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Secondary intraocular lens implantation: Complication rates, visual acuity, and refractive outcomes.

Abstract：

PURPOSE:To compare complication rates, visual acuity, and refractive outcomes of secondary intraocular lens (IOLs) implantation. SETTING:Department of Ophthalmology, Cullen Eye Institute, Baylor College of Medicine, Houston, Texas, USA. DESIGN:Retrospective case series. METHODS:All secondary IOLs placed by the anterior segment service were reviewed. Preoperative data, operative reports, and data from each subsequent postoperative visit were evaluated. Patients were divided into 5 groups based on the final IOL position: (1) sulcus with optic capture, (2) sulcus without optic capture, (3) anterior chamber (AC), (4) iris-fixated, and (5) transscleral-sutured. Complication rates, visual acuity, and refractive outcomes were compared for each group. RESULTS:The sulcus with and without optic capture groups had the lowest complication rates and best visual acuity outcomes. There was no difference in final corrected distance visual acuity (CDVA) between the transscleral-sutured IOL, iris-fixated IOL, and AC IOL groups, although the AC IOL group had the lowest rates of early postoperative complications and a significant improvement in vision. The transscleral-sutured IOL group had the highest complication rates, and 25% of patients in the iris-fixated IOL group lost 2 or more lines of CDVA. CONCLUSIONS:When a secondary IOL cannot be placed within the capsular bag, sulcus with optic capture is the best alternative, followed by sulcus without optic capture. There was no difference in visual acuity outcomes between transscleral-sutured IOLs, iris-fixated IOLs, and AC IOLs. Anterior chamber IOLs resulted in fewer early complications.

journal_name

J Cataract Refract Surg

journal_title

Journal of cataract and refractive surgery

authors

Brunin G,Sajjad A,Kim EJ,Montes de Oca I,Weikert MP,Wang L,Koch DD,Al-Mohtaseb Z

doi

10.1016/j.jcrs.2016.12.024

subject

Has Abstract

pub_date

2017-03-01 00:00:00

pages

369-376

issue

3

eissn

0886-3350

issn

1873-4502

pii

S0886-3350(17)30069-X

journal_volume

43

pub_type

杂志文章

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