The Predictability of Preoperative Pilocarpine-Induced Lens Shift on the Outcomes of Accommodating Intraocular Lenses Implanted in Senile Cataract Patients
Purpose. To evaluate the predictability of lens shift induced by pilocarpine (LSPilo) on the outcomes of accommodating intraocular lens (Acc-IOL) implantation. Methods. Twenty-four eyes of 24 senile cataract patients who underwent phacoemulsification and Acc-IOL implantation were enrolled. LSPilo wa...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2016-01-01
|
| Series: | Journal of Ophthalmology |
| Online Access: | http://dx.doi.org/10.1155/2016/6127130 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849473462708469760 |
|---|---|
| author | Jin Li Qi Chen Zhibo Lin Lin Leng Fang Huang Ding Chen |
| author_facet | Jin Li Qi Chen Zhibo Lin Lin Leng Fang Huang Ding Chen |
| author_sort | Jin Li |
| collection | DOAJ |
| description | Purpose. To evaluate the predictability of lens shift induced by pilocarpine (LSPilo) on the outcomes of accommodating intraocular lens (Acc-IOL) implantation. Methods. Twenty-four eyes of 24 senile cataract patients who underwent phacoemulsification and Acc-IOL implantation were enrolled. LSPilo was evaluated with anterior segment optical coherence tomography (AS-OCT). At 3 months postoperatively, the best corrected distance visual acuities (BCDVA), distance-corrected near visual acuities (DCNVA), and subjective and objective accommodations were measured. IOL shifts under accommodation stimulus (IOLSAcc) were evaluated with AS-OCT. Results. The mean LSPilo was 112.29 ± 30.72 µm. LSPilo was not associated with any preoperative parameters. The mean IOLSAcc was 130.46 ± 42.71 µm. The mean subjective and objective accommodation were 1.54 ± 0.39 D and 1.27 ± 0.41 D, respectively. The mean postoperative BCDVA and DCNVA (log MAR value) were 0.22 ± 0.11 and 0.24 ± 0.12, respectively. LSPilo positively correlated with IOLSAcc (r=0.541; P=0.006), subjective accommodation (r=0.412; P=0.022), and objective accommodation (r=0.466; P=0.045), respectively. Conclusion. LSPilo is an independent preoperative parameter associated with the postoperative Acc-IOL mobility and pseudophakic accommodation. It may offer valuable information for ophthalmologists in determining the suitable candidates for Acc-IOL implantation. |
| format | Article |
| id | doaj-art-d25841fbb89942f588005841f045af88 |
| 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-d25841fbb89942f588005841f045af882025-08-20T03:24:07ZengWileyJournal of Ophthalmology2090-004X2090-00582016-01-01201610.1155/2016/61271306127130The Predictability of Preoperative Pilocarpine-Induced Lens Shift on the Outcomes of Accommodating Intraocular Lenses Implanted in Senile Cataract PatientsJin Li0Qi Chen1Zhibo Lin2Lin Leng3Fang Huang4Ding Chen5Eye Hospital, Wenzhou Medical University, Wenzhou, Zhejiang 325027, ChinaEye Hospital, Wenzhou Medical University, Wenzhou, Zhejiang 325027, ChinaEye Hospital, Wenzhou Medical University, Wenzhou, Zhejiang 325027, ChinaEye Hospital, Wenzhou Medical University, Wenzhou, Zhejiang 325027, ChinaEye Hospital, Wenzhou Medical University, Wenzhou, Zhejiang 325027, ChinaEye Hospital, Wenzhou Medical University, Wenzhou, Zhejiang 325027, ChinaPurpose. To evaluate the predictability of lens shift induced by pilocarpine (LSPilo) on the outcomes of accommodating intraocular lens (Acc-IOL) implantation. Methods. Twenty-four eyes of 24 senile cataract patients who underwent phacoemulsification and Acc-IOL implantation were enrolled. LSPilo was evaluated with anterior segment optical coherence tomography (AS-OCT). At 3 months postoperatively, the best corrected distance visual acuities (BCDVA), distance-corrected near visual acuities (DCNVA), and subjective and objective accommodations were measured. IOL shifts under accommodation stimulus (IOLSAcc) were evaluated with AS-OCT. Results. The mean LSPilo was 