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[PMID]: 28470642 [Au] Autor: Hammer A; Wolfensberger TJ [Ad] Endereço: Jules Gonin Eye Hospital, University of Lausanne, Lausanne, Switzerland. [Ti] Título: Iris Clip Lens Implantation with Novel Approach for Aphakia After Previous Filtration Surgery. [Ti] Título: Irisfixierte Linsenimplantation nach Filtrationschirurgie.. [So] Source: Klin Monbl Augenheilkd;234(4):432-435, 2017 Apr. [Is] ISSN: 1439-3999 [Cp] País de publicação: Germany [La] Idioma: eng [Ab] Resumo: To present a novel and simplified surgical technique of Artisan lens implantation for intraocular lens luxation and aphakia in glaucoma patients with previous superior filtration surgery. Analysis of 12 patients with a history of previous superior filtration surgery for glaucoma, who underwent artisan lens implantation. To allow lens manipulation and implantation without alteration of the filtration bleb, the main sclerocorneal incision was performed laterally and the Artisan lens was held in place for enclavation of the iris stroma via a superior corneal incision without disturbing the filtration bleb. Mean pre-operative visual acuity was 0.54 ± 0.85 LogMAR, and intraocular pressure (IOP) was 15.8 ± 7.7 mmHg. At the end of follow-up (11.6 ± 8.1 months), visual acuity had improved to 0.32 ± 0.57 LogMAR and intraocular pressure was 14.7 ± 5.4 mmHg. No disturbance of the filtration bleb was observed. Artisan lens implantation can be performed successfully via a combined lateral and superior approach despite the presence of a filtration bleb at the 12 o'clock position. [Mh] Termos MeSH primário: Afacia/terapia Cirurgia Filtrante/instrumentação Cirurgia Filtrante/métodos Implante de Lente Intraocular/instrumentação Implante de Lente Intraocular/métodos Lentes Intraoculares [Mh] Termos MeSH secundário: Idoso Idoso de 80 Anos ou mais Afacia/diagnóstico Terapia Combinada/instrumentação Terapia Combinada/métodos Feminino Seres Humanos Iris/cirurgia Masculino Resultado do Tratamento Acuidade Visual [Pt] Tipo de publicação: CASE REPORTS; JOURNAL ARTICLE [Em] Mês de entrada: 1802 [Cu] Atualização por classe: 180228 [Lr] Data última revisão: 180228 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170505 [St] Status: MEDLINE [do] DOI: 10.1055/s-0043-104430

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[PMID]: 29465569 [Au] Autor: Kang MJ; Joo CK [Ad] Endereço: Department of Ophthalmology and Catholic Institute for Visual Science, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea. [Ti] Título: Three cases of a torn haptic after scleral fixation using a hydrophobic acrylic intraocular lens: Case reports. [So] Source: Medicine (Baltimore);97(8):e9853, 2018 Feb. [Is] ISSN: 1536-5964 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: RATIONALE: We report 3 cases of a torn haptic after successful scleral fixation with a hydrophobic acrylic intraocular lens. PATIENT CONCERNS: Patients complained of decreased visual acuity about 1 week to 1 month after scleral fixation. DIAGNOSES: In all 3 cases, the direction of the damaged haptic correlated with the direction of the pulling force made by the hung suture material. Observation of a cheese-wiring effect on scanning electron microscopy suggested that the haptic was cut by the suture. INTERVENTIONS: Patients underwent re-scleral fixation with caution. OUCTOMES: There was no complication of broken haptic after re-scleral fixation. LESSONS: To avoid unexpected haptic tears, great caution is needed; surgeons should avoid applying excessive pulling force to the intraocular lens when performing scleral fixation using a hydrophobic acrylic intraocular lens. [Mh] Termos MeSH primário: Implante de Lente Intraocular/métodos Lentes Intraoculares Esclera/cirurgia [Mh] Termos MeSH secundário: Acrilatos Idoso Feminino Seres Humanos Masculino Meia-Idade Complicações Pós-Operatórias Reoperação Técnicas de Sutura Transtornos da Visão/etiologia Adulto Jovem [Pt] Tipo de publicação: CASE REPORTS; JOURNAL ARTICLE [Nm] Nome de substância: 0 (Acrylates) [Em] Mês de entrada: 1802 [Cu] Atualização por classe: 180227 [Lr] Data última revisão: 180227 [Sb] Subgrupo de revista: AIM; IM [Da] Data de entrada para processamento: 180222 [St] Status: MEDLINE [do] DOI: 10.1097/MD.0000000000009853

