Capsular bag–fixated and ciliary sulcus‐fixated intraocular lens centration after supplementary intraocular lens implantation in the same eye. Issue 5 (May 2017)

• Record Type: Journal Article
• Authors: Prager, Franz; Amon, Michael; Wiesinger, Joerg; Wetzel, Barbara; Kahraman, Guenal
• Is Part Of: Journal of cataract and refractive surgery. Volume 43:Issue 5(2017)
• Publication Date: 2017-05
• Subjects: 617.7
• DOI: 10.1016/j.jcrs.2017.01.020
• Languages: English
• ISSNs: 0886-3350

Abstract

Abstract : Purpose : To assess capsular bag and sulcus intraocular lens (IOL) centration in eyes that had implantation of a sulcus‐fixated supplementary IOL anterior to a preexisting capsular bag IOL. Setting : Academic Teaching Hospital of St. John, Vienna, Austria. Design : Retrospective case series. Methods : A sulcus‐fixated supplementary IOL (Sulcoflex) was implanted anterior to a preexisting capsular bag IOL. The geometric center of preexisting capsular bag IOLs and newly implanted sulcus‐fixated IOLs was evaluated at least 12 months postoperatively and in relation to the geometric center of the pupil and limbus. Results : The study comprised 48 eyes of 43 patients with a mean follow‐up of 25 months (range 12 to 84 months). The mean decentration of the capsular bag–fixated IOL was 0.29 mm ± 0.02 (SEM) when compared with the limbus and 0.29 ± 0.03 mm when compared with the dilated pupil. The mean decentration of the sulcus‐fixated IOL was 0.23 ± 0.02 mm in relation to the limbus and 0.22 ± 0.02 mm when in relation to the dilated pupil. Sulcus‐fixated supplementary IOLs showed significantly better centration than bag‐fixated IOLs when compared with the limbus and with the pupil (both P = .03, paired t test). Conclusions : Implantation of a sulcus‐fixated supplementary IOL resulted in good centration of capsular bag–fixated IOLs and ciliary sulcus‐fixated IOLs. However, ciliary sulcus‐fixated IOLs achieved significantly better centration.