Journal Article10.1016/S0886-3350(02)01637-1
Reasons for secondary surgical intervention after phacoemulsification with posterior chamber lens implantation.
Soman Raman,Richard Redmond +1 more
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TL;DR: The indications for secondary intervention included unsatisfactory refractive outcome, posterior settlement of the IOL, unwanted imagery, inappropriate IOL power, and IOL dislocation.
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Abstract: Purpose To determine the indications for secondary surgical intervention in patients who had primary phacoemulsification with posterior chamber intraocular lens (IOL) implantation and to assess the final visual outcomes Setting Department of Ophthalmology, Scarborough Hospital, Scarborough, United Kingdom Methods The case notes of 17 patients (18 eyes) were reviewed to determine the reasons for secondary surgical intervention From September 1997 to December 2000 (40 months), 4388 primary phacoemulsification procedures with posterior chamber IOL implantation were performed Results Fifteen eyes required secondary surgical interventions for lens-related factors and 3, for surgeon-related factors All patients had satisfactory visual outcomes after the secondary intervention Conclusions The indications for secondary intervention included unsatisfactory refractive outcome, posterior settlement of the IOL, unwanted imagery, inappropriate IOL power, and IOL dislocation Secondary intervention can be performed safely and provides satisfactory final visual outcomes
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Modified Haigis Formula Effective Lens Position Equation for Ciliary Sulcus–Implanted Intraocular Lenses
TL;DR: IOL power calculation using the modified Haigis formula effective lens position equation improved refractive outcomes in eyes with sulcus-implanted intraocular lenses (IOLs).
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Minimizing the IOL power error induced by keratometric power.
TL;DR: The proposed new formula for IOL power calculation (PIOLadj) was prevalidated clinically in 81 eyes of 81 candidates for corneal refractive surgery and compared with Haigis, HofferQ, Holladay, and SRK/T formulas and could be valid with effective lens position optimization nondependent of the cornea power.
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TL;DR: Neodymium:YAG laser radial anterior relaxing capsulotomies done within three weeks of cataract surgery reduce the sphincter effect of the contraction and lessen the chronic zonular‐traction‐related complications of the condition, which may include spontaneous IOL dislocation and retinal detachment.
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