NDLI: Effect of primary posterior continuous curvilinear capsulorrhexis with posterior optic buttonholing on pilocarpine-induced IOL shift.

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Effect of primary posterior continuous curvilinear capsulorrhexis with posterior optic buttonholing on pilocarpine-induced IOL shift.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Leydolt, Christina Menapace, Rupert Stifter, Eva-Maria Prinz, Ana Neumayer, Thomas
Description	Country affiliation: Austria Author Affiliation: Leydolt C ( Department of Ophthalmology, Medical University of Vienna, Vienna, Austria.)
Abstract	PURPOSE: To assess intraocular lens (IOL) shift along the visual axis induced by ciliary muscle contraction with pilocarpine after cataract surgery and to compare primary posterior continuous curvilinear capsulorrhexis (CCC) and posterior optic buttonholing with IOLs implanted in the bag. SETTING: Department of Ophthalmology, Medical University of Vienna, Vienna, Austria. DESIGN: Clinical trial. METHODS: Eyes with age-related cataract had cataract surgery with implantation of a nonaccommodating IOL (AF-1 YA-60BB). Surgery was performed with primary posterior CCC and posterior buttonholing in 1 eye (study eyes) and with conventional in-the-bag implantation in the contralateral eye (control eyes). After a minimum of 6 months postoperatively, the anterior chamber depth was assessed with partial coherence interferometry before and after application of pilocarpine 2.0% and, after a washout interval of 1 week, before and after the application of cyclopentolate 1.0%. RESULTS: Forty eyes of 20 patients were enrolled. A slight backward shift of the IOL (+78 µm) in study eyes and in control eyes (+118 µm) was detected after pilocarpine application (both P<.05). No significant difference in IOL shift was found between study eyes and control eyes (P=.19). CONCLUSIONS: Combined primary posterior CCC and posterior optic buttonholing did not affect IOL shift during pharmacologically stimulated ciliary muscle contraction compared with in-the-bag implanted IOLs. Capsule fibrosis diminished with primary posterior CCC but did not seem to be the only limiting factor in the accommodative IOL shift. FINANCIAL DISCLOSURE: No author has a financial or proprietary interest in any material or method mentioned.
File Format	HTM / HTML
ISSN	08863350
Issue Number	11
Volume Number	38
e-ISSN	18734502
Journal	Journal of Cataract & Refractive Surgery
Language	English
Publisher	Elsevier
Publisher Date	2012-11-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Ophthalmology Artificial Lens Implant Migration Capsulorhexis Methods Lenses, Intraocular Miotics Administration & Dosage Phacoemulsification Pilocarpine Aged Aged, 80 And Over Anterior Chamber Ciliary Body Drug Effects Cyclopentolate Female Humans Interferometry Lens Implantation, Intraocular Male Middle Aged Muscle Contraction Physiology Muscle, Smooth Mydriatics Prospective Studies Pupil Journal Article Randomized Controlled Trial
Content Type	Text
Resource Type	Article
Subject	Ophthalmology Sensory Systems Surgery

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