Postoperative Results of Hydrophilic Expandable Intraocular Lenses ACQUA (Mediphacos) Implantation
Authors:
J. Nekolová; J. Pozlerová; N. Jirásková; J. Kadlecová; P. Rozsíval
Authors‘ workplace:
Oční klinika LF UK a FN, Hradec Králové, přednosta prof. MUDr. Pavel Rozsíval, CSc.
Published in:
Čes. a slov. Oftal., 64, 2008, No. 3, p. 87-90
Overview
Purpose:
To assess postoperative outcomes of implanted hydrophilic expandable intraocular lenses ACQUA.
Material and methods:
One hundred eyes of 75 patients with implanted intraocular lens (IOL) ACQUA were involved. IOLs were implanted during the period 2004 to 2005. The uncorrected visual acuity (UCVA) and the best-corrected visual acuity (BCVA), refractive error and its spherical equivalent (SE) were measured preoperatively and 1 day, 1, 6, 12 months postoperatively. Possible postoperative complications were evaluated as well. The patients were divided into two groups: first group with the age-related macular degeneration (ARMD) and the second one without it.
Results:
Sixty-five patients (90 eyes) finished the one-year follow-up period. Preoperative UCVA was 0.23 ±0.19, BCVA 0.43 ± 0.23 and SE + 0.15 ± + 2.06 D (dioptres). Statistically significant differences between UCVA and BCVA one day and one month postoperatively were established. Six months after the operation and later on, the mean UCVA and BCVA were 0.61 ± 0.26, and 0.82 ± 0.23 respectively in all eyes, and 0.67 ± 0.24, and 0.9 ± 0.17 respectively in the group of eyes without ARMD.
Spherical equivalent was stable during the whole follow-up period, one year after the surgery it was -0.1 ± 1.12 D in the group of all 90 eyes. The IOL central positioning in the bag was excellent in 86 eyes. Nd:YAG laser anterior capsulotomies were performed in two eyes due to the stricture of the anterior capsule and posterior capsulotomy was performed in one eye due to the fibrous secondary cataract. The ACQUA IOL had to be explanted from one eye because of recurrent acute non-infectious inflammation of the anterior segment.
Conclusion:
According to our experience, the IOL ACQUA Mediphacos shows good and stable postoperative outcomes.
Key words:
intraocular lens ACQUA, TASS
Sources
1. Baráková, D., Kuchynka, P., Cihelková, I.: Implantace čočky AcrySof MA30BA systémem Monarch. Čes. a slov. Oftal., 58, 2002, 3: 149-152
2. Jehan, F.S., Mamalis, N., Spenser, T.S. et al. :Postoperative sterile endoftalmitis (TASS) associated with the MemoryLens. J Cataract Refract Surg 26,2000: 1771- 1773
3. Jirásková, N., Rozsíval, P., Liláková, D. : Klinické výsledky 150 implantovaných MemoryLens. Čes. a slov Oftal., 56, 2000,1: 43- 47
4. Jirásková, N., Rozsíval, P., Liláková, D. et. al.: Výsledky prospektivní klinické studie 150 implantovaných AcrySof® čoček. Čes. a slov Oftal., 57, 2001, 2: 88-91
5. Jirásková, N.: Měkké nitrooční čočky - nový trend v implantaci. Čes. a slov. Oftal., 53, 1997, 5: 337- 341
6. Jirásková, N.: Pokroky v designu a materiálech nitroočních čoček. In: Trendy soudobé oftalmologie. 1.vyd. Galén, Praha 2005, 286 s.
7. Korda, V., Hejcmanová, D., Rencová, E. et al.: Výsledky radioterapie 24 měsíců po léčbě u pacientů s věkem podmíněnou makulární degenerací. Čes. a slov. Oftal., 61, 2005, 3: 166-171
8. Monson, M.C., Mamalis, N., Olson, R.J.: Toxic anterior segment inflammation following cataract surgery. J Cataract Refract Surg 18,1992: 184- 189
9. Rozsíval, P., Jirásková, N.: Implantace měkkých silikonových nitroočních čoček. Čes. a slov Oftal., 52, 1996, 4: 210- 214
10. Studnička, J., Rencová, E., Korda, V. et al.: Transpupilární termoterapie v léčbě choroidální neovaskularizace u věkem podmíněné makulární degenerace - roční výsledky. Čes. a slov. Oftal., 62, 2006, 3: 190- 199
Labels
OphthalmologyArticle was published in
Czech and Slovak Ophthalmology
2008 Issue 3
Most read in this issue
- Bilateral Simultaneous Dacryocystorhinostomy and Conjunctivocystorhinostomy
- H-Test: a New Alternative of Bagolini Test for Younger Children
- Surgery of Duane Retraction Syndrome I: Comparison of Unilateral Recession and Resection versus Bilateral Medial Rectus Recessions
- The First Experience with Gold Eyelid Implants in Facial Nerve Palsies