Cited 0 times in
Comparison of long-term surgical outcomes for scleral-fixated versus retropupillary iris-claw intraocular lens
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 강현구 | - |
dc.contributor.author | 김민 | - |
dc.contributor.author | 김성수 | - |
dc.contributor.author | 변석호 | - |
dc.contributor.author | 최은영 | - |
dc.contributor.author | 고형준 | - |
dc.date.accessioned | 2021-12-28T17:22:33Z | - |
dc.date.available | 2021-12-28T17:22:33Z | - |
dc.date.issued | 2021-09 | - |
dc.identifier.issn | 1442-6404 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/187074 | - |
dc.description.abstract | Background: To compare the clinical features and long-term treatment outcomes of patients undergoing secondary intraocular lens (IOL) surgery with scleral-fixated (SFIOL) versus retropupillary iris-claw IOL (RPICIOL). Methods: Consecutive patients treated between June 2014 and December 2019 at two tertiary centres were retrospectively reviewed. The primary outcome was the best-corrected visual acuity (BCVA). Secondary outcomes included factors associated with significant corneal endothelial injury and postoperative redislocation. Results: This study included 395 eyes undergoing surgery with SFIOL (237 eyes, 60%) or RPICIOL (158 eyes, 40%), with no differences in baseline BCVA (p = 0.76) or endothelial cell density (ECD) (p = 0.39). Compared with the SFIOL group, the RPICIOL group had faster visual recovery (postoperative month 1, 20/37 vs. 20/46, p = 0.005) sustained to over 36 months (p = 0.034), favourable absolute prediction errors (within 0.5D, 67.3% vs. 54.9%, p = 0.027), and shorter operation times (52.7 vs. 60.9 min, p = 0.015). There was no difference in ECD after 12 months (P = 0.282). Over a mean follow-up duration of 33 months (152 cases >3 years, 38.5%), the SFIOL group experienced more cases of tilted/decentred IOLs (14 vs. 1, p = 0.006), suture exposure (7 vs. 0, p = 0.045), and redislocation (17.7% vs. 10.1%, p < 0.001). Multivariable regression showed that a final BCVA below 20/40 was associated with SFIOL (P = 0.007), older age (p = 0.001), intraoperative complications (p = 0.002), past history of vitrectomy/glaucoma surgery or uveitis (p = 0.046), and surgically induced astigmatism >1D (p = 0.029). Conclusions: RPICIOL appears to be a safe and effective surgical option for secondary IOL surgery over a long-term follow-up, comparing favourably against conventional SFIOL. | - |
dc.description.statementOfResponsibility | restriction | - |
dc.language | English | - |
dc.publisher | Wiley-Blackwell Pub. Asia | - |
dc.relation.isPartOf | CLINICAL AND EXPERIMENTAL OPHTHALMOLOGY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Lens Implantation, Intraocular | - |
dc.subject.MESH | Lenses, Intraocular* | - |
dc.subject.MESH | Postoperative Complications | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Sclera / surgery | - |
dc.subject.MESH | Treatment Outcome | - |
dc.subject.MESH | Visual Acuity | - |
dc.title | Comparison of long-term surgical outcomes for scleral-fixated versus retropupillary iris-claw intraocular lens | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Ophthalmology (안과학교실) | - |
dc.contributor.googleauthor | Hyun Goo Kang | - |
dc.contributor.googleauthor | Jae Won Jun | - |
dc.contributor.googleauthor | Eun Young Choi | - |
dc.contributor.googleauthor | Suk Ho Byeon | - |
dc.contributor.googleauthor | Sung Soo Kim | - |
dc.contributor.googleauthor | Hyoung Jun Koh | - |
dc.contributor.googleauthor | Min Kim | - |
dc.identifier.doi | 10.1111/ceo.13965 | - |
dc.contributor.localId | A04873 | - |
dc.contributor.localId | A00455 | - |
dc.contributor.localId | A00571 | - |
dc.contributor.localId | A01849 | - |
dc.contributor.localId | A05056 | - |
dc.relation.journalcode | J02853 | - |
dc.identifier.eissn | 1442-9071 | - |
dc.identifier.pmid | 34185377 | - |
dc.identifier.url | https://onlinelibrary.wiley.com/doi/10.1111/ceo.13965 | - |
dc.subject.keyword | endothelial cells | - |
dc.subject.keyword | intraocular | - |
dc.subject.keyword | intraoperative complications | - |
dc.subject.keyword | lens implantation | - |
dc.subject.keyword | treatment outcome | - |
dc.contributor.alternativeName | Kang, Hyun Goo | - |
dc.contributor.affiliatedAuthor | 강현구 | - |
dc.contributor.affiliatedAuthor | 김민 | - |
dc.contributor.affiliatedAuthor | 김성수 | - |
dc.contributor.affiliatedAuthor | 변석호 | - |
dc.contributor.affiliatedAuthor | 최은영 | - |
dc.citation.volume | 49 | - |
dc.citation.number | 7 | - |
dc.citation.startPage | 686 | - |
dc.citation.endPage | 695 | - |
dc.identifier.bibliographicCitation | CLINICAL AND EXPERIMENTAL OPHTHALMOLOGY, Vol.49(7) : 686-695, 2021-09 | - |
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.