수정체낭원형절개 확장이 백내장 수술 후 인공수정체의 회전에 미치는 영향

• 영문명: Effects of Anterior Capsulotomy Extension on Rotational Stability of Intraocular Lens
• 발행기관: 대한안과학회
• 저자명: 김국영 진경현,Kook Young Kim, MD, Kyung Hyun Jin, MD, PhD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume53,number3, 403~411쪽, 전체 9쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2012.03.15

영문 초록

Purpose: To evaluate the effects of anterior capsulotomy extension on the rotational stability of four different types of intraocular lenses (IOLs) and to analyze factors influencing IOL rotation. Methods: The present single-center prospective study was comprised of 128 cataract patients (151 eyes) who underwent cataract surgery and received AcrySof IQ SN60WF, Tecnis ZA9003, Akreos MI60, or Zeiss XL Stabi ZO from March 2010 to December 2010. Sixty-four eyes received an anterior capsulotomy extension which was unintentionally created or performed using Vannas scissors after capsulorrhexis to prevent anterior capsular contracture. After pupil dilation, a digital retroillumination image of the IOL was taken on the operative day and 7 days postoperatively. Results: There was no statistically significant difference in IOL rotation between the 4 types of IOL (p > 0.05). The anterior capsulotomy extension group (2.72 ± 2.42°) and the non-extension group (3.24 ± 2.16°) did not show statistically significant differences in IOL rotation (p > 0.05). A positive correlation was observed between age and IOL rotation. Axial length, anterior chamber depth, and anterior chamber volume did not affect the degree of rotation. Conclusions: Among the 4 types of IOLs, there was no significant difference in rotational stability. Anterior capsulotomy extension to prevent anterior capsular contracture is not likely to significantly affect the rotational stability of IOLs; the 4 different types of IOL were stable in the eye and suitable as toric IOLs for correction of astigmatism. J Korean Ophthalmol Soc 2012;53(3):403-411

키워드

Cataract surgery, IOL rotation stability, Toric intraocular lens