Outcomes after accommodative bioanalogic intraocular lens implantation.

Details

Serval ID
serval:BIB_8294384C7E74
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Outcomes after accommodative bioanalogic intraocular lens implantation.
Journal
Journal of refractive surgery
Author(s)
Pallikaris I.G., Portaliou D.M., Kymionis G.D., Panagopoulou S.I., Kounis G.A.
ISSN
1081-597X (Print)
ISSN-L
1081-597X
Publication state
Published
Issued date
06/2014
Peer-reviewed
Oui
Volume
30
Number
6
Pages
402-406
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
To evaluate the outcomes after Wichterle Intraocular Lens-Continuous Focus (Medicem, Kamenné Zehrovice, Czech Republic) accommodative bioanalogic intraocular lens implantation.
In this prospective case series, 50 eyes of 25 patients (mean age: 65.3 ± 8.4 years; range: 53 to 83 years) were included. All patients underwent routine cataract surgery and Wichterle Intraocular Lens-Continuous Focus implantation.
Mean follow-up was 11.44 ± 2.46 months (range: 9 to 17 months). Both monocular uncorrected and corrected distance visual acuity statistically and significantly (P < .05) improved from 0.31 ± 0.17 (20/63 Snellen) (range: counting fingers to 0.7) to 0.74 ± 0.19 (20/25 Snellen) (range: 0.2 to 1) and from 0.61 ± 0.19 (20/32 Snellen) (range: 0.2 to 1) to 0.82 ± 0.13 (20/25 Snellen) (range: 0.4 to 1), respectively. Target postoperative refraction was -0.5 diopters (D) and preoperative and 1-year postoperative spherical equivalent refraction were 0.72 ± 2.71 D (range: -7.25 to 2.37 D) and -0.24 ± 0.65 D (range: -1.0 to 1.0 D), respectively. No eyes lost lines of corrected distance visual acuity during the follow-up period, whereas 88% of patients gained one or more lines of corrected distance visual acuity. Uncorrected intermediate and near visual acuity were J2 (Snellen 20/25) or better in 72% of patients. No complications occurred intraoperatively or postoperatively. The evaluation of the mean values of root mean square of third and fourth order higher-order aberrations at 1 year postoperatively revealed a mean negative spherical aberration of -0.18 ± 0.13 μm.
Wichterle Intraocular Lens-Continuous Focus accommodative bioanalogic IOL implantation provides satisfactory visual acuity for far, intermediate, and near distances and the promising results remain stable throughout the follow-up period.
Keywords
Accommodation, Ocular/physiology, Aged, Aged, 80 and over, Biocompatible Materials, Capsulorhexis, Female, Humans, Lens Implantation, Intraocular, Lenses, Intraocular, Male, Middle Aged, Phacoemulsification, Prospective Studies, Prosthesis Design, Refraction, Ocular/physiology, Tomography, Optical Coherence, Treatment Outcome, Visual Acuity/physiology
Pubmed
Web of science
Create date
30/09/2019 16:19
Last modification date
06/10/2019 5:26
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