Effect of incision size on early postoperative visual rehabilitation after cataract surgery and intraocular lens implantation
| Autor: | Tarek Salah, Mohamed Anwar, Erfan Gazayerli, Fathi El-Sayyad, Adnan Marzouky, Akef El-Maghraby, Mohamed Matheen, Carol Ballew |
|---|---|
| Rok vydání: | 1993 |
| Předmět: |
Adult
Male medicine.medical_specialty Visual acuity medicine.medical_treatment Eye disease Visual rehabilitation Vision Disorders Visual Acuity Intraocular lens After cataract Uncorrected visual acuity Cataract Extraction Astigmatism Ophthalmology medicine Humans Methylmethacrylates Prospective Studies Aged Aged 80 and over Lenses Intraocular business.industry Suture Techniques Middle Aged medicine.disease Sensory Systems Surgery Silicone Elastomers Female medicine.symptom business Surgical incision Follow-Up Studies |
| Zdroj: | Journal of cataract and refractive surgery. 19(4) |
| ISSN: | 0886-3350 |
| Popis: | One hundred fifty-one unilateral cataract patients were randomly assigned to receive either a one-piece Staar AA-4203 silicone intraocular lens inserted through a 3.5 mm incision, an loptex 5 mm x 6 mm oval optic lens inserted through a 5.5 mm incision, or an AMO three-piece modified C-loop 6.0 round optic poly(methyl methacrylate) lens inserted through a 6.5 mm incision. Follow-up was 97% at two days postoperatively and 84% at one week and two months postoperatively. At one week postoperatively, 62% of 3.5 mm incision cases had uncorrected visual acuity of 20/40 or better compared with 33% of 5.5 mm (P < .01) and 43% of 6.5 mm incision cases. At two months postoperatively, 85% of 3.5 mm incision cases had uncorrected visual acuity of 20/40 or better compared with 64% of 6.5 mm (P < .05) and 71% of 5.5 mm incision cases. The 3.5 mm incision cases had significantly less total keratometric cylinder than other cases at all postoperative examinations (P < or = .001) and less surgically induced cylinder at two days and one week post-operatively (P < or = .02). The 5.5 mm and 6.5 mm incision cases did not differ significantly in visual acuity or astigmatism at any examination. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|