Clinical Evaluation of Accommodative Intraocular Lens Implantation in High Myopic Eyes
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Purpose: To compare the clinical outcome of AT-45 implantation between high myopic eyes and non-high myopic eyes. Methods: Retrospective, non-randomized, comparative trial. The medical charts of 28 patients with 35 eyes who had phacoemulsification and AT-45 implantation were retrospectively reviewed. 13 eyes of 10 patients were included in the high myopic group (axial length ≥ 26.0 mm) and 22 eyes of 18 patients were included in the non-high myopic group. The clinical data included unilateral best-corrected visual acuity (BCVA) and distance-corrected near visual acuity (DCNVA) at 6-months follow-up after the surgery. The results were compared between the two groups. Results: In the non-high myopic group, 22 eyes (100%) and 19 eyes (86.4%) achieved a BCVA of 20/25 and 20/20 or better respectively. For the high myopic group, the results were 13 eyes (100%) and 12 eyes (92.3%) respectively, at 6 months after the surgery. In the non-high myopic group, 21 (95.4%) and 7 eyes (31.8%) achieved a DCNVA of 20/40 and 20/25 or better. For the high myopic group, the results were 13 (100%) and 4 eyes (30.8%) respectively, at 6 months after the surgery, the differences between the two groups for a BCVA of 20/25 or better and 20/20 or better and a DCNVA 20/40 or better and 20/25 or better were not statistically significant. Conclusions: Six months clinical outcome of cataract surgery with an AT-45 for the high myopic eyes was satisfactory; it was not significantly different from that of the non-high myopic eyes.
Abstract
Purpose: To compare the clinical outcome of AT-45 implantation between high myopic eyes and non-high myopic eyes. Methods: Retrospective, non-randomized, comparative trial. The medical charts of 28 patients with 35 eyes who had phacoemulsification and AT-45 implantation were retrospectively reviewed. 13 eyes of 10 patients were included in the high myopic group (axial length ≥ 26.0 mm) and 22 eyes of 18 patients were included in the non-high myopic group. The clinical data included unilateral best-corrected visual acuity (BCVA) and distance-corrected near visual acuity (DCNVA) at 6-months follow-up after the surgery. The results were compared between the two groups. Results: In the non-high myopic group, 22 eyes (100%) and 19 eyes (86.4%) achieved a BCVA of 20/25 and 20/20 or better respectively. For the high myopic group, the results were 13 eyes (100%) and 12 eyes (92.3%) respectively, at 6 months after the surgery. In the non-high myopic group, 21 (95.4%) and 7 eyes (31.8%) achieved a DCNVA of 20/40 and 20/25 or better. For the high myopic group, the results were 13 (100%) and 4 eyes (30.8%) respectively, at 6 months after the surgery, the differences between the two groups for a BCVA of 20/25 or better and 20/20 or better and a DCNVA 20/40 or better and 20/25 or better were not statistically significant. Conclusions: Six months clinical outcome of cataract surgery with an AT-45 for the high myopic eyes was satisfactory; it was not significantly different from that of the non-high myopic eyes.
참고문헌 (36)
- Allen ED, "Comparison of a diffractive bifocal and a monofocal intraocular lens", J Cataract Refract Surg, 22, pp.446~51 (1996)
- Gray PJ, "Diffractive mutifocal intraocular lens implants for unilateral cataract in prepresbyopic patients", Br J Ophthalmol, 76, pp.336~7 (1992)
- Steinert RF, "A prospective comparative study of the AMO ARRAY zonal‐progressive multifocal silicone intraocular lens and a monofocal intraocular lens", Ophthalmology, 106, pp.1243~55 (1999)
- Kűchle M, "Implantation of a new accommodative posterior chamber intraocular lens", J Refract Surg, 18, pp.208~16 (2002)
- 김재휘, "조절인공수정체를 이용한 백내장 수술의 임상성적", 대한안과학회지, 48(3), pp.368~375 (2007), 대한안과학회
- Nakazawa M, "Apparent accommodation in pseudophakic eyes after implantation of posterior chamber intraocular lenses", Am J Ophthalmol, 96, pp.435~8 (1983)
- Trindade F, "Benefit of against‐the‐rule astigmatism to uncorrected near acuity", J Cataract Refract Surg, 23, pp.82~5 (1997)
- Coleman PJ, "On the hydraulic suspension theory of accommodation", Trans Am Ophthalmol Soc, 84, pp.846~68 (1986)
