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Verfasst von:Thomas, Bettina C. [VerfasserIn]   i
 Auffarth, Gerd U. [VerfasserIn]   i
 Reiter, Josef [VerfasserIn]   i
 Holzer, Mike P. [VerfasserIn]   i
 Rabsilber, Tanja Marina [VerfasserIn]   i
Titel:Implantation of three-piece silicone toric additive IOLs in challenging clinical cases with high astigmatism
Verf.angabe:Bettina C. Thomas, Gerd U. Auffarth, Josef Reiter, Mike P. Holzer, and Tanja M. Rabsilber
E-Jahr:2013
Jahr:February 12, 2013
Umfang:7 S.
Fussnoten:Gesehen am 03.02.2022
Titel Quelle:Enthalten in: Journal of refractive surgery
Ort Quelle:Thorofare, NJ : SLACK Inc., 1996
Jahr Quelle:2013
Band/Heft Quelle:29(2013), 3, Seite 187-193
ISSN Quelle:1938-2391
Abstract:Purpose: To analyze the refractive outcomes and safety of three-piece silicone toric sulcus-fixated add-on intraocular lenses (IOLs) (HumanOptics/Dr.Schmidt Intraocularlinsen, Erlangen, Germany) in complex clinical cases with high astigmatism such as in cases with previous penetrating keratoplasty. - Methods: Interventional case series of 21 eyes of 20 patients enrolled at two German centers. Functional results including power vector analysis, accuracy of IOL power calculation, rotational stability, and postoperative complications were evaluated from 2 months to 6 years postoperatively. - Results: The preoperative subjective cylinder exceeded or was equal to −6.00 diopters (D) in 81% of eyes (range: −2.00 to −17.00 D). The median follow-up period was 7.6 months (range: 57 days to 6 years). The efficacy analysis focused on the 2 to 6 months follow-up visit. Postoperatively, there was a median reduction of astigmatism by 70.59% (subjective cylinder range: 0.00 to −5.00 D), improvement of uncorrected distance visual acuity, and unchanged median corrected distance visual acuity. The attempted spherical equivalent was achieved within ± 0.50 D in 45% and within ± 1.00 D in 65% of cases. Five eyes received secondary surgical alignment of axis. Other complications related to the surgical procedure were mainly transient shortly after implantation, such as intraocular pressure elevation (2 of 21 eyes) or corneal edema (2 of 21 eyes). Persisting changes were seen only in rare cases and included pigment dispersion (1 of 21 eyes) or corneal edema requiring a second keratoplasty within 9 months after surgery (2 of 21 eyes). - Conclusions: Toric add-on IOLs may be useful in reducing high astigmatism and anisometropia and increasing spectacle independence even in complex clinical conditions with high refractive errors.
DOI:doi:10.3928/1081597X-20130212-01
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext: https://doi.org/10.3928/1081597X-20130212-01
 Volltext: https://journals.healio.com/doi/10.3928/1081597X-20130212-01
 DOI: https://doi.org/10.3928/1081597X-20130212-01
Datenträger:Online-Ressource
Sprache:eng
K10plus-PPN:1788472993
Verknüpfungen:→ Zeitschrift

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