Refractive predictability in eyes with intraocular gas tamponade – results of a prospective controlled clinical trial

Refractive predictability in eyes with intraocular gas tamponade – results of a prospective controlled clinical trial

Lars Wagenfeld,1 Kristin Hermsdorf,1 Birthe Stemplewitz,1 Vasyl Druchkiv,1 Andreas Frings2 1Department of Ophthalmology, University Medical Centre Hamburg-Eppendorf (UKE), Hamburg, 2Department of Ophthalmology, University Hospital Düsseldorf, Heinrich-Heine University, Düsseldorf,...

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Autores principales: Wagenfeld L, Hermsdorf K, Stemplewitz B, Druchkiv V, Frings A
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2017
Materias:
IOL power prediction error
myopic shift
intraocular gas tamponade
Ophthalmology
RE1-994
Acceso en línea:https://doaj.org/article/665c13772f004bd69a07cd6bee77f70a
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spelling oai:doaj.org-article:665c13772f004bd69a07cd6bee77f70a2021-12-02T04:34:01ZRefractive predictability in eyes with intraocular gas tamponade – results of a prospective controlled clinical trial1177-5483https://doaj.org/article/665c13772f004bd69a07cd6bee77f70a2017-05-01T00:00:00Zhttps://www.dovepress.com/refractive-predictability-in-eyes-with-intraocular-gas-tamponade-resul-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Lars Wagenfeld,1 Kristin Hermsdorf,1 Birthe Stemplewitz,1 Vasyl Druchkiv,1 Andreas Frings2 1Department of Ophthalmology, University Medical Centre Hamburg-Eppendorf (UKE), Hamburg, 2Department of Ophthalmology, University Hospital Düsseldorf, Heinrich-Heine University, Düsseldorf, Germany Purpose: To determine the postoperative refractive error in eyes with intraocular gas tamponade in combined phacovitrectomy using a Z-haptic intraocular lens (IOL).Methods: This prospective non-randomized case-control study compared patients with combined phacovitrectomy with or without intraocular gas tamponade to cataract surgery-only. The main outcome measure was the IOL power prediction error (PE). Secondary outcome measures were spherical equivalent, anterior chamber depth (ACD), and axial length.Results: Thirty-four patients with epiretinal membranes and 18 patients with cataract only were enrolled. There were no statistically significant (P>0.05) differences of IOL power PE or postoperative ACDs (P=0.952–1.00). Nevertheless, IOL power PE indicated a myopic shift in cases with phacovitrectomy independent of gas tamponade (P=1.00). No statistically significant between-group differences between secondary outcome measures were observed. Conclusion: A myopic shift after phacovitrectomy seems to be independent of the use of intraocular gas tamponade. When using a Z-haptic IOL, aiming for slight residual hyperopia (+0.50 D) is suggested in patients having phacovitrectomy. Keywords: IOL power prediction error, myopic shift, intraocular gas tamponade, biometry, pars plana vitrectomy, axial lengthWagenfeld LHermsdorf KStemplewitz BDruchkiv VFrings ADove Medical PressarticleIOL power prediction errormyopic shiftintraocular gas tamponadeOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 11, Pp 993-998 (2017)
institution DOAJ
collection DOAJ
language EN
topic IOL power prediction error
myopic shift
intraocular gas tamponade
Ophthalmology
RE1-994
spellingShingle IOL power prediction error
myopic shift
intraocular gas tamponade
Ophthalmology
RE1-994
Wagenfeld L
Hermsdorf K
Stemplewitz B
Druchkiv V
Frings A
Refractive predictability in eyes with intraocular gas tamponade – results of a prospective controlled clinical trial
description Lars Wagenfeld,1 Kristin Hermsdorf,1 Birthe Stemplewitz,1 Vasyl Druchkiv,1 Andreas Frings2 1Department of Ophthalmology, University Medical Centre Hamburg-Eppendorf (UKE), Hamburg, 2Department of Ophthalmology, University Hospital Düsseldorf, Heinrich-Heine University, Düsseldorf, Germany Purpose: To determine the postoperative refractive error in eyes with intraocular gas tamponade in combined phacovitrectomy using a Z-haptic intraocular lens (IOL).Methods: This prospective non-randomized case-control study compared patients with combined phacovitrectomy with or without intraocular gas tamponade to cataract surgery-only. The main outcome measure was the IOL power prediction error (PE). Secondary outcome measures were spherical equivalent, anterior chamber depth (ACD), and axial length.Results: Thirty-four patients with epiretinal membranes and 18 patients with cataract only were enrolled. There were no statistically significant (P>0.05) differences of IOL power PE or postoperative ACDs (P=0.952–1.00). Nevertheless, IOL power PE indicated a myopic shift in cases with phacovitrectomy independent of gas tamponade (P=1.00). No statistically significant between-group differences between secondary outcome measures were observed. Conclusion: A myopic shift after phacovitrectomy seems to be independent of the use of intraocular gas tamponade. When using a Z-haptic IOL, aiming for slight residual hyperopia (+0.50 D) is suggested in patients having phacovitrectomy. Keywords: IOL power prediction error, myopic shift, intraocular gas tamponade, biometry, pars plana vitrectomy, axial length
format article
author Wagenfeld L
Hermsdorf K
Stemplewitz B
Druchkiv V
Frings A
author_facet Wagenfeld L
Hermsdorf K
Stemplewitz B
Druchkiv V
Frings A
author_sort Wagenfeld L
title Refractive predictability in eyes with intraocular gas tamponade – results of a prospective controlled clinical trial
title_short Refractive predictability in eyes with intraocular gas tamponade – results of a prospective controlled clinical trial
title_full Refractive predictability in eyes with intraocular gas tamponade – results of a prospective controlled clinical trial
title_fullStr Refractive predictability in eyes with intraocular gas tamponade – results of a prospective controlled clinical trial
title_full_unstemmed Refractive predictability in eyes with intraocular gas tamponade – results of a prospective controlled clinical trial
title_sort refractive predictability in eyes with intraocular gas tamponade – results of a prospective controlled clinical trial
publisher Dove Medical Press
publishDate 2017
url https://doaj.org/article/665c13772f004bd69a07cd6bee77f70a
work_keys_str_mv AT wagenfeldl refractivepredictabilityineyeswithintraoculargastamponadendashresultsofaprospectivecontrolledclinicaltrial
AT hermsdorfk refractivepredictabilityineyeswithintraoculargastamponadendashresultsofaprospectivecontrolledclinicaltrial
AT stemplewitzb refractivepredictabilityineyeswithintraoculargastamponadendashresultsofaprospectivecontrolledclinicaltrial
AT druchkivv refractivepredictabilityineyeswithintraoculargastamponadendashresultsofaprospectivecontrolledclinicaltrial
AT fringsa refractivepredictabilityineyeswithintraoculargastamponadendashresultsofaprospectivecontrolledclinicaltrial
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