- Strenk SA, "Age‐related changes in human ciliary muscle and lens: a magnetic resonance imaging study", Invest Ophthalmol Vis Sci, 40, pp.1162~9 (1999)
- Cumming JS, "The measurement of vitreous cavity length and its comparison pre‐ and postoperatively", Eur J Implant Refract Surg, 6, pp.261~72 (1994)
- Cumming JS, "Experience with an accommodating IOL", J Cataract Refract Surg, 22, pp.1001~ (1996)
- Cumming JS, "Clinical evaluation of the model AT‐45 silicone accommodating intraocular lens", Ophthalmology, 108, pp.2005~10 (2001)
- Marchini G, "Ultrasound biomicroscopic changes during accommodation in eyes with accommodating intraocular lenses: pilot study and hypothesis for the mechanism of accommodation", J Cataract Refract Surg, 30, pp.2476~82 (2004)
- Stachs O, "Potentially accommodating intraocular lenses‐an in vitro and in vivo study using three‐dimensional high‐frequency ultrasound", J Refract Surg, 21, pp.37~45 (2005)
- Marchini G, "Ultrasound biomicroscopic changes during accommodation in eyes with accommodating intraocular lenses: pilot study and hypothesis for the mechanism of accommodation", J Cataract Refract Surg, 30, pp.2476~82 (2004)
- Koeppl C, "Pilocarpine‐induced shift of an accommodating intraocular lens: AT‐45 Crystalens", J Cataract Refract Surg, 31, pp.1290~7 (2005)
- Alio JL, "Near vision restoration with refractive lens exchange and pseudoaccommodating and multifocal refractive and diffractive intraocular lenses: comparative clinical study", J Cataract Refract Surg, 30, pp.2494~503 (2004)
- Buratto L, "Accommodative intraocular lenses: short‐term visual results of two different lens types", Eur J Ophthalmol, 16, pp.33~9 (2006)
- Cumming JS, "Clinical evaluation of the Crystalens AT‐45 accommodating intraocular lens: results of the U.S. food and drug administration clinical trial", J Cataract Refract Surg, 32, pp.812~25 (2006)
- Macsai MS, "Visual outcomes after accommodating intraocular lens implantation", J Cataract Refract Surg, 32, pp.628~33 (2006)
- Steinert RF, "A prospective comparative study of the AMO ARRAY zonal‐progressive multifocal silicone intraocular lens and a monofocal intraocular lens", Ophthalmology, 106, pp.1243~55 (1999)
- Jacobi PC, "Multifocal intraocular lens implantation in presbyopic patients with unilateral cataract", Ophthalmology, 109, pp.680~6 (2002)
- Kuchle M, "The Erlangen accommodative intraocular lens study group. Comparison of 6‐month results of implantation of the 1CU accommodative intraocular lens with conventional intraocular lenses", Ophthalmology, 111, pp.318~24 (2004)
- Dogru M, "Early visual results with the 1CU accommodating intraocular lens", J Cataract Refract Surg, 31, pp.895~902 (2005)
- Edwards MH, "The epidemiology of Myopia in Hong Kong", Ann Acad Med Singapore, 33, pp.34~8 (2004)
- 강신희, "대한민국 만19세 남자의 근시 유병율: 유병율과 교육수준 및 도시화의 관계", 대한안과학회지, 45(12), pp.2082~2087 (2004), 대한안과학회
- Munoz B, "Blindness, visual impairment and the problem of uncorrected refractive error in a Mexican‐American population: Proyecto VER", Invest Ophthalmol Vis Sci, 43, pp.608~14 (2002)
- Kempen JH, "The prevalence of refractive errors among adults in the United States, Western Europe, and Australia", Arch Ophthalmol, 122, pp.495~505 (2004)
- Pericival SPB, "High myopia: New definition and the significance of IOL implantation", Eur J Implant Refract Surg, 3, pp.137~40 (1986)
- Schelenz J, "Comparison of contact and immersion techniques for axial length measurement and implant power calculation", J Cataract Refract Surg, 15, pp.425~8 (1989)
- Shammas HJ, "A comparison of immersion and contact techniques for axial length measurement", J Am Intra‐ocular Implant Soc, 10, pp.444~7 (1984)
- Retzlaff JA, "Development of the SRK", T intraocular lens implant power calculation formula, 1990, pp.16, 333~40
- Sanders DR, "Comparison of the SRK", T formula and other theoretical and regression formulas, 1990, pp.16, 341~6
- Nawa Y, "Accommodation obtained per 1.0 mm forward movement of a posterior chamber intraocular lens", J Cataract Refract Surg, 29, pp.2069~72 (2003)
- Cazal J, "Accommodative intraocular lens tilting", Am J Ophthalmol, 140, pp.341~4 (2005)
- Jardim D, "Asymmetric vault of an accommodating intraocular lens", J Cataract Refract Surg, 32, pp.347~50 (2006)