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[PMID]: 29422749 [Au] Autor: Al Somali AI; Al-Dossari FN; Emara KE; Al Habash A [Ad] Endereço: Department of Ophthalmology, King Faisal University, Al Ahsa, Kingdom of Saudi Arabia. [Ti] Título: Outcomes of Scleral-fixated Intraocular-lens in Children with Idiopathic Ectopia Lentis. [So] Source: Middle East Afr J Ophthalmol;24(4):167-170, 2017 Oct-Dec. [Is] ISSN: 0975-1599 [Cp] País de publicação: India [La] Idioma: eng [Ab] Resumo: PURPOSE: The purpose of the study was to review the safety and stability of scleral-fixated intraocular lens (IOL) 2 years after implantation in children with idiopathic ectopia lentis (EL). METHODS: This retrospective case series enrolled children with EL managed between 2011 and 2015 at a tertiary eye hospital in the eastern of Saudi Arabia. Data were collected on age, gender, vision, isolated or syndromic pathology, intraoperative and postoperative complications, spherical equivalent refraction, and final best-corrected visual acuity (BCVA). RESULTS: The series included 18 eyes of 11 children with EL (6 males and 5 females). There were 7 bilateral and 4 unilateral cases. The median age was 3.5 years (25% quartile 1 year; range: 1-8 years). Preoperatively, fixation was absent in 3 eyes, 8 eyes were fixating but vision could not be recorded. In the remaining seven eyes, median distant visual acuity was 0.1 (25% quartile: 0.08). The median postoperative follow-up was 24 months (25% quartile, 7 months). Complications included two eyes with iris capture and one eye with lens subluxation requiring re-implantation. Postoperative BCVA was better than 20/60 in 15 (83%) eyes. At last follow-up, 6 eyes required myopic correction, 1 eye was emmetropic, and 11 eyes were hypermetropic. One eye with glaucoma was managed medically. CONCLUSION: Scleral fixated IOL in eyes of young children with EL had good visual outcomes and high stability. However, there is a high incidence of residual refractive error. [Mh] Termos MeSH primário: Ectopia do Cristalino/cirurgia Implante de Lente Intraocular/métodos Lentes Intraoculares Esclera/cirurgia [Mh] Termos MeSH secundário: Criança Pré-Escolar Ectopia do Cristalino/fisiopatologia Feminino Seguimentos Seres Humanos Lactente Masculino Estudos Retrospectivos Resultado do Tratamento Acuidade Visual/fisiologia [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1802 [Cu] Atualização por classe: 180223 [Lr] Data última revisão: 180223 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 180210 [St] Status: MEDLINE [do] DOI: 10.4103/meajo.MEAJO_105_16

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[PMID]: 29227508 [Au] Autor: Tandogan T; Son HS; Choi CY; Knorz MC; Auffarth GU; Khoramnia R [Ti] Título: Laboratory Evaluation of the Influence of Decentration and Pupil Size on the Optical Performance of a Monofocal, Bifocal, and Trifocal Intraocular Lens. [So] Source: J Refract Surg;33(12):808-812, 2017 Dec 01. [Is] ISSN: 1081-597X [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: PURPOSE: To assess the influence of decentration and aperture size on the optical quality of different intraocular lenses (IOLs) of the same material, body design, and refractive power using standardized optical bench testing. METHODS: Using an optical bench set-up, an aspheric monofocal (CT ASPHINA 409M; Carl Zeiss Meditec, Jena, Germany), an aspheric diffractive bifocal (AT LISA 809M; Carl Zeiss Meditec), and an aspheric diffractive trifocal (AT LISA 839M; Carl Zeiss Meditec) intraocular lens (IOL) were evaluated, each with the same distance power, body design, and material. Modulation transfer function (MTF) values were measured at spatial frequencies of 50 lp/mm and aperture sizes of 3 and 4.5 mm. Each IOL was measured while centered, then decentered by 0.25, 0.5, 0.75, and 1 mm. RESULTS: MTF values for the monofocal IOL at far focus with 3- and 4.5-mm aperture size were 0.80/0.80 with maximum reduction to 0.77/0.73 for 1-mm decentration, respectively. Centered IOL MTFs of the bifocal and trifocal IOLs were lower for the far focus at 0.46/0.41 and 0.39/0.26, with reduction at 1-mm decentration to 0.35/0.25 and 0.25/0.18, respectively. Values for near focus of the bifocal and trifocal IOLs reduced from 0.27/0.31 and 0.19/0.18 to 0.2/0.21 and 0.12/0.13, respectively. The trifocal intermediate focus MTF reduced from 0.15/0.10 to 0.12/0.08. MTF values of all three lenses decreased significantly under all conditions with decentration of 0.5 to 0.75 mm. CONCLUSIONS: Monofocal lenses were least negatively affected by decentration, with mean optical quality reduction of less than 10% for 1-mm decentration at physiological pupil sizes. For diffractive bifocal and trifocal lenses, optical quality at all distances was significantly reduced if decentration exceeded 0.75 mm, with intermediate focus showing the least reduction. [J Refract Surg. 2017;33(12):808-812.]. [Mh] Termos MeSH primário: Migração do Implante de Lente Intraocular/fisiopatologia Iris/anatomia & histologia Lentes Intraoculares Óptica e Fotônica Pseudofacia/fisiopatologia Pupila/fisiologia Refração Ocular/fisiologia [Mh] Termos MeSH secundário: Seres Humanos Modelos Teóricos Desenho de Prótese Visão Ocular [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1802 [Cu] Atualização por classe: 180223 [Lr] Data última revisão: 180223 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 171212 [St] Status: MEDLINE [do] DOI: 10.3928/1081597X-20171004-02

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[PMID]: 29227507 [Au] Autor: Nistad K; Göransson F; Støle E; Shams H; Gjerdrum B [Ti] Título: The Use of Capsular Tension Rings to Reduce Refractive Shift in Patients With Implantation of Trifocal Intraocular Lenses. [So] Source: J Refract Surg;33(12):802-806, 2017 Dec 01. [Is] ISSN: 1081-597X [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: PURPOSE: To determine whether use of a capsular tension ring (CTR) can increase refractive stability in patients with implantation of two different trifocal intraocular lenses (IOLs). METHODS: A prospective, consecutive series of eyes underwent refractive lens exchange with implantation of two different trifocal IOL designs: FineVision Micro F (non-toric) and FineVision POD FT (toric) (PhysIOL, Liege, Belgium). Power calculation was determined using the Haigis formula. Refractive lens exchange surgery was performed according to the standard Memira protocol. Refractive results and stability were assessed at 2 weeks and 3 months postoperatively. RESULTS: Three hundred eighty-eight eyes were included in the analysis. Overall, 71% and 76% of MicroF eyes implanted with (n = 139) and without (n = 104) a CTR, respectively, had hyperopic shift; 9% of MicroF eyes with a CTR had a shift of greater than +0.50 to +0.75 or less diopters (D) and 4% had a shift of greater than +0.75 D. In MicroF eyes without a CTR, 12% and 3% of eyes experienced a refractive shift of greater than +0.50 to +0.75 D or less and greater than +0.75 D, respectively. In the POD FT group, 72% and 69% of eyes with (n = 81) and without (n = 64) a CTR, respectively, had hyperopic shift; 10% of POD FT eyes with a CTR had a change of greater than +0.50 to +0.75 D or less and 7% had a shift of greater than +0.75 D. In POD FT eyes without a CTR, 13% and 3% experienced a refractive shift of greater than +0.50 