Effect of Capsular Tension Ring Implantation during Phacoemulsification on Postoperative Refraction

Purpose. To assess refractive result of phacoemulsification (PE) with capsular tension ring (CTR) implantation.Patients and methods. In total, 37 eyes of 37 patients who underwent PE with intraocular lens (IOL) implantation were divided into 2 groups: study group (n = 18) with CTR implantation and c...

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Main Authors: D. F. Belov, V. P. Nikolaenko
Format: Article
Language:Russian
Published: Ophthalmology