J Korean Ophthalmol Soc.  2016 May;57(5):752-756. 10.3341/jkos.2016.57.5.752.

Clinical Outcome of Ciliary Sulcus-Implanted Single-Piece Foldable Acrylic Intraocular Lens

• Choo HG
• Lee JH
• Kim SW

• KMID: 2212717
• DOI: http://doi.org/10.3341/jkos.2016.57.5.752

Abstract

PURPOSE
To evaluate complications and refractive outcomes of implantation of a single-piece acrylic intraocular lens (SPA-IOL) in the ciliary sulcus during phacoemulsification complicated with posterior capsule tear (PCT).
METHODS
This retrospective study included patients who visited our hospital from 2014 January to 2015 June with implantation of a SPA-IOL (RAYNER 920H Superflex) in the ciliary sulcus during phacoemulsification complicated with PCT. Patients had their IOL power reduced by 1 diopter (D) from that calculated for in-the-bag implantation. At 3 months after operation, best corrected visual acuity (BCVA), uncorrected visual acuity (UCVA) and a refraction test were performed.
RESULTS
PCT requiring implantation of IOL in the ciliary sulcus occurred in 17 eyes. Postoperative complications included corneal edema (3 eyes), anterior segment inflammation (1 eye), intraocular pressure elevations (3 eyes). However, improvements resulting from proper management and no significant IOL decentration were observed. At 3 months after operation, the mean spherical equivalent was -0.79 ± 0.39 D (-0.25 to -1.5 D), the mean UCVA was 0.77 ± 0.22 (0.4 to 1.0), and the mean BCVA was 0.94 ± 0.08 (0.8 to 1.0).
CONCLUSIONS
Sulcus implantation of a SPA-IOL (RAYNER 920H Superflex) has no clinically significant complication, and the mean spherical equivalent after 3 months with a power reduction of 1.0 D was -0.79 ± 0.39 D (-0.25 to -1.5 D).

Keyword

Ciliary sulcus; Refractive outcome; Single-piece acrylic intraocular lens

MeSH Terms

Corneal Edema
Humans
Inflammation
Intraocular Pressure
Lenses, Intraocular*
Phacoemulsification
Postoperative Complications
Retrospective Studies
Tears
Visual Acuity

Figure

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  Figure 1. Unexpected myopia. Diagram demonstrating the unexpected myopia (SE) after sulcus implantation of a single-piece foldable acrylic intraocular lens with 1 D less power than that calculated for in-the-bag fixation. SE = spherical equivalent.

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  Figure 2. Slit-lamp examination. Photograph showing a centered ciliary sulcus intraocular lens.

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  Figure 3. Optical coherence tomography shows no iris-intraocular lens (IOL) contact.

Reference

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