Abstract
Abstract: :
Purpose: To compare the frequency of use and outcome measures for refined open-loop anterior chamber intraocular lenses (ACIOL) and transsclerally-sutured posterior chamber intraocular lenses in cases of cataract extraction involving lack of capsular support. Methods: A retrospective review of the medical records of patients undergoing lens implantation at Bascom Palmer Eye Institute between the years of 1988 and 2000. Indications for a particular lens type, patient characteristics, and clinical outcomes (including visual acuity, spherical equivalent and complication rate) were evaluated. Results: No difference in visual acuity or incidence of complications (including retinal detachment, infection, inflammation, cystoid macular edema, elevation of intraocular pressure, suture erosion, and hemorrhage) exists between patients undergoing implantation of ACIOLs and patients receiving sutured posterior chamber lenses. Average length of follow-up was four years post surgery. Conclusion: Refined open-loop anterior chamber intraocular lenses may be considered an alternative to sutured posterior chamber lenses in certain subgroups of patients who lack appropriate capsular support.
Keywords: 338 cataract • 353 clinical (human) or epidemiologic studies: outcomes/complications • 317 anterior chamber