J Korean Ophthalmol Soc.  2008 Dec;49(12):1910-1916.

Clinical Results of Rollable IOL Implantation After Bimanual Microincision Phacoemulsification

• Lee JH
• Lee HS
• Kim MJ
• Park SH
• Joo CK

Abstract

PURPOSE: To retrospectively evaluate the clinical results of insertion of a hydrophilic acrylic plate posterior chamber intraocular lens (ThinOptX) after bimanual microincision phacoemulsification.
METHODS
Thirty-four eyes of 30 patients who underwent bimanual phacoemulsification and ThinOptX implantation through a 2.0 mm incision between July 2004 and May 2006 were followed-up for more than 12 months. We examined best corrected visual acuity (BCVA), refractive errors, corneal endothelial cell density, halo and contrast sensitivity, posterior capsule opacification (PCO), and intraoperative and postoperative complications.
RESULTS
The preoperative mean logMAR BCVA was 0.43+/-0.24, and the postoperative BCVA was 0.04+/-0.09 after 6 months and 0.14+/-0.12 after 12 months. The preoperative corneal endothelial cell density was 2562+/-347.90 cells/mm2, and decreased to 2241+/-294.88 (cells/mm2) at 12 months postoperative. Postoperative contrast sensitivity at 6 months was increased in both photopic and mesopic condition. Halo was noted in all examined eyes. A PCO of 29% was evaluated at 6 months postoperative and a PCO of 52% was evaluated at 12 months postoperative.
CONCLUSIONS
Bimanual phacoemulsification and ThinOptX implantation through a 2.0 mm incision resulted in good initial visual outcome and correction of refractive errors. However, problems such as halo and PCO associated with IOL design were noted. Therefore, further evaluation and correction of the IOL are needed.

Keyword

Bimanual phacoemulsification; Microincision catract surgery (MICS); ThinOptX

MeSH Terms

Capsule Opacification
Contrast Sensitivity
Endothelial Cells
Eye
Humans
Lenses, Intraocular
Phacoemulsification
Refractive Errors
Retrospective Studies
Visual Acuity

Figure

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  Figure 1 . Schematic picture and structure information of ThinOptX.

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  Figure 2 . Distant visual acuity after ThinOptX implantation. There is statistically significant difference of BCVA between postoperative 6 months and 12 months (* p=0.02).

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  Figure 3 . Change of endothelial cell density in the patients who was inserted ThinOptX. There is statistically significant difference between preoperative endothelial cell density and postoperative endothelial density (* p<0.01).

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  Figure 4 Contrast sensitivity in the patients on whom ThinOptX at photopic was inserted and mesopic conditions.

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  Figure 5 Halo which was measured by ACV at 6 months after ThinOptX IOL implantation.

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  Figure 6. After 6 months, PCO grade 3, Elschnig pearl type. (65/Female, BCVA=0.63)

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  Figure 7. Site of anterior capsulotomy seen at the inferior margin of continuous curvilinear capsulorrhexis.

Reference

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