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Temporary changes of visual outcomes and anterior chamber parameters after phacoemulsification and low-add-power segmented intraocular lens implantation for primary angle closure disease

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Abstract

Purpose

To evaluate the temporary changes in visual outcomes and anterior segment parameters after cataract surgery plus low-add bifocal intraocular lens (IOL) implantation for primary angle closure disease (PACD).

Methods

This retrospective comparative case–control study included two groups: low-add-power segmented IOL and monofocal IOL. Postoperative examination involved evaluation of uncorrected distance visual acuity (UDVA), uncorrected near visual acuity (UNVA), uncorrected intermediate visual acuity (UIVA), and spherical equivalent (SE). Anterior segment examination was performed using anterior segment optical coherence tomography.

Results

This study included 19 eyes of 11 consecutive patients who underwent cataract surgery. The low-add group had better UDVA than the monofocal group at 3 months postoperatively, better UIVA at 1 month postoperatively, better UNVA at 1 week postoperatively. In the low-add group, SE increased at 1 and 3 months postoperatively compared with 1 week postoperatively. In the monofocal group, objective SE decreased at 1 and 3 months postoperatively compared with 1 week postoperatively. In the low-add group, the anterior chamber depth (ACD) became significantly deep gradually at 1 and 3 months compared with at 1 week postoperatively. In the monofocal group, the ACD became significantly shallow gradually at 1 and 3 months than at 1 week postoperatively.

Conclusion

The low-add-power segmented IOL achieved better far and intermediate distance visual acuity after cataract surgery in PACD patients than did the monofocal IOL. The ACD became deeper and SE showed a hyperopic shift with the low-add-power segmented IOL at 1 and 3 months after cataract surgery compared with at 1 week after cataract surgery.

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Data availability

Due to privacy and ethical concerns, neither the data nor the source of the data can be made available.

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Authors and Affiliations

  1. Department of Ophthalmology, Graduate School of Medicine, University of the Ryukyus, 207 Uehara, Nishihara City, Okinawa, 903-0215, Japan

    Yohei Chikaraishi, Yoshikuni Arakaki & Hideki Koizumi

Authors
  1. Yohei Chikaraishi
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  2. Yoshikuni Arakaki
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  3. Hideki Koizumi
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Contributions

YC was involved in design and conduct of the study, collection, management and preparation; YC and YA performed analysis and interpretation of the data; YC, YA, HK reviewed and approved the manuscript. The authors would like to thank Enago for the English language review.

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Correspondence to Yohei Chikaraishi.

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The authors declare that they have no conflict of interest.

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Ethics approval

This retrospective review of patient data was approved by the Human Studies Committee of University of the Ryukyus (No. 1267).

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Chikaraishi, Y., Arakaki, Y. & Koizumi, H. Temporary changes of visual outcomes and anterior chamber parameters after phacoemulsification and low-add-power segmented intraocular lens implantation for primary angle closure disease. Int Ophthalmol 41, 2485–2494 (2021). https://doi.org/10.1007/s10792-021-01803-3

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  • DOI: https://doi.org/10.1007/s10792-021-01803-3

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