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Tilt and decentration of an intraocular lens implanted in the ciliary sulcus after capsular bag defect during cataract surgery

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Abstract

Purpose

To determine the impact of ciliary sulcus implantation after capsular bag defect on tilt and decentration of foldable intraocular lenses (IOL) measured by a novel device.

Methods

This prospective noncomparative single-center investigation included patients (N = 10) older than age 60 who underwent cataract surgery with a posterior capsular bag defect and implantation of a threepiece hydrophilic aberration neutral IOL (OphthalmoPro AC 7013) in the ciliary sulcus. All eyes (N = 10) were examined using the OPD-Scan II (Nidek). Spherical aberration (Z4,0), vertical coma (Z3,−1), and horizontal coma (Z3,1) were calculated for a 5.0 mm pupil. Lens tilt and decentration was studied using a new Purkinjemeter.

Results

The mean horizontal optic tilt was 7.68° ± 5.16 (SD) and the mean vertical optic tilt was 3.01° ± 2.44 (SD). Horizontal decentration was 0.4 ± 0.33 mm (SD) and vertical decentration was 0.31 ± 0.21 mm (SD). Corneal aberrations were partially compensated by IOL- related aberrations.

Conclusions

Both tilt and decentration of sulcus-fixated IOLs exceeded the tolerable amounts evaluated for aspheric IOLs in eye model experiments. However, these spheric IOLs showed mitigation rather than accentuation of corneal wavefront aberrations in the rare event of capsular bag defect during cataract surgery.

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Authors and Affiliations

  1. Department of Ophthalmology, Knappschaft’s Hospital, Sulzbach, Germany

    Thomas Sauer & Ulrich Mester

  2. University Eye Hospital Bonn, Ernst-Abbe-Straße 2, 53127, Bonn, Germany

    Thomas Sauer

Authors
  1. Thomas Sauer
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  2. Ulrich Mester
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Corresponding author

Correspondence to Thomas Sauer.

Additional information

The authors have no proprietary, commercial, or financial interests in the materials presented herein.

Presented as a free paper at the European Society of Cataract and Refractive Surgeons Annual Meeting; September 4–8, 2010; Paris, France and at the Gesellschaft für Intraokularlinsenimplantation, Refraktive & Interventionelle Chirurgie, March 10–12, 2011; Frankfurt, Germany

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Sauer, T., Mester, U. Tilt and decentration of an intraocular lens implanted in the ciliary sulcus after capsular bag defect during cataract surgery. Graefes Arch Clin Exp Ophthalmol 251, 89–93 (2013). https://doi.org/10.1007/s00417-012-2141-2

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  • DOI: https://doi.org/10.1007/s00417-012-2141-2

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