Comparison of Clinical Outcomes Between Intracapsular Implantation and Intrascleral Fixation Using the Same Model of Intraocular Lens

Toshiki Torii,1 Akeno Tamaoki,1 Takashi Kojima,1,2 Taisuke Matsuda,1 Tatsushi Kaga,1 Kazuo Ichikawa3 1Department of Ophthalmology, Japan Community Health Care Organization, Chukyo Hospital, Nagoya, Japan; 2Department of Ophthalmology, Keio University School of Medicine, Tokyo, Japan; 3Chukyo Eye Cli...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Torii T, Tamaoki A, Kojima T, Matsuda T, Kaga T, Ichikawa K
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	intrascleral intraocular lens fixation cataract visual acuity refractive prediction error Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/20cfe76a833b460fa8b355b267eeea04
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:20cfe76a833b460fa8b355b267eeea04
record_format	dspace
spelling	oai:doaj.org-article:20cfe76a833b460fa8b355b267eeea042021-12-02T13:39:30ZComparison of Clinical Outcomes Between Intracapsular Implantation and Intrascleral Fixation Using the Same Model of Intraocular Lens1177-5483https://doaj.org/article/20cfe76a833b460fa8b355b267eeea042020-11-01T00:00:00Zhttps://www.dovepress.com/comparison-of-clinical-outcomes-between-intracapsular-implantation-and-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Toshiki Torii,1 Akeno Tamaoki,1 Takashi Kojima,1,2 Taisuke Matsuda,1 Tatsushi Kaga,1 Kazuo Ichikawa3 1Department of Ophthalmology, Japan Community Health Care Organization, Chukyo Hospital, Nagoya, Japan; 2Department of Ophthalmology, Keio University School of Medicine, Tokyo, Japan; 3Chukyo Eye Clinic, Nagoya, JapanCorrespondence: Takashi KojimaKeio University School of Medicine, Shinanomachi 35, Shinjuku-Ku, Tokyo 160-8582, JapanTel +81-3-5363-2012Fax +81-3-5363-3087Email tkojkoj@mac.comPurpose: To compare the clinical outcomes of intrascleral intraocular lens (IOL) fixation surgery with those of intracapsular IOL implantation in conventional cataract surgery.Patients and Methods: Twenty-one eyes of 21 consecutive patients who underwent intrascleral IOL fixation (SF group) and 21 eyes of 21 patients who underwent IOL intracapsular implantation during cataract surgery (IN group) were retrospectively enrolled. For both groups, the same model of IOL was used in all cases. For all cases in the SF group, Yamane’s double-needle technique was performed.Results: The mean corrected visual acuity (logMAR) after surgery was significantly better in the IN than in the SF group (− 0.063 ± 0.12 vs 0.05 ± 0.14; p = 0.0083). The mean anterior chamber depth after surgery was significantly smaller in the IN than in the SF group (4.65 ± 0.23 mm vs 4.98 ± 0.61 mm; p = 0.0231). The amounts of tilt and decentration were also significantly smaller in the IN group (5.21°± 1.47° and 0.22 ± 0.13 mm, respectively, vs 8.8° ± 3.9° and 0.52 ± 0.35 mm, respectively; p = 0.0003 and p = 0.0007). The mean absolute refractive prediction error was significantly smaller in the IN than in the SF group (0.22 ± 0.17 D vs 0.86 ± 0.59 D; p = 0.0002).Conclusion: The intrascleral IOL fixation surgery proved to be highly effective. However, its clinical outcomes were slightly inferior to those of IOL intracapsular implantation, and further improvement of this surgical technique may be needed.Keywords: intrascleral intraocular lens fixation, cataract, visual acuity, refractive prediction errorTorii TTamaoki AKojima TMatsuda TKaga TIchikawa KDove Medical Pressarticleintrascleral intraocular lens fixationcataractvisual acuityrefractive prediction errorOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 14, Pp 3965-3974 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	intrascleral intraocular lens fixation cataract visual acuity refractive prediction error Ophthalmology RE1-994
spellingShingle	intrascleral intraocular lens fixation cataract visual acuity refractive prediction error Ophthalmology RE1-994 Torii T Tamaoki A Kojima T Matsuda T Kaga T Ichikawa K Comparison of Clinical Outcomes Between Intracapsular Implantation and Intrascleral Fixation Using the Same Model of Intraocular Lens
