Anterior chamber and sutured posterior chamber intraocular lenses in eyes with poor capsular support

Kendall Donaldson, Jason J. Gorscak, Donald L. Budenz, William J Feuer, Matthew S. Benz, Richard Forster

Research output: Contribution to journalArticle

60 Citations (Scopus)

Abstract

Purpose: To compare the clinical outcomes and complications of patients who had surgical placement of anterior chamber (AC IOLs) and sutured posterior chamber intraocular lenses (PC IOLs) after cataract surgery resulting in poor capsular support. Setting: Department of Ophthalmology, Bascom Palmer Eye Institute, Miami, Florida. Methods: A retrospective interventional comparative case series of 181 eyes of 181 patients that had implantation of an intraocular lens with inadequate capsular support was conducted. A chart review of all patients that had implantation of AC IOLs or sutured PC IOLs at a tertiary care eye hospital between 1995 and 2001 was conducted. Results: Outcome measures included final best-corrected visual acuity, spherical equivalent, and postoperative complications (pseudophakic bullous keratopathy, elevated intraocular pressure [IOP] inflammation, retinal detachment, suture erosion, cystoid macular edema). Of 702 charts reviewed, 181were found to fit inclusion and exclusion criteria. The postoperative complication risk ratio was 0.80 (95% confidence interval [CI]: 0.52-1.23) for AC IOLs compared with PC IOLs. The most common complication experienced by patients having implantation of either lens type was elevated IOP (AC IOL: 38%; PC IOL: 42%). The incidence of other complications was similar between the groups. Best-corrected visual acuity was similar; however, final spherical equivalent trended toward more myopic values in the PC IOL group (-0.82 ± 1.67 for AC IOL versus -1.32 ± 2.12 for PC IOL). Conclusions: The findings suggest that no significant differences in outcome exist when comparing AC IOLs to sutured PC IOLs in complicated cataract extraction with poor capsular support. Recent advances in AC IOL design have yielded lenses that provide a safe, effective alternative to sutured PC IOLs.

Original languageEnglish
Pages (from-to)903-909
Number of pages7
JournalJournal of Cataract and Refractive Surgery
Volume31
Issue number5
DOIs
StatePublished - May 1 2005

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Intraocular Lenses
Anterior Chamber
Intraocular Pressure
Lenses
Visual Acuity
Intraocular Lens Implantation
Macular Edema
Cataract Extraction
Retinal Detachment
Ophthalmology
Tertiary Healthcare
Cataract
Sutures
Odds Ratio
Outcome Assessment (Health Care)
Confidence Intervals
Inflammation
Incidence

ASJC Scopus subject areas

  • Ophthalmology

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Anterior chamber and sutured posterior chamber intraocular lenses in eyes with poor capsular support. / Donaldson, Kendall; Gorscak, Jason J.; Budenz, Donald L.; Feuer, William J; Benz, Matthew S.; Forster, Richard.

In: Journal of Cataract and Refractive Surgery, Vol. 31, No. 5, 01.05.2005, p. 903-909.

Research output: Contribution to journalArticle

Donaldson, Kendall ; Gorscak, Jason J. ; Budenz, Donald L. ; Feuer, William J ; Benz, Matthew S. ; Forster, Richard. / Anterior chamber and sutured posterior chamber intraocular lenses in eyes with poor capsular support. In: Journal of Cataract and Refractive Surgery. 2005 ; Vol. 31, No. 5. pp. 903-909.
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