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Position of rigid and foldable iris-fixated myopic phakic intraocular lenses evaluated by Scheimpflug photography.

Abstract：

PURPOSE:To evaluate the postoperative intraocular positional stability of 1 rigid poly(methyl methacrylate) (PMMA) phakic intraocular lens (pIOL) model and 2 foldable polysilicone-PMMA iris-fixated pIOL models. SETTING:Department of Ophthalmology, Johann Wolfgang Goethe-University Frankfurt am Main, Germany. METHODS:One of 3 iris-fixated pIOL models (Artisan, Artiflex I, and Artiflex II, Ophtec BV) was implanted in 45 eyes of 26 patients with myopia or myopic astigmatism. The central distance between the pIOL and corneal endothelium and between the pIOL and anterior surface of the crystalline lens was evaluated using Scheimpflug photography 6 and 12 months after surgery. RESULTS:The mean preoperative spherical equivalent was -9.32 diopters +/- 1.78 (SD) (range -6.5 to -13.5 D). Each IOL model was implanted in 15 eyes. The median distance from the central corneal endothelium to the anterior surface of the pIOL at 6 months and 12 months was 2.65 mm and 2.64 mm, respectively, in the Artisan group, 2.47 mm and 2.50 mm, respectively, in the Artiflex I group, and 2.48 mm and 2.52 mm, respectively, in the Artiflex II group. The median distance between the posterior surface of the pIOL and the anterior surface of the crystalline lens at 6 months and 12 months was 0.40 mm and 0.48 mm, respectively, in the Artisan group, 0.53 mm and 0.55 mm, respectively, in the Artiflex I group, and 0.68 mm and 0.66 mm, respectively, in the Artiflex II group. At 12 months, the distance between the pIOL and crystalline lens was statistically significantly greater in the Artiflex II group than in the Artisan group (P<.01). CONCLUSION:The intraocular position of rigid pIOLs and foldable silicone iris-supported pIOLs showed a difference between the 3 pIOL models in space to the crystalline lens and the corneal endothelium, which may affect long-term results in terms of IOL interaction with surrounding tissue.

journal_name

J Cataract Refract Surg

journal_title

Journal of cataract and refractive surgery

authors

Kohnen T,Cichocki M,Koss MJ

doi

10.1016/j.jcrs.2007.08.037

subject

Has Abstract

pub_date

2008-01-01 00:00:00

pages

114-20

issue

eissn

0886-3350

issn

1873-4502

pii

S0886-3350(07)01777-4

journal_volume

pub_type

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Position of rigid and foldable iris-fixated myopic phakic intraocular lenses evaluated by Scheimpflug photography.