J Korean Ophthalmol Soc > Volume 53(6); 2012 > Article
Journal of the Korean Ophthalmological Society 2012;53(6):775-780.
DOI: https://doi.org/10.3341/jkos.2012.53.6.775    Published online June 15, 2012.
Choice of One-Piece Intraocular Lens Power and Changes of Anterior Chamber in Sulcus Implantation due to Posterior Capsular Rupture during Cataract Surgery.
Jong Yun Yang, Kyoung Tak Ma, Ji Hyun Kim
1Department of Ophthalmology and The Institute of Vision Research, Yonsei University College of Medicine, Seoul, Korea.
2Siloam Eye Hospital, Seoul, Korea. jhkim32@hanmail.net
3Jeil Eye Clinic, Suwon, Korea.
백내장 수술에서 후낭 파열로 인한 섬모체고랑 삽입 후 일체형 인공수정체 도수 결정 및 전방 변화
양종윤1,2, 마경탁3, 김지현2
Department of Ophthalmology and The Institute of Vision Research, Yonsei University College of Medicine1, Seoul, Korea
Siloam Eye Hospital2, Seoul, Korea
Jeil Eye Clinic3, Suwon, Korea
To evaluate the appropriate correction of predicted intraocular lens (IOL) power when sulcus implantation due to posterior capsular rupture was performed and to compare the anterior chamber angle of sulcus-implanted eyes with in-the-bag implanted eyes using anterior segment optical coherence tomography (Visante OCT). METHODS: Fifty-two eyes of 52 patients who had IOL implantation in the sulcus due to posterior capsular rupture during cataract surgery were retrospectively reviewed. A 0.5 lower diopter IOL than predicted IOL power using SRK-T formula was chosen. The difference between the predicted refractive error and the spherical equivalence at the 3-month time-point after sulcus implantation were evaluated. Among 52 patients, 16 patients whose fellow eye had an in-the-bag IOL implantation underwent Visante OCT and the anterior angle of affected eyes and normal fellow eyes were compared. RESULTS: The difference between the predicted refractive error using SRK-T formula and the spherical equivalence after sulcus implantation was a myopic shift of 0.597 +/- 0.879 diopter. The mean iridocorneal angles, angle opening distance (AOD), trabecular iris surface area (TISA) at 500 um and 750 um for both nasal and temporal sides in sulcus implantation were all significantly lower than in-the-bag implantation. CONCLUSIONS: A choice of a 0.5 lower diopter power IOL than the power for in-the-bag implantation may be considered because of greater myopic shift than predicted refractive error when sulcus implantation due to posterior rupture is performed. Anterior chamber angle in sulcus IOL implantation was shallower than in-the-bag IOL implantation.
Key Words: Angle;Anterior segment optical coherence tomography;Intraocular lens implantation;Posterior capsular rupture

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