Abstract
Purpose: To compare the refractive results between sutureless scleral fixation intraocular lens (IOLs) (Carlevale, Soleko) and suture-free scleral fixation three-piece IOLs (Sensar AR40, Johnson & Johnson) for secondary implantation in patients with IOL dislocation or aphakia. Methods: This is a monocentric retrospective study on 28 patients (28 eyes) with sutureless scleral fixation Carlevale IOL and 25 patients (25 eyes) with suture-free scleral fixation three-piece IOL. Best-corrected visual acuity (BCVA) evaluation, refractive measures and IOL tilt evaluation with anterior segment optical coherence tomography were conducted at one, three, six and twelve months after surgery. Point Spread Function (PSF) was measured using a total ocular aberrometer. Results: BCVA in both groups improved since the postoperative visit at 1 month and reached a stable value at 3 months At month 12, mean BCVA was 0.23 logMAR in group one and 0.32 logMAR in group two. Mean IOL tilt angle at 12 months was 2.76° ± 1.87 in group one and 2.51° ± 1.80 in group two. PSF at 12 months was 0.18 ± 0.09 in group one and 0.15 ± 0.05 in group two. There were no statistically significant differences (p > 0.05) for all comparisons. The post-operative complications were similar within the two groups. Conclusions: Our results show that secondary IOL implantation has similar visual and surgical outcomes when a sutureless Carlevale lens scleral fixation and a suture-free scleral fixation three-piece IOL are used.
Reference18 articles.
1. Secondary intraocular lens implantation: A large retrospective analysis;Vounotrypidis;Graefe’s Arch. Clin. Exp. Ophthalmol.,2018
2. Lee, G.-I., Lim, D.H., Chi, S.A., Kim, S.W., Han, J., Shin, D.W., and Chung, T.-Y. (2021). Incidence and Characteristics of Intraocular Lens Dislocation after Phacoemulsification: An Eight-Year, Nationwide, Population-Based Study. J. Clin. Med., 10.
3. Scleral fixation of intraocular lenses;Jacob;Curr. Opin. Ophthalmol.,2020
4. Astigmatism after small incision cataract surgery. A prospective, randomized, mul-ticenter comparison of 4- and 6.5-mm incisions;Steinert;Ophthalmology,1991
5. Comparison of two different scleral fixation techniques of posterior chamber Carlevale lens;Fiore;Medicine,2021
Cited by
5 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献