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Intraocular lens tilt and decentration measured by Scheimpflug camera following manual or femtosecond laser-created continuous circular capsulotomy.

Abstract

PURPOSE
To compare intraocular lens (IOL) decentration and tilt following a circular capsulotomy created with a femtosecond laser (laser CCC) to a manually performed continuous curvilinear capsulorrhexis (manual CCC).
METHODS
In a prospective, randomized study, a laser CCC (Alcon LenSx Inc) was performed in 20 eyes from 20 patients and a manual CCC was performed in 25 eyes from 25 patients. Intraocular lens decentration and tilt were measured using a Scheimpflug camera (Pentacam, Oculus Optikgeräte GmbH) 1 year after surgery. Uncorrected (UDVA) and corrected distance visual acuity (CDVA) and manifest refraction were also determined postoperatively. Between-group differences of IOL decentration and tilt as well as the correlation between IOL decentration and postoperative refractive changes and between IOL tilt and visual acuity were analyzed.
RESULTS
Horizontal and vertical tilt were significantly higher in the manual CCC group (P=.007 and P<.001, respectively). Lenses implanted after manual CCC showed greater horizontal and total decentration (P=.034 and P=.022, respectively). Significant differences were found in the homogeneity of dichotomized IOL vertical tilt and both horizontal and total decentration distribution (P=.008, P=.036, and P=.017, respectively). Total IOL decentration showed a significant correlation with changes in manifest refraction values between 1 month and 1 year after surgery (R=0.33, P=.032). A significant correlation was noted between IOL vertical tilt and CDVA (R(2)=0.17, β=-0.41, 95% confidence limit: -0.69 to -0.13, P=.005).
CONCLUSIONS
Continuous curvilinear capsulorrhexis created with a femtosecond laser resulted in a more stable refractive result and less IOL tilt and decentration than manual CCC.

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  • Aggregator Full Text

    • Authors

    Kránitz K, Miháltz K, Sándor GL, Takacs A, Knorz MC, Nagy ZZ

    Institution

    Semmelweis University Budapest, Budapest, Hungary. kranitzkinga@gmail.com

    Source

    Journal of refractive surgery (Thorofare, N.J. : 1995) 28:4 2012 Apr pg 259-63

    MeSH

    Aged
    Anterior Capsule of the Lens
    Artificial Lens Implant Migration
    Capsulorhexis
    Female
    Humans
    Laser Therapy
    Lasers, Excimer
    Lens Implantation, Intraocular
    Male
    Middle Aged
    Photography
    Prospective Studies
    Refraction, Ocular
    Visual Acuity

    Pub Type(s)

    Comparative Study
    Journal Article
    Randomized Controlled Trial

    Language

    eng

    PubMed ID

    22496437