Ursache von Austausch und Explantation von Intraokularlinsen

Neuhann, Irmingard M.; Fleischer, F.; Neuhann, Th.

doi:10.1055/s-0031-1299520

Cited by 12 publications

(9 citation statements)

References 7 publications

(9 reference statements)

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“…The incidence of lens explant in this study was very low and comparable between groups ( Table 3 ). In the literature, the most common reasons for IOL explants are lens dislocation, incorrect IOL power, dissatisfaction with image quality (photic phenomena, contrast sensitivity) or IOL opacification 17 , 23 , 24 In this study, the percentage of patients requiring a lens explant due to dissatisfaction with image quality was higher in younger patients (1.3% in group A: 45–49 years, as opposed to 0.6% or less in remaining categories). However, this difference did not reach statistical significance.…”

Section: Discussionmentioning

confidence: 55%

Refractive lens exchange in younger and older presbyopes: comparison of complication rates, 3 months clinical and patient-reported outcomes

Schallhorn¹,

Schallhorn²,

Pelouskova³

et al. 2017

OPTH

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PurposeTo compare refractive and visual outcomes, patient satisfaction, and complication rates among different age categories of patients who underwent refractive lens exchange (RLE).MethodsA stratified, simple random sample of patients matched on preoperative sphere and cylinder was selected for four age categories: 45–49 years (group A), 50–54 years (group B), 55–59 years (group C), and 60–65 years (group D). Each group contained 320 patients. All patients underwent RLE with a multifocal intraocular lens at least in one eye. Three months postoperative refractive/visual and patient-reported outcomes are presented.ResultsThe percentage of patients that achieved binocular uncorrected distance visual acuity 20/20 or better was 91.6% (group A), 93.8% (group B), 91.6% (group C), 88.8% (group D), P=0.16. Binocularly, 80.0% of patients in group A, 84.7% in group B, 78.9% in group C, and 77.8% in group D achieved 20/30 or better uncorrected near visual acuity (P=0.13). The proportion of eyes within 0.50 D of emmetropia was 84.4% in group A, 86.8% in group B, 85.7% in group C, and 85.8% in group D (P=0.67). There was no statistically significant difference in postoperative satisfaction, visual phenomena, dry eye symptoms, distance or near vision activities. Apart from higher rate of iritis in the age group 50–55 years, there was no statistically significant difference in postoperative complication rates.ConclusionRLE can be safely performed in younger as well as older presbyopes. No significant difference was found in clinical or patient-reported outcomes.

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Section: Discussionmentioning

confidence: 55%

Refractive lens exchange in younger and older presbyopes: comparison of complication rates, 3 months clinical and patient-reported outcomes

Schallhorn¹,

Schallhorn²,

Pelouskova³

et al. 2017

OPTH

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“…Наибольшее распространение получили модели ИОЛ с двумя незамкнутыми опорными элементами. В случаях замены переднекамерной или зрачковой ИОЛ вследствие позиционных осложнений (дислокация, децентрация) появилась возможность реимплантации с использованием ИОЛ из полиметилметакрилата с двумя гибкими опорными элементами, а в последующие годы эластичных ИОЛ, которые располагаются в цилиарной борозде с бесшовной или дополнительной шовной фиксацией [23][24][25][26].…”

Section: обзоры литературы Literature Reviewsunclassified

“…Внедрение в клиническую практику и совершенствование ИОЛ из эластичных материалов позволило выполнять реимплантацию ИОЛ через малый разрез фиброзной оболочки и значительно расширило выбор хирурга в осложненных ситуациях. Методы ретро пупиллярной фиксации ИОЛ из эластичных материалов принципиально не имеют существенных отличий от таковых при реимплантации жестких ИОЛ [23,24,26,42,43]. В целях снижения травматичности реимплантации предлагается удалять только оптику эластичной ИОЛ, оставляя при этом гаптические элементы в экваторе капсульного мешка.…”

Section: обзоры литературы Literature Reviewsunclassified

Evolution of IOL exchange. Part 1. Development of methods for IOL exchange

Yusef¹,

Yusef²,

Ivanov³

et al. 2020

Vestn. oftal'mol.

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“…Rund 8% der Linsen waren Multifokallinsen, davon die Hälfte wegen Fehlrefraktion. Monokuläre Doppelbilder bei einer monofokalen Linse war nur in 1 von 105 Fällen der Grund für die Explantation [19]. Bei der Monovision besteht darüber hinaus die Möglichkeit, mit einer LASIK oder einer Add-on-Intraokularlinse wieder Emmetropie in beiden Augen herzustellen.…”

Section: Ideale Anisometropie Bei Monovisionunclassified

Individualisierte Presbyopiekorrektur bei der Kataraktoperation: Monovision und Multifokallinsen

Aurich

Pham

2014

Klin Monatsbl Augenheilkd

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The cataract operation has transformed from a procedure for correcting spherical and astigmatic errors to one for correcting even presbyopia. Higher demands by the patients and more and more complex and individual lifestyle options need customised concepts of presbyopic correction, taking also into account comorbidities and neuroadaption. One concept for achieving this goal is multifocal lenses, undergoing a renaissance these days. Monovision using monofocal lenses is a cost neutral alternative with very few side effects, if well performed. It is defined by the far focus of one eye and the near focus of the other. Binocularity of human vision enables multiple options by combining different means of presbyopia correction. But it also complicates making the right choice. This underlines the importance of an accurate patient selection and the precise definition of what to achieve for each individual patient.

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Ursache von Austausch und Explantation von Intraokularlinsen

Abstract: The reasons for IOL exchange presented in this study are comparable to those of other series in the literature. Explantations due to optical problems may gain weight in the future due to a rise in refractive procedures and demands.

Cited by 12 publications

References 7 publications

Refractive lens exchange in younger and older presbyopes: comparison of complication rates, 3 months clinical and patient-reported outcomes

Refractive lens exchange in younger and older presbyopes: comparison of complication rates, 3 months clinical and patient-reported outcomes

Evolution of IOL exchange. Part 1. Development of methods for IOL exchange

Individualisierte Presbyopiekorrektur bei der Kataraktoperation: Monovision und Multifokallinsen

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