description	Toshiki Torii,1 Akeno Tamaoki,1 Takashi Kojima,1,2 Taisuke Matsuda,1 Tatsushi Kaga,1 Kazuo Ichikawa3 1Department of Ophthalmology, Japan Community Health Care Organization, Chukyo Hospital, Nagoya, Japan; 2Department of Ophthalmology, Keio University School of Medicine, Tokyo, Japan; 3Chukyo Eye Clinic, Nagoya, JapanCorrespondence: Takashi KojimaKeio University School of Medicine, Shinanomachi 35, Shinjuku-Ku, Tokyo 160-8582, JapanTel +81-3-5363-2012Fax +81-3-5363-3087Email tkojkoj@mac.comPurpose: To compare the clinical outcomes of intrascleral intraocular lens (IOL) fixation surgery with those of intracapsular IOL implantation in conventional cataract surgery.Patients and Methods: Twenty-one eyes of 21 consecutive patients who underwent intrascleral IOL fixation (SF group) and 21 eyes of 21 patients who underwent IOL intracapsular implantation during cataract surgery (IN group) were retrospectively enrolled. For both groups, the same model of IOL was used in all cases. For all cases in the SF group, Yamane’s double-needle technique was performed.Results: The mean corrected visual acuity (logMAR) after surgery was significantly better in the IN than in the SF group (− 0.063 ± 0.12 vs 0.05 ± 0.14; p = 0.0083). The mean anterior chamber depth after surgery was significantly smaller in the IN than in the SF group (4.65 ± 0.23 mm vs 4.98 ± 0.61 mm; p = 0.0231). The amounts of tilt and decentration were also significantly smaller in the IN group (5.21°± 1.47° and 0.22 ± 0.13 mm, respectively, vs 8.8° ± 3.9° and 0.52 ± 0.35 mm, respectively; p = 0.0003 and p = 0.0007). The mean absolute refractive prediction error was significantly smaller in the IN than in the SF group (0.22 ± 0.17 D vs 0.86 ± 0.59 D; p = 0.0002).Conclusion: The intrascleral IOL fixation surgery proved to be highly effective. However, its clinical outcomes were slightly inferior to those of IOL intracapsular implantation, and further improvement of this surgical technique may be needed.Keywords: intrascleral intraocular lens fixation, cataract, visual acuity, refractive prediction error
format	article
author	Torii T Tamaoki A Kojima T Matsuda T Kaga T Ichikawa K
author_facet	Torii T Tamaoki A Kojima T Matsuda T Kaga T Ichikawa K
author_sort	Torii T
title	Comparison of Clinical Outcomes Between Intracapsular Implantation and Intrascleral Fixation Using the Same Model of Intraocular Lens
title_short	Comparison of Clinical Outcomes Between Intracapsular Implantation and Intrascleral Fixation Using the Same Model of Intraocular Lens
title_full	Comparison of Clinical Outcomes Between Intracapsular Implantation and Intrascleral Fixation Using the Same Model of Intraocular Lens
title_fullStr	Comparison of Clinical Outcomes Between Intracapsular Implantation and Intrascleral Fixation Using the Same Model of Intraocular Lens
title_full_unstemmed	Comparison of Clinical Outcomes Between Intracapsular Implantation and Intrascleral Fixation Using the Same Model of Intraocular Lens
title_sort	comparison of clinical outcomes between intracapsular implantation and intrascleral fixation using the same model of intraocular lens
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/20cfe76a833b460fa8b355b267eeea04
work_keys_str_mv	AT toriit comparisonofclinicaloutcomesbetweenintracapsularimplantationandintrascleralfixationusingthesamemodelofintraocularlens AT tamaokia comparisonofclinicaloutcomesbetweenintracapsularimplantationandintrascleralfixationusingthesamemodelofintraocularlens AT kojimat comparisonofclinicaloutcomesbetweenintracapsularimplantationandintrascleralfixationusingthesamemodelofintraocularlens AT matsudat comparisonofclinicaloutcomesbetweenintracapsularimplantationandintrascleralfixationusingthesamemodelofintraocularlens AT kagat comparisonofclinicaloutcomesbetweenintracapsularimplantationandintrascleralfixationusingthesamemodelofintraocularlens AT ichikawak comparisonofclinicaloutcomesbetweenintracapsularimplantationandintrascleralfixationusingthesamemodelofintraocularlens
_version_	1718392603040284672

Comparison of Clinical Outcomes Between Intracapsular Implantation and Intrascleral Fixation Using the Same Model of Intraocular Lens

Ejemplares similares