Effect of a single-piece aspheric hydrophobic acrylic intraocular lens design on centration and rotation

Roshdy M. ; Riad R. ; Morkos F. ; Hassouna A. ; Wahba S. 


Abstract


Purpose: To assess the rotation and centration stability of the new design features of a 1-piece aspheric hydrophobic acrylic intraocular lens (IOL). Setting: National Eye Hospital, Cairo, Egypt. Design: Randomized clinical trial. Methods: Patients in this study had implantation of a 1-piece Tecnis 1 ZCB00 IOL or a 3-piece Sensar AR40e IOL. Decentration and rotation were recorded immediately postoperatively, and 2 to 3 days and 8 weeks postoperatively. This was done using 2 slitlamp eyepieces and referring to constant corneal landmarks (ie, the limbus and the phaco incision). Results: Thirty-two 1-piece IOLs and 30 3-piece IOLs were implanted. Although the 1-piece IOLs moved toward the corneal center more than the 3-piece IOLs between 3 days and 8 weeks postoperatively (P=.054), the difference was not statistically significant between 0 day and 3 days or during the entire follow-up (P=.546 and P=.367, respectively). There were no statistically significant differences in the horizontal or vertical components of this movement between the 2 groups (P=.883 and P=.636, respectively). The mean rotation was 2.5 degrees ± 9.1 (SD) in the 1-piece IOL group and 0 ± 6.5 degrees in the 3-piece IOL group, with no statistically significant difference between the groups (P=.521). Conclusion: The new 1-piece design showed relatively good centration and stability in the horizontal, vertical, and rotational aspects. Financial Disclosure: Drs. Roshdy, Riad, Morkos, Hassouna, and Wahba receive travel support from Abbott Medical Optics, Inc., Santa Ana, California, USA; Drs. Riad, Morkos, and Hassouna have equipment provided by Abbott Medical Optics, Inc., and Alcon Laboratories, Inc., Fort Worth, Texas, USA. No author has a financial or proprietary interest in any material or method mentioned. © 2012 ASCRS and ESCRS Published by Elsevier Inc.


Other data

Issue Date 1-Mar-2013
Journal Journal of Cataract and Refractive Surgery 
URI http://research.asu.edu.eg/123456789/304
DOI 10.1016/j.jcrs.2012.09.020


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