary corneal edema appeared in 33 eyes and 26 eyes, elevation of intraocular pressure in 17 eyes and 12 eyes, anterior chamber inflammatory reaction in 5 eyes and 5 eyes, clinical cystoid macular edema in 7 eyes and 12 eyes, and decentered IOL in 4 eyes and 3 eyes in acrylic and PMMA groups, respectively. Late postoperative endophthalmitis developed in two eyes of the PMMA group. Rhegmatogenous retinal detachment developed in one eye in each group. Final best-corrected visual acuities were 5/10 and above in 73 eyes (82.02%) in the acrylic group and 5/10 and above in 42 eyes (58.33%) in the PMMA group. Postoperative final induced astigmatism was 0.5+/-0.5 D (SD) in the acrylic group and 1.11+/-0.65 D (SD) in the PMMA group (p=0.0001) (independent samples t-test). CONCLUSIONS: Increased astigmatism is more frequently seen in the PMMA group. The implantation of foldable acrylic IOL in the sulcus after posterior capsule tear maintains the advantages of small incision surgery.
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Authors | M Taskapili, G Gulkilik, M S Kocabora, M Ozsutcu, C Yilmazli, G Kaya, H Kucuksahin |
Journal | European journal of ophthalmology
(Eur J Ophthalmol)
2007 Jul-Aug
Vol. 17
Issue 4
Pg. 595-600
ISSN: 1120-6721 [Print] United States |
PMID | 17671936
(Publication Type: Comparative Study, Journal Article)
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Chemical References |
- Acrylates
- Polymethyl Methacrylate
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Topics |
- Acrylates
- Adult
- Aged
- Aged, 80 and over
- Eye Injuries, Penetrating
(etiology, surgery)
- Female
- Follow-Up Studies
- Humans
- Intraoperative Complications
- Lens Capsule, Crystalline
(injuries)
- Lens Implantation, Intraocular
(methods)
- Lenses, Intraocular
- Male
- Middle Aged
- Phacoemulsification
(adverse effects)
- Polymethyl Methacrylate
- Postoperative Complications
- Retrospective Studies
- Rupture
- Treatment Outcome
- Visual Acuity
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