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A. Bruscolini, M. Accorinti, F. Bozzoni-Pantaleoni, M. P. Pirraglia, A. Mastromatteo, P. Pivetti-Pezzi; Biocompatibility and Visual Outcomes After Implantation of 1CU Accomodative Intraocular Lens in Patients With Fuchs’ Heterocromic Iridocyclitis. Invest. Ophthalmol. Vis. Sci. 2007;48(13):3916. doi: https://doi.org/.
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© ARVO (1962-2015); The Authors (2016-present)
to evaluate biocompatibility and visual outcomes after acrylic 1CU accomodative intraocular lens (IOL) implantation in unilateral Fuchs’ heterocromic iridocyclitis (FHI) - related cataract
ten patients (3F,7M) aged 18 to 40 years (mean 32.6±6.48 years) with unilateral FHI and complicated cataract underwent phacoemulsification and 1CU accomodative IOL implantation. Main outcomes measures were: clinical course of FHI before and after surgery, uncorrected distance visual acuity (UDVA), uncorrected near visual acuity (UNVA), range of accomodation with subjective and objective (ultrasound biomicroscopy -UBM) methods, stereopsis and rate of complications were evaluated at time 7, 30, 180 days after surgery.
if compared with the preoperative reaction, chronic intraocular inflammation resulted unchanged at 30 and 180 days post-surgery. Seven days after surgery UDVA was ≥ 6/10 in 9 pts (90%), best corrected distance visual acuity (BCDVA) ≥ 8/10 in 9 pts (90%). Eight pts (80%) achieved an UNVA of J3 and 2 pts (20%) of J4.At 30 and 180 days the UDVA was ≥ 8/10 and BCDVA of 10/10 in 8 pts. Two patients showed BCDVA of 7/10 because of vitreal haze. Near visual acuity remained unchanged at days 30, while 180 days after surgery 60% had J2 or J3 UNVA and 90% J2 with or without near correction (mean: +1.5 diopter).Mean accomodation amplitude was 1.77±0.47 diopters (subjective near point) and mean decrease of ACD (UBM) was 0.6 ± 0.08 mm.A good stereopsis was achieved in all patients at 30 days and remained stable during the follow-up. At 180 days 2 pts (20%) developed posterior capsule opacification requiring YAG laser capsulotomy.
The 1CU IOL implantation in young patients with unilateral FHI showed a good biocompatibility at medium term and provided satisfying visual rehabilitation in term of near visual acuity, accommodation and stereopsis
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