112.29 ± 30.72 µm. LSPilo was not associated with any preoperative parameters. The mean IOLSAcc was 130.46 ± 42.71 µm. The mean subjective and objective accommodation were 1.54 ± 0.39 D and 1.27 ± 0.41 D, respectively. The mean postoperative BCDVA and DCNVA (log MAR value) were 0.22 ± 0.11 and 0.24 ± 0.12, respectively. LSPilo positively correlated with IOLSAcc (r=0.541; P=0.006), subjective accommodation (r=0.412; P=0.022), and objective accommodation (r=0.466; P=0.045), respectively. Conclusion. LSPilo is an independent preoperative parameter associated with the postoperative Acc-IOL mobility and pseudophakic accommodation. It may offer valuable information for ophthalmologists in determining the suitable candidates for Acc-IOL implantation.http://dx.doi.org/10.1155/2016/6127130 |
| spellingShingle | Jin Li Qi Chen Zhibo Lin Lin Leng Fang Huang Ding Chen The Predictability of Preoperative Pilocarpine-Induced Lens Shift on the Outcomes of Accommodating Intraocular Lenses Implanted in Senile Cataract Patients Journal of Ophthalmology |
| title | The Predictability of Preoperative Pilocarpine-Induced Lens Shift on the Outcomes of Accommodating Intraocular Lenses Implanted in Senile Cataract Patients |
| title_full | The Predictability of Preoperative Pilocarpine-Induced Lens Shift on the Outcomes of Accommodating Intraocular Lenses Implanted in Senile Cataract Patients |
| title_fullStr | The Predictability of Preoperative Pilocarpine-Induced Lens Shift on the Outcomes of Accommodating Intraocular Lenses Implanted in Senile Cataract Patients |
| title_full_unstemmed | The Predictability of Preoperative Pilocarpine-Induced Lens Shift on the Outcomes of Accommodating Intraocular Lenses Implanted in Senile Cataract Patients |
| title_short | The Predictability of Preoperative Pilocarpine-Induced Lens Shift on the Outcomes of Accommodating Intraocular Lenses Implanted in Senile Cataract Patients |
| title_sort | predictability of preoperative pilocarpine induced lens shift on the outcomes of accommodating intraocular lenses implanted in senile cataract patients |
| url | http://dx.doi.org/10.1155/2016/6127130 |
| work_keys_str_mv | AT jinli thepredictabilityofpreoperativepilocarpineinducedlensshiftontheoutcomesofaccommodatingintraocularlensesimplantedinsenilecataractpatients AT qichen thepredictabilityofpreoperativepilocarpineinducedlensshiftontheoutcomesofaccommodatingintraocularlensesimplantedinsenilecataractpatients AT zhibolin thepredictabilityofpreoperativepilocarpineinducedlensshiftontheoutcomesofaccommodatingintraocularlensesimplantedinsenilecataractpatients AT linleng thepredictabilityofpreoperativepilocarpineinducedlensshiftontheoutcomesofaccommodatingintraocularlensesimplantedinsenilecataractpatients AT fanghuang thepredictabilityofpreoperativepilocarpineinducedlensshiftontheoutcomesofaccommodatingintraocularlensesimplantedinsenilecataractpatients AT dingchen thepredictabilityofpreoperativepilocarpineinducedlensshiftontheoutcomesofaccommodatingintraocularlensesimplantedinsenilecataractpatients AT jinli predictabilityofpreoperativepilocarpineinducedlensshiftontheoutcomesofaccommodatingintraocularlensesimplantedinsenilecataractpatients AT qichen predictabilityofpreoperativepilocarpineinducedlensshiftontheoutcomesofaccommodatingintraocularlensesimplantedinsenilecataractpatients AT zhibolin predictabilityofpreoperativepilocarpineinducedlensshiftontheoutcomesofaccommodatingintraocularlensesimplantedinsenilecataractpatients AT linleng predictabilityofpreoperativepilocarpineinducedlensshiftontheoutcomesofaccommodatingintraocularlensesimplantedinsenilecataractpatients AT fanghuang predictabilityofpreoperativepilocarpineinducedlensshiftontheoutcomesofaccommodatingintraocularlensesimplantedinsenilecataractpatients AT dingchen predictabilityofpreoperativepilocarpineinducedlensshiftontheoutcomesofaccommodatingintraocularlensesimplantedinsenilecataractpatients |