One-Year Follow-up of 1000 Cases of Silicone Intraocular Lens Implantation.

Choi, Kang Ho; Kim, Guang One; Lim, Seung Jeong

Case Report

Journal of the Korean Ophthalmological Society 1998;39(9):2048-2056.
Published online September 1, 1998.

One-Year Follow-up of 1000 Cases of Silicone Intraocular Lens Implantation.

Kang Ho Choi, Guang One Kim, Seung Jeong Lim

¹The Institute of Vision Research, College of Medicine, Yonsei University, Seoul, Korea.
²Department of Ophthalmology, College of Medicine, Yonsei University, Seoul, Korea.

실리콘 인공수정체 삽입 100예의 1년 추적관찰

최강호(Kang Ho Choi),김광원(Guang One Kim),임승정(Seung Jeong Lim)

Abstract

Implantation of silicone intraocular lens(IOL), which is inserted through a small incision, has as its advantages reduced postoperative astigmatism and early visual rehabilitation. It, however, has such disadvantages as unknown long-term biocompatibility, relatively more Nd:YAG laser-induced damage, and unstable fixation. Another difficulty is the possibility of damage to IOL and intraocular tissue during the process of folding and unfolding of the silicone IOL. One thousand cases of the silicone IOL implantation from Sept. 1993 to Mar. 1996 had been followed-up over 1 tear for intraoperative and postoperative complications. Postoperative conditions such as naked visual acuity, and intraocular pressure were also measured. Postoperative naked visual acuity showed fast recovery, with measurements above 20/50 in 71.8% and 85.1% atk postoperative Day 1 and Day 3, respectively. Intraoperative complication was observed in a single case in which an incomplete continuous curvilinear capsulorhexis resulted in cases(7.8%) of posterior capsule opacification requiring Nd:YAG laser posterior capsulotomy. None of the above 57 cases requiring Nd:YAG laser capsulotomy, however, resulted in reduced visual acuity. Other brane(0.4%), pupillary capture of the optic(0.4%), decentration of the IOL(0.3%) and elevated intraocular pressure(0.3%). The silicone IOL implantation showed early visual rehabilitation without severe intraoperative and postoperative complications.

Key Words: AMO SI-3-NB;Anterior capsular contracture;Optic capture;Posterior dapsular opacification;Silicone IOL