Axial Length of the Eyeball Is Important in Secondary Dislocation of the Intraocular Lens, Capsular Bag, and Capsular Tension Ring Complex
Purpose. To analyze the patients with secondary dislocation of CTR and IOL within 5 years from cataract surgery, to determine predisposing factors. Methods. 16 eyes of 15 patients aged 66.2±6.7 (from 49 to 82) with CTR/IOL complex dislocation within 5 years from cataract surgery were compared with 2...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Journal of Ophthalmology |
| Online Access: | http://dx.doi.org/10.1155/2016/6431438 |
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| author | Anna Klysik Katarzyna Kaszuba-Bartkowiak Piotr Jurowski |
| author_facet | Anna Klysik Katarzyna Kaszuba-Bartkowiak Piotr Jurowski |
| author_sort | Anna Klysik |
| collection | DOAJ |
| description | Purpose. To analyze the patients with secondary dislocation of CTR and IOL within 5 years from cataract surgery, to determine predisposing factors. Methods. 16 eyes of 15 patients aged 66.2±6.7 (from 49 to 82) with CTR/IOL complex dislocation within 5 years from cataract surgery were compared with 26 patients aged 67.1±7.2 (from 53 to 85), implanted with CTR during cataract surgery to manage zonule dehiscence and did not dislocate for at least 5 years, in respect of cause, axial length and IOL power, refraction, coexistent pathology, and trauma. Results. Axial length of the eyeball was 23.8±1.3 (from 21 to 29) in the group of patients with CTR/IOL dislocation and 20.7±1.2 (from 19 to 24) in patients with no dislocation present (p=0.008). Crystalline lens dislocation was diagnosed before surgery in 13 of 16 patients with CTR/IOL complex dislocation as opposed to 7 of 26 eyes in the control group (p=0.01). Pseudoexfoliation was present in 50% and 58% in both groups, respectively. Traumatic dislocation was present in 8 patients, none of them with CTR/IOL dislocation (p=0.04). Conclusion. Longer axial length may contribute to the failure of the CTR to prevent in-the-bag IOL dislocation. Traumatic dislocation appears to be well fixed with the CTR. |
| format | Article |
| id | doaj-art-7bd5a2eded874c4193951cc975dfb33b |
| institution | Kabale University |
| issn | 2090-004X 2090-0058 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Ophthalmology |
| spelling | doaj-art-7bd5a2eded874c4193951cc975dfb33b2025-08-20T03:35:44ZengWileyJournal of Ophthalmology2090-004X2090-00582016-01-01201610.1155/2016/64314386431438Axial Length of the Eyeball Is Important in Secondary Dislocation of the Intraocular Lens, Capsular Bag, and Capsular Tension Ring ComplexAnna Klysik0Katarzyna Kaszuba-Bartkowiak1Piotr Jurowski2Department of Ophthalmology, Medical University of Lodz, Zeromskiego 113, 90-549 Lodz, PolandDepartment of Ophthalmology, Medical University of Lodz, Zeromskiego 113, 90-549 Lodz, PolandDepartment of Ophthalmology, Medical University of Lodz, Zeromskiego 113, 90-549 Lodz, PolandPurpose. To analyze the patients with secondary dislocation of CTR and IOL within 5 years from cataract surgery, to determine predisposing factors. Methods. 16 eyes of 15 patients aged 66.2±6.7 (from 49 to 82) with CTR/IOL complex dislocation within 5 years from cataract surgery were compared with 26 patients aged 67.1±7.2 (from 53 to 85), implanted with CTR during cataract surgery to manage zonule dehiscence and did not dislocate for at least 5 years, in respect of cause, axial length and IOL power, refraction, coexistent pathology, and trauma. Results. Axial length of the eyeball was 23.8±1.3 (from 21 to 29) in the group of patients with CTR/IOL dislocation and 20.7±1.2 (from 19 to 24) in patients with no dislocation present (p=0.008). Crystalline lens dislocation was diagnosed before surgery in 13 of 16 patients with CTR/IOL complex dislocation as opposed to 7 of 26 eyes in the control group (p=0.01). Pseudoexfoliation was present in 50% and 58% in both groups, respectively. Traumatic dislocation was present in 8 patients, none of them with CTR/IOL dislocation (p=0.04). Conclusion. Longer axial length may contribute to the failure of the CTR to prevent in-the-bag IOL dislocation. Traumatic dislocation appears to be well fixed with the CTR.http://dx.doi.org/10.1155/2016/6431438 |
| spellingShingle | Anna Klysik Katarzyna Kaszuba-Bartkowiak Piotr Jurowski Axial Length of the Eyeball Is Important in Secondary Dislocation of the Intraocular Lens, Capsular Bag, and Capsular Tension Ring Complex Journal of Ophthalmology |
| title | Axial Length of the Eyeball Is Important in Secondary Dislocation of the Intraocular Lens, Capsular Bag, and Capsular Tension Ring Complex |
| title_full | Axial Length of the Eyeball Is Important in Secondary Dislocation of the Intraocular Lens, Capsular Bag, and Capsular Tension Ring Complex |
| title_fullStr | Axial Length of the Eyeball Is Important in Secondary Dislocation of the Intraocular Lens, Capsular Bag, and Capsular Tension Ring Complex |
| title_full_unstemmed | Axial Length of the Eyeball Is Important in Secondary Dislocation of the Intraocular Lens, Capsular Bag, and Capsular Tension Ring Complex |
| title_short | Axial Length of the Eyeball Is Important in Secondary Dislocation of the Intraocular Lens, Capsular Bag, and Capsular Tension Ring Complex |
| title_sort | axial length of the eyeball is important in secondary dislocation of the intraocular lens capsular bag and capsular tension ring complex |
| url | http://dx.doi.org/10.1155/2016/6431438 |
| work_keys_str_mv | AT annaklysik axiallengthoftheeyeballisimportantinsecondarydislocationoftheintraocularlenscapsularbagandcapsulartensionringcomplex AT katarzynakaszubabartkowiak axiallengthoftheeyeballisimportantinsecondarydislocationoftheintraocularlenscapsularbagandcapsulartensionringcomplex AT piotrjurowski axiallengthoftheeyeballisimportantinsecondarydislocationoftheintraocularlenscapsularbagandcapsulartensionringcomplex |