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Graefe's Archive for Clinical and Experimental Ophthalmology

11-04-2024 | Cataract | Cataract

Efficacy and safety of the implantation of a single-piece angulated foldable IOL in the sulcus

Authors: Gauthier Blanckaert, Joachim Van Calster, Joyce Jansen, Joris Vander Mijnsbrugge, Ann-Laure Delbecq, Ivo De Clerck, Jean-François Fils, Peter Stalmans

Published in: Graefe's Archive for Clinical and Experimental Ophthalmology

Abstract

Purpose

To study the visual results and tolerance of a Zeiss CT Lucia 601P intraocular lens (IOL) implanted in the sulcus after complicated cataract surgery or during IOL exchange for clouded IOL.

Methods

In total, 64 patients who underwent sulcus implantation were recalled to the hospital to undergo subjective and objective refraction, best corrected visual acuity measurement, tonometry, optical coherence tomography, laser flare photometry, biometry, and wavefront aberrometry.

Results

In spite of a large variation in preoperative refraction, the target refraction was obtained within 1.5 diopters in approximately 97% of patients and within 0.5 diopter in 53% of patients. Average BCVA was high (Snellen 0.86) and related to concomitant (mostly retinal) pathologies in eyes with poorer visual performance. Wavefront aberrometry showed no evidence of IOL tilting or decentration after long-term implantation in the sulcus. Tonometry was not different from the fellow eye of the patient (p > 0.5). In 53 patients with bilateral pseudophakia, the laser flare photometry was not significantly different from the fellow eye (p < 0.05).

Conclusion

This study demonstrates that this single-piece angulated foldable acrylic IOL can be considered for implantation in the sulcus. The visual results are favorable, and the IOL can be well-positioned and tolerated in the sulcus. Moreover, there were no safety issues found since there was no evidence of elevated IOP or chronic uveitis.

Gollogly HE, Hodge DO, St Sauver JL, Erie JC (2013) Increasing incidence of cataract surgery: population-based study. J Cataract Refract Surg 39:1383–1389. https://doi.org/10.1016/j.jcrs.2013.03.027CrossRefPubMedPubMedCentral

Schuster AK, Nickels S, Pfeiffer N, Schmidtmann I, Wild PS, Munzel T, Beutel ME, Lackner KJ, Vossmerbaeumer U (2020) Frequency of cataract surgery and its impact on visual function-results from the German Gutenberg Health Study. Graefes Arch Clin Exp Ophthalmol 258:2223–2231. https://doi.org/10.1007/s00417-020-04770-0CrossRefPubMedPubMedCentral

Terveen D, Berdahl J, Dhariwal M, Meng Q (2022) Real-world cataract surgery complications and secondary interventions incidence rates: an analysis of US Medicare Claims Database. J Ophthalmol 2022:8653476. https://doi.org/10.1155/2022/8653476CrossRefPubMedPubMedCentral

Tran BK, Hashemi K, Kymionis G, Guex-Crosier Y (2019) Pseudouveitis and iris atrophy in pigment dispersion syndrome after sulcus implantation of a one-piece IOL with Square Edge Haptics (SN6AT6). Klin Monbl Augenheilkd 236:410–411. https://doi.org/10.1055/a-0829-6121CrossRefPubMed

Rabie HM, Esfandiari H, Rikhtegar MH, Hekmat V (2018) Management of sulcus-fixated single-piece intraocular lens-induced pigmentary glaucoma with 3-piece IOL exchange. Int Ophthalmol 38:145–150. https://doi.org/10.1007/s10792-016-0435-9CrossRefPubMed

Chang DF, Masket S, Miller KM, Braga-Mele R, Little BC, Mamalis N, Oetting TA, Packer M, Committee ACC (2009) Complications of sulcus placement of single-piece acrylic intraocular lenses: recommendations for backup IOL implantation following posterior capsule rupture. J Cataract Refract Surg 35:1445–1458. https://doi.org/10.1016/j.jcrs.2009.04.027CrossRefPubMed

Masket S (1990) Noncicatricial oval deformation of the pupil induced by sulcus-fixated one-piece posterior chamber lenses. J Cataract Refract Surg 16:481–484. https://doi.org/10.1016/s0886-3350(13)80803-6CrossRefPubMed

Henderson BA, SpringerLink (2016) Manual small incision cataract surgery. Springer International Publishing, Springer, Cham (Imprint)CrossRef

Yalcindag FN, Kose HC, Temel E (2023) Comparative study of laser flare photometry versus slit-lamp cell measurement in pediatric chronic non-infectious anterior uveitis. Eur J Ophthalmol 33:382–390. https://doi.org/10.1177/11206721221107303CrossRefPubMed

10.

Herbort CP, Tugal-Tutkun I (2017) The importance of quantitative measurement methods for uveitis: laser flare photometry endorsed in Europe while neglected in Japan where the technology measuring quantitatively intraocular inflammation was developed. Int Ophthalmol 37:469–473. https://doi.org/10.1007/s10792-016-0253-0CrossRefPubMed

11.

Halim MS, Hasanreisoglu M, Onghanseng N, Tran ANT, Hassan M, Yilmaz M, Segawa A, Gurelik G, Afridi R, Ormaechea MS, Uludag G, Kesim C, Nguyen NV, Bae JH, Park JH, Do DV, Ibrahim MA, Sepah YJ, Nguyen QD (2022) Correlation of clinical aqueous flare grading to semi-automated flare measurements using laser flare photometry. Ocul Immunol Inflamm 30:1906–1912. https://doi.org/10.1080/09273948.2021.1971723CrossRefPubMedPubMedCentral

12.

Liu X, McNally TW, Beese S, Downie LE, Solebo AL, Faes L, Husain S, Keane PA, Moore DJ, Denniston AK (2021) Non-invasive instrument-based tests for quantifying anterior chamber flare in uveitis: a systematic review. Ocul Immunol Inflamm 29:982–990. https://doi.org/10.1080/09273948.2019.1709650CrossRefPubMed

13.

Alio JL, Sayans JA, Chipont E (1996) Laser flare-cell measurement of inflammation after uneventful extracapsular cataract extraction and intraocular lens implantation. J Cataract Refract Surg 22(Suppl 1):775–779. https://doi.org/10.1016/s0886-3350(96)80161-1CrossRefPubMed

Title: Efficacy and safety of the implantation of a single-piece angulated foldable IOL in the sulcus
Authors: Gauthier Blanckaert
Joachim Van Calster
Joyce Jansen
Joris Vander Mijnsbrugge
Ann-Laure Delbecq
Ivo De Clerck
Jean-François Fils
Peter Stalmans
Publication date: 11-04-2024
Publisher: Springer Berlin Heidelberg
Keyword: Cataract
Published in: Graefe's Archive for Clinical and Experimental Ophthalmology
Print ISSN: 0721-832X
Electronic ISSN: 1435-702X
DOI: https://doi.org/10.1007/s00417-024-06459-0

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Efficacy and safety of the implantation of a single-piece angulated foldable IOL in the sulcus

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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