to +0.75 D or less and greater than +0.75 D, respectively. For the MicroF design, the best refractive stability was found in the CTR group and the poorest stability in the non-CTR group (P = .084). For the POD FT design, the best refractive stability was found in the non-CTR group and the poorest stability in the CTR group (P = .297). CONCLUSIONS: Up to 7% of eyes implanted with FineVision trifocal IOLs had a hyperopic shift of greater than +0.75 D approximately 2 weeks to 3 months postoperatively. Using a CTR in MicroF eyes had no statistically significant effect on refractive stability. Placing a CTR with POD FT IOLs appeared to reduce refractive stability, although not significantly. [J Refract Surg. 2017;33(12):802-806.]. [Mh] Termos MeSH primário: Lentes Intraoculares Facoemulsificação Próteses e Implantes Implante de Prótese Erros de Refração/prevenção & controle [Mh] Termos MeSH secundário: Idoso Feminino Seres Humanos Implante de Lente Intraocular Masculino Meia-Idade Estudos Prospectivos Pseudofacia/fisiopatologia Refração Ocular/fisiologia Testes Visuais Acuidade Visual/fisiologia [Pt] Tipo de publicação: COMPARATIVE STUDY; JOURNAL ARTICLE [Em] Mês de entrada: 1802 [Cu] Atualização por classe: 180223 [Lr] Data última revisão: 180223 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 171212 [St] Status: MEDLINE [do] DOI: 10.3928/1081597X-20170829-02

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[PMID]: 29227506 [Au] Autor: Ferreira TB; Ribeiro P; Ribeiro FJ; O'Neill JG [Ti] Título: Comparison of Methodologies Using Estimated or Measured Values of Total Corneal Astigmatism for Toric Intraocular Lens Power Calculation. [So] Source: J Refract Surg;33(12):794-800, 2017 Dec 01. [Is] ISSN: 1081-597X [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: PURPOSE: To compare the prediction error in the calculation of toric intraocular lenses (IOLs) associated with methods that estimate the power of the posterior corneal surface (ie, Barrett toric calculator and Abulafia-Koch formula) with that of methods that consider real measures obtained using Scheimpflug imaging: a software that uses vectorial calculation (Panacea toric calculator: http://www.panaceaiolandtoriccalculator.com) and a ray tracing software (PhacoOptics, Aarhus Nord, Denmark). METHODS: In 107 eyes of 107 patients undergoing cataract surgery with toric IOL implantation (Acrysof IQ Toric; Alcon Laboratories, Inc., Fort Worth, TX), predicted residual astigmatism by each calculation method was compared with manifest refractive astigmatism. Prediction error in residual astigmatism was calculated using vector analysis. RESULTS: All calculation methods resulted in overcorrection of with-the-rule astigmatism and undercorrection of against-the-rule astigmatism. Both estimation methods resulted in lower mean and centroid astigmatic prediction errors, and a larger number of eyes within 0.50 diopters (D) of absolute prediction error than methods considering real measures (P < .001). Centroid prediction error (CPE) was 0.07 D at 172° for the Barrett toric calculator and 0.13 D at 174° for the Abulafia-Koch formula (combined with Holladay calculator). For methods using real posterior corneal surface measurements, CPE was 0.25 D at 173° for the Panacea calculator and 0.29 D at 171° for the ray tracing software. CONCLUSIONS: The Barrett toric calculator and Abulafia-Koch formula yielded the lowest astigmatic prediction errors. Directly evaluating total corneal power for toric IOL calculation was not superior to estimating it. [J Refract Surg. 2017;33(12):794-800.]. [Mh] Termos MeSH primário: Astigmatismo/diagnóstico Córnea/patologia Implante de Lente Intraocular Lentes Intraoculares Óptica e Fotônica/métodos [Mh] Termos MeSH secundário: Adulto Idoso Idoso de 80 Anos ou mais Biometria/métodos Topografia da Córnea Feminino Seres Humanos Masculino Meia-Idade Nomogramas Facoemulsificação Refração Ocular/fisiologia Estudos Retrospectivos Acuidade Visual/fisiologia [Pt] Tipo de publicação: COMPARATIVE STUDY; JOURNAL ARTICLE [Em] Mês de entrada: 1802 [Cu] Atualização por classe: 180223 [Lr] Data última revisão: 180223 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 171212 [St] Status: MEDLINE [do] DOI: 10.3928/1081597X-20171004-03

