Gravitational pseudoaccommodation in patients with aphakic iris-claw intraocular lenses.

Abstract:

PURPOSE:To assess whether iris-claw intraocular lenses (IOLs) undergo gravitation-dependent changes in position and refraction. SETTING:Tertiary referral center, Bern, Switzerland. DESIGN:Observational case study. METHODS:Patients with a history of pars plana vitrectomy and IOL exchange with implantation of an aphakic iris-claw IOL (Artisan) were included in this study. Objective refraction was obtained with a handheld autorefractometer, and the IOL position was measured by ultrasound biomicroscopy with the patient prone, sitting, and supine. RESULTS:Twenty-one eyes of 19 patients with retropupilary IOLs (13) or prepupillary IOLs (8) were included. The mean spherical equivalent (SE) in the sitting position was -0.81 diopter (D) ± 0.95 (SD), and the mean distance from the endothelium to the anterior edge of the IOL was 3.35 ± 0.72 mm. The mean SE in the supine position was -0.61 ± 1.28 D, whereas the mean SE in the prone position was -1.34 ± 1.17 D (P = .0030). The IOL position changed from 3.50 mm in the supine position to 3.06 mm in the prone position (P < .0001). CONCLUSIONS:The aphakic iris-claw IOL was subject to significant movement related to gravity. The change in the refractive effect suggests that there is a degree of pseudoaccommodation caused by the forward shift of the aphakic IOL in the face-down position. FINANCIAL DISCLOSURE:None of the authors has a financial or proprietary interest in any material or method mentioned.

authors

Lincke JB,Miller M,Ebneter A,Zinkernagel MS

doi

10.1016/j.jcrs.2016.07.033

subject

Has Abstract

pub_date

2016-10-01 00:00:00

pages

1456-1460

issue

10

eissn

0886-3350

issn

1873-4502

pii

S0886-3350(16)30398-4

journal_volume

42

pub_type

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