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Clinical outcomes of cataract surgery after bag-in-the-lens intraocular lens implantation following ISO standard 11979-7:2006.
J Cataract Refract Surg. 2011 Dec; 37(12):2120-9.JC

Abstract

PURPOSE

To assess the clinical outcomes of bag-in-the-lens intraocular lens (BIL IOL) implantation following the International Organization for Standardization (ISO) 11979-7:2006 in pediatric eyes and eyes with ocular comorbidities.

SETTING

Antwerp University Hospital, Department of Ophthalmology, Antwerp, Belgium.

DESIGN

Cohort study.

METHODS

This cohort included the first series of patients having IOL implantation using the bag-in-the-lens technique. Surgeries were performed between December 1999 and September 2006. In addition to IOL implantation, the technique comprised creation of a primary posterior continuous curvilinear capsulorhexis (PCCC) equal in size to the anterior capsulorhexis.

RESULTS

The study enrolled 807 eyes of 547 patients; 326 of the eyes (40.40%) had ocular comorbidity. In the 481 eyes without ocular comorbidity, the mean decimal corrected distance visual acuity was 0.52 ± 0.24 (SD) (0.276 ± 0.206 logMAR) preoperatively and 0.94 ± 0.18 (-0.012 ± 0.053 logMAR) postoperatively. The mean postoperative achieved spherical equivalent was 0.48 ± 0.83 diopter (D) and the mean targeted refraction, -0.24 ± 0.71 D. The A-constant was modified from 118.4 to 118.04. Posterior capsule opacification (PCO) did not occur in any adult eye during the follow-up. Retinal detachment after IOL implantation occurred in 10 eyes (1.24%). In 19 eyes, the iris was captured by the IOL haptics postoperatively. Hypopyon occurred in 3 patients and toxic anterior segment syndrome in 1 patient.

CONCLUSION

The BIL IOL met the ISO criteria; that is, primary PCCC was safe in healthy eyes and in eyes with ocular comorbidities and no eye developed PCO over a mean follow-up of 26.1 ± 21.3 months.

Authors+Show Affiliations

From Antwerp University Hospital, Department of Ophthalmology and Antwerp University, Faculty of Medicine, Antwerp, Belgium. marie-jose.tassignon@uza.beNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

22108108

Citation

Tassignon, Marie-José, et al. "Clinical Outcomes of Cataract Surgery After Bag-in-the-lens Intraocular Lens Implantation Following ISO Standard 11979-7:2006." Journal of Cataract and Refractive Surgery, vol. 37, no. 12, 2011, pp. 2120-9.
Tassignon MJ, Gobin L, Mathysen D, et al. Clinical outcomes of cataract surgery after bag-in-the-lens intraocular lens implantation following ISO standard 11979-7:2006. J Cataract Refract Surg. 2011;37(12):2120-9.
Tassignon, M. J., Gobin, L., Mathysen, D., Van Looveren, J., & De Groot, V. (2011). Clinical outcomes of cataract surgery after bag-in-the-lens intraocular lens implantation following ISO standard 11979-7:2006. Journal of Cataract and Refractive Surgery, 37(12), 2120-9. https://doi.org/10.1016/j.jcrs.2011.06.025
Tassignon MJ, et al. Clinical Outcomes of Cataract Surgery After Bag-in-the-lens Intraocular Lens Implantation Following ISO Standard 11979-7:2006. J Cataract Refract Surg. 2011;37(12):2120-9. PubMed PMID: 22108108.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Clinical outcomes of cataract surgery after bag-in-the-lens intraocular lens implantation following ISO standard 11979-7:2006. AU - Tassignon,Marie-José, AU - Gobin,Laure, AU - Mathysen,Danny, AU - Van Looveren,Jan, AU - De Groot,Veva, PY - 2011/05/27/received PY - 2011/05/30/revised PY - 2011/06/06/accepted PY - 2011/11/24/entrez PY - 2011/11/24/pubmed PY - 2012/2/9/medline SP - 2120 EP - 9 JF - Journal of cataract and refractive surgery JO - J Cataract Refract Surg VL - 37 IS - 12 N2 - PURPOSE: To assess the clinical outcomes of bag-in-the-lens intraocular lens (BIL IOL) implantation following the International Organization for Standardization (ISO) 11979-7:2006 in pediatric eyes and eyes with ocular comorbidities. SETTING: Antwerp University Hospital, Department of Ophthalmology, Antwerp, Belgium. DESIGN: Cohort study. METHODS: This cohort included the first series of patients having IOL implantation using the bag-in-the-lens technique. Surgeries were performed between December 1999 and September 2006. In addition to IOL implantation, the technique comprised creation of a primary posterior continuous curvilinear capsulorhexis (PCCC) equal in size to the anterior capsulorhexis. RESULTS: The study enrolled 807 eyes of 547 patients; 326 of the eyes (40.40%) had ocular comorbidity. In the 481 eyes without ocular comorbidity, the mean decimal corrected distance visual acuity was 0.52 ± 0.24 (SD) (0.276 ± 0.206 logMAR) preoperatively and 0.94 ± 0.18 (-0.012 ± 0.053 logMAR) postoperatively. The mean postoperative achieved spherical equivalent was 0.48 ± 0.83 diopter (D) and the mean targeted refraction, -0.24 ± 0.71 D. The A-constant was modified from 118.4 to 118.04. Posterior capsule opacification (PCO) did not occur in any adult eye during the follow-up. Retinal detachment after IOL implantation occurred in 10 eyes (1.24%). In 19 eyes, the iris was captured by the IOL haptics postoperatively. Hypopyon occurred in 3 patients and toxic anterior segment syndrome in 1 patient. CONCLUSION: The BIL IOL met the ISO criteria; that is, primary PCCC was safe in healthy eyes and in eyes with ocular comorbidities and no eye developed PCO over a mean follow-up of 26.1 ± 21.3 months. SN - 1873-4502 UR - https://www.unboundmedicine.com/medline/citation/22108108/Clinical_outcomes_of_cataract_surgery_after_bag_in_the_lens_intraocular_lens_implantation_following_ISO_standard_11979_7:2006_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0886-3350(11)01383-6 DB - PRIME DP - Unbound Medicine ER -