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Effect of anterior capsulorhexis optic capture of a sulcus-fixated intraocular lens on refractive outcomes

Lookup NU author(s): David Steel

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Abstract

PURPOSE: To assess the effect of optic capture on the achieved refractive outcome after complicated cataract surgery with a sulcus-fixated intraocular lens (IOL).SETTING: Sunderland Eye Infirmary, Sunderland, United Kingdom.DESIGN: Single-unit, single-surgeon retrospective case-note review.METHODS: The case notes were reviewed of patients who had vitrectonny for retained lens matter after phacoemulsification or phacoemulsification with posterior capsule rupture and sulcus fixation of a posterior chamber IOL by the same surgeon. Capsulorhexis capture was attempted in all patients.RESULTS: Fifty-eight eyes of 58 patients were included. The mean age was 74 years (range 47 to 99 years). Twenty-four patients (41%) had optic capture, and 34 patients (59%) had an IOL placed in the sulcus without optic capture. There was no statistically significant difference in age, axial length, or IOL power used between the groups. The mean refractive difference was +0.34 diopter (D) with optic capture and -0.40 D without optic capture (P=.0002).CONCLUSIONS: The mean refractive difference for a sulcus IOL with and without optic capture was 0.74 D, equating to an IOL power change of approximately 1.00 D. The refractive results were very similar to the surgeon's personal refractive outcomes using the same IOLs in the bag (mean error +0.28), suggesting that anterior capsulorhexis optic capture gives similar results to placing an IOL in the bag. (C) 2013 ASCRS and ESCRS


Publication metadata

Author(s): Millar ERA, Allen D, Steel DHW

Publication type: Article

Publication status: Published

Journal: Journal of Cataract & Refractive Surgery

Year: 2013

Volume: 39

Issue: 6

Pages: 841-844

Print publication date: 01/06/2013

Online publication date: 06/04/2013

Acceptance date: 21/12/2012

ISSN (print): 0886-3350

ISSN (electronic): 1873-4502

Publisher: Elsevier

URL: http://dx.doi.org/10.1016/j.jcrs.2012.12.034

DOI: 10.1016/j.jcrs.2012.12.034


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