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[PMID]: 29409483 [Au] Autor: Xue K; Jolly JK; Mall SP; Haldar S; Rosen PH; MacLaren RE [Ad] Endereço: Oxford Eye Hospital, Oxford Universities Hospitals NHS Foundation Trust, Oxford, UK. kanmin.xue@ndcn.ox.ac.uk. [Ti] Título: Real-world refractive outcomes of toric intraocular lens implantation in a United Kingdom National Health Service setting. [So] Source: BMC Ophthalmol;18(1):30, 2018 Feb 06. [Is] ISSN: 1471-2415 [Cp] País de publicação: England [La] Idioma: eng [Ab] Resumo: BACKGROUND: With increasing availability of toric intraocular lenses (IOL) for cataract surgery, real-world refractive outcome data is needed to aid the counselling of patients regarding lens choice. We aim to assess the outcomes of toric intraocular lens use in the non-specialist environment of a typical United Kingdom NHS cataract service. METHODS: A retrospective cohort study conducted at the Oxford Eye Hospital, Oxford University Hospitals NHS Foundation Trust, UK. All patients who received a toric IOL implant over a 10 months period. Patients underwent pre-operative corneal marking, phacoemulsification and toric IOL implantation. Biometry was obtained using a Zeiss IOLMaster 500 and the toric IOLs were selected using the manufacturers' online calculators. Post-operative refractions were obtained from optometrist's manifest refraction or by autorefraction. The outcome measures were post-operative unaided visual acuity (UVA), spherical equivalent refraction, cylindrical correction and all complications. RESULTS: Thirty-two eyes of 24 patients aged 21-86 years (mean 66.4, SD 14.5) were included. UVA was superior to pre-operative best-corrected visual acuity (BCVA) in 81% of eyes, same in 16% and inferior in 3%, resulting in a median improvement of 0.20 LogMAR (IQR 0.10 to 0.30). 56%, 81%, 94% and 100% of eyes were within ±0.5, ±1.0, ±1.5 and ±2.0 D of predicted spherical equivalent, respectively. Three (9%) eyes required further surgery to rectify significant IOL rotation. CONCLUSIONS: Reduced cylindrical correction and improved UVA could be expected in the majority of patients undergoing toric IOL implantation. Patients should be counselled about the risk of lens rotation. [Mh] Termos MeSH primário: Astigmatismo/fisiopatologia Implante de Lente Intraocular Lentes Intraoculares Facoemulsificação Pseudofacia/fisiopatologia Refração Ocular/fisiologia Acuidade Visual/fisiologia [Mh] Termos MeSH secundário: Adulto Idoso Idoso de 80 Anos ou mais Feminino Seres Humanos Masculino Meia-Idade Estudos Retrospectivos Medicina Estatal Reino Unido Adulto Jovem [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1802 [Cu] Atualização por classe: 180216 [Lr] Data última revisão: 180216 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 180208 [St] Status: MEDLINE [do] DOI: 10.1186/s12886-018-0692-7

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[PMID]: 29284455 [Au] Autor: Lee H; Kang DSY; Ha BJ; Choi JY; Kim EK; Seo KY; Kim TI [Ad] Endereço: Department of Ophthalmology, International St. Mary's Hospital, Catholic Kwandong University College of Medicine, Incheon, South Korea. [Ti] Título: Visual rehabilitation in moderate keratoconus: combined corneal wavefront-guided transepithelial photorefractive keratectomy and high-fluence accelerated corneal collagen cross-linking after intracorneal ring segment implantation. [So] Source: BMC Ophthalmol;17(1):270, 2017 Dec 29. [Is] ISSN: 1471-2415 [Cp] País de publicação: England [La] Idioma: eng [Ab] Resumo: BACKGROUND: To investigate the effects of combined corneal wavefront-guided transepithelial photorefractive keratectomy (tPRK) and accelerated corneal collagen cross-linking (CXL) after intracorneal ring segment (ICRS) implantation in patients with moderate keratoconus. METHODS: Medical records of 23 eyes of 23 patients undergoing combined tPRK and CXL after ICRS implantation were retrospectively analyzed. Uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), manifest refraction spherical equivalent (MRSE), corneal indices based on Scheimpflug tomography, higher-order aberrations (HOAs), and corneal biomechanical properties were evaluated before and after ICRS implantation, and at 1, 3, and 6 months after combined tPRK and CXL. RESULTS: There were significant improvements in final logMAR UDVA and logMAR CDVA, and reductions in sphere, MRSE, and all corneal indices from baseline. Significant improvements in logMAR UDVA and reductions in sphere, MRSE, maximal keratometry, keratometry at the apex, mean keratometry, and keratoconus index were noted after ICRS implantation. After tPRK and CXL, significant improvements in logMAR UDVA and logMAR CDVA, and reductions in cylinder and all corneal indices were observed. There were significant improvements in final root mean square HOAs and coma aberrations from baseline, but no changes from baseline after ICRS implantation. Significant reductions in final radius and deformation amplitude from baseline were noted. CONCLUSIONS: Combined tPRK and accelerated CXL after ICRS implantation in moderate keratoconus appears to be a safe and effective treatment, providing an improvement in visual acuity, corneal indices, and HOAs. TRIAL REGISTRATION: retrospectively registered (identification no. NCT03355430 ). Date registered: 28/11/2017. [Mh] Termos MeSH primário: Colágeno/uso terapêutico Reagentes para Ligações Cruzadas/uso terapêutico Ceratocone/terapia Lentes Intraoculares Fotoquimioterapia/métodos Ceratectomia Fotorrefrativa/métodos Acuidade Visual [Mh] Termos MeSH secundário: Adulto Substância Própria/patologia Substância Própria/cirurgia Topografia da Córnea Feminino Seguimentos Seres Humanos Ceratocone/diagnóstico Ceratocone/fisiopatologia Masculino Implante de Prótese/métodos Refração Ocular/fisiologia Estudos Retrospectivos Adulto Jovem [Pt] Tipo de publicação: JOURNAL ARTICLE [Nm] Nome de substância: 0 (Cross-Linking Reagents); 9007-34-5 (Collagen) [Em] Mês de entrada: 1801 [Cu] Atualização por classe: 180207 [Lr] Data última revisão: 180207 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 171230 [Cl] Clinical Trial: ClinicalTrial [St] Status: MEDLINE [do] DOI: 10.1186/s12886-017-0666-1

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[PMID]: 29253884 [Au] Autor: Yang S; Whang WJ; Joo CK [Ad] Endereço: Department of Ophthalmology and Visual Science, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea. [Ti] Título: Effect of anterior chamber depth on the choice of intraocular lens calculation formula. [So] Source: PLoS One;12(12):e0189868, 2017. [Is] ISSN: 1932-6203 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: PURPOSE: To investigate the effect of anterior chamber depth (ACD) on the refractive outcomes of the SRK/T, Holladay 1, Hoffer Q and Haigis formulae in short, normal, long and extremely long eyes. METHODS: This retrospective study involved patients who had uncomplicated cataract surgery. Preoperative axial length (AL) was divided into four subgroups: short (< 22.00 mm), normal (22.00-24.49 mm), long (24.50-25.99 mm), extremely long (≥ 26.00 mm). Preoperative ACD was divided into three subgroups: < 2.5, 2.50-3.49, and ≥ 3.5 mm. Median absolute errors (MedAEs) predicted by the SRK/T, Holladay 1, Hoffer Q and Haigis formulae were compared with the Friedman test. Post-hoc analysis involved the Wilcoxon signed rank test with a Bonferroni