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 language | English |
|---|---|
| Pages (from-to) | 903-909 |
| Number of pages | 7 |
| Journal | Journal of Cataract and Refractive Surgery |
| Volume | 31 |
| Issue number | 5 |
| DOIs | |
| State | Published - May 1 2005 |
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ASJC Scopus subject areas
- Ophthalmology
Cite this
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 journal › Article
}
TY - JOUR
T1 - Anterior chamber and sutured posterior chamber intraocular lenses in eyes with poor capsular support
AU - Donaldson, Kendall
AU - Gorscak, Jason J.
AU - Budenz, Donald L.
AU - Feuer, William J
AU - Benz, Matthew S.
AU - Forster, Richard
PY - 2005/5/1
Y1 - 2005/5/1
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=20544440649&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=20544440649&partnerID=8YFLogxK
U2 - 10.1016/j.jcrs.2004.10.061
DO - 10.1016/j.jcrs.2004.10.061
M3 - Article
C2 - 15975454
AN - SCOPUS:20544440649
VL - 31
SP - 903
EP - 909
JO - Journal of Cataract and Refractive Surgery
JF - Journal of Cataract and Refractive Surgery
SN - 0886-3350
IS - 5
ER -