Journal of cataract and refractive surgery · 2025
Refractive, visual, and safety outcomes of three surgical techniques for aphakia correction.
СтатьяСравнительное исследованиеНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Redden Liam D, Hoang David, Rangu Nitin, Murphy David A, Ding Kai, Wendelstein Jascha, Riaz Kamran M
Аннотация
PURPOSE: To compare refractive, visual, and safety outcomes of 3 methods for surgical correction of aphakia: anterior chamber intraocular lens (AC IOL), intrascleral haptic fixation intraocular lens (ISHF-IOL), and Gore-Tex suture fixation of modified eyelet toric intraocular lens (GSF-MET IOL).
SETTING: Tertiary care academic center.
DESIGN: Multisurgeon retrospective case series.
METHODS: Review of 357 eyes undergoing one of the above 3 techniques between 2017 and 2024. Comparative refractive (defocus [spherical equivalent (SE)], astigmatism [refractive cylinder (RefCyl)], and blur [defocus equivalent]), visual acuity (corrected distance visual acuity [CDVA]), and safety outcomes (cystoid macular edema and return to the operating room [ROR] events) were recorded. Owing to concerns about IOL tilting with one of the models, a subgroup analysis was performed on 2 IOL models within the ISHF group. Statistical analyses included descriptive statistics, chi-square tests, 1-way analysis of variance, and 2-sample t testing.
RESULTS: All 3 groups had similar SE ( P = .87), RefCyl ( P = .91), and CDVA in eyes without significant comorbidities ( P = .23). ROR was similar among all groups ( P = .08). Within the ISHF-IOL group, CT Lucia 602 and Sensar AR40 had similar SE and RefCyl ( P = .18 and P = .15, respectively). CDVA was similar in eyes without significant comorbidities for both IOL models ( P = .70). ROR was significantly higher with CT Lucia 602 than with Sensar AR40 ( P = .03).
CONCLUSIONS: All 3 surgical techniques can provide good refractive, visual acuity, and safety outcomes. Within the ISHF-IOL group, the Sensar AR40 had lower ROR rates than the CT Lucia 602, with similar CDVA outcomes.
SETTING: Tertiary care academic center.
DESIGN: Multisurgeon retrospective case series.
METHODS: Review of 357 eyes undergoing one of the above 3 techniques between 2017 and 2024. Comparative refractive (defocus [spherical equivalent (SE)], astigmatism [refractive cylinder (RefCyl)], and blur [defocus equivalent]), visual acuity (corrected distance visual acuity [CDVA]), and safety outcomes (cystoid macular edema and return to the operating room [ROR] events) were recorded. Owing to concerns about IOL tilting with one of the models, a subgroup analysis was performed on 2 IOL models within the ISHF group. Statistical analyses included descriptive statistics, chi-square tests, 1-way analysis of variance, and 2-sample t testing.
RESULTS: All 3 groups had similar SE ( P = .87), RefCyl ( P = .91), and CDVA in eyes without significant comorbidities ( P = .23). ROR was similar among all groups ( P = .08). Within the ISHF-IOL group, CT Lucia 602 and Sensar AR40 had similar SE and RefCyl ( P = .18 and P = .15, respectively). CDVA was similar in eyes without significant comorbidities for both IOL models ( P = .70). ROR was significantly higher with CT Lucia 602 than with Sensar AR40 ( P = .03).
CONCLUSIONS: All 3 surgical techniques can provide good refractive, visual acuity, and safety outcomes. Within the ISHF-IOL group, the Sensar AR40 had lower ROR rates than the CT Lucia 602, with similar CDVA outcomes.