adjustment. Correlations between ACD and the predictive refractive errors of the four formulas were analyzed. RESULTS: In short eyes with an ACD < 2.5 mm, the Haigis formula revealed the highest MedAE. The difference in MedAE with the Hoffer Q formula (which had the lowest MedAE) was statistically significant (P = 0.002). In normal eyes, the Haigis formula significantly differed from the Holladay 1 (P = 0.002) and Hoffer Q (P = 0.005) formulae in the ACD < 2.5 mm group. In long eyes and extremely long eyes with an ACD ≥ 3.5 mm, the differences in MedAEs were statistically significant (P = 0.018, P = 0.001, respectively) and the Haigis formula had the lowest MedAEs in both subgroups (0.29 D, 0.30 D, respectively). In the total of 1,123 eyes, refractive errors predicted by the Haigis formula showed a significant negative correlation with the ACD (R2 = 0.002, P = 0.047). CONCLUSIONS: The Hoffer Q formula is preferred over other formulae in short eyes with an ACD shallower than 2.5 mm. In short and normal eyes with an ACD < 2.5 mm the Haigis formula might underestimate ELP. The Haigis formula is the preferred choice in eyes with an AL ≥ 24.5 mm and an ACD ≥ 3.5 mm. [Mh] Termos MeSH primário: Extração de Catarata/métodos Implante de Lente Intraocular Lentes Intraoculares Refração Ocular [Mh] Termos MeSH secundário: Adulto Idoso Idoso de 80 Anos ou mais Câmara Anterior/anatomia & histologia Feminino Seres Humanos Masculino Meia-Idade Período Pós-Operatório Erros de Refração Estudos Retrospectivos Razão Sinal-Ruído Resultado do Tratamento [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1801 [Cu] Atualização por classe: 180112 [Lr] Data última revisão: 180112 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 171219 [St] Status: MEDLINE [do] DOI: 10.1371/journal.pone.0189868

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[PMID]: 29208842 [Au] Autor: Sarioglu FAO; Tasci YY; Kurtul BE; Boluk SO [Ad] Endereço: Private Maya Eye Diseases Center, Ankara, Turkey. [Ti] Título: Implantation of a double iris-claw intraocular lens in an aphakic nanophthalmic eye. [So] Source: Indian J Ophthalmol;65(12):1490-1492, 2017 Dec. [Is] ISSN: 1998-3689 [Cp] País de publicação: India [La] Idioma: eng [Ab] Resumo: A 55-year-old female with an aphakic nanophthalmic eye underwent a secondary intraocular lens implantation (IOL) with double Artisan aphakia iris claw IOLs (ICIOLs) and was evaluated in this research. The patient's preoperative best-corrected visual acuity (BCVA) of the right eye was 0.4 (0.4 logMAR) (with + 21.00 D), postoperative 1st and 3rd month, 1st year, and 3 years BCVAs were 0.4 (0.4 logMAR). The intraocular pressure was 15 mmHg preoperatively, and 14, 12, 12, and 15 mmHg postoperatively at 1st and 3rd month, 1st year, and 3 years, respectively. The preoperative endothelial cell density (ECD) was 2372 cells/mm2, and postoperative ECDs were 2352, 2391, 2246, and 2240 cells/mm2 at 1st and 3rd months, at 1st year, and 3 years respectively. In aphakic nanophthalmic eyes with inadequate capsular support, which require high IOL dioptry, the implantation of double ICIOLs (one in front of the iris and the other behind the iris) seems to be safe and provides good visual rehabilitation. [Mh] Termos MeSH primário: Afacia Pós-Catarata/cirurgia Iris/cirurgia Implante de Lente Intraocular Lentes Intraoculares Microftalmia/cirurgia Refração Ocular [Mh] Termos MeSH secundário: Afacia Pós-Catarata/complicações Feminino Seguimentos Seres Humanos Microftalmia/complicações Meia-Idade Desenho de Prótese Estudos Retrospectivos Acuidade Visual [Pt] Tipo de publicação: CASE REPORTS; JOURNAL ARTICLE [Em] Mês de entrada: 1712 [Cu] Atualização por classe: 180103 [Lr] Data última revisão: 180103 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 171207 [St] Status: MEDLINE [do] DOI: 10.4103/ijo.IJO_441_17

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