HOMEPRODUCTSCOMPANYCONTACTFAQResearchDictionaryPharmaSign Up FREE or Login

Comparison of sulcus implantation of single-piece hydrophilic foldable acrylic and polymethylmethacrylate intraocular lenses in eyes with posterior capsule tear during phacoemulsification surgery.

AbstractPURPOSE:
To compare the results of sulcus implantation of acrylic and poly(methylmethacrylate) (PMMA) intraocular lens (IOL) in eyes with posterior capsule tear during phacoemulsification surgery.
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.
AuthorsM Taskapili, G Gulkilik, M S Kocabora, M Ozsutcu, C Yilmazli, G Kaya, H Kucuksahin
JournalEuropean journal of ophthalmology (Eur J Ophthalmol) 2007 Jul-Aug Vol. 17 Issue 4 Pg. 595-600 ISSN: 1120-6721 [Print] United States
PMID17671936 (Publication Type: Comparative Study, Journal Article)
Chemical References
  • Acrylates
  • Polymethyl Methacrylate
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

Join CureHunter, for free Research Interface BASIC access!

Take advantage of free CureHunter research engine access to explore the best drug and treatment options for any disease. Find out why thousands of doctors, pharma researchers and patient activists around the world use CureHunter every day.
Realize the full power of the drug-disease research graph!


Choose Username:
Email:
Password:
Verify Password:
Enter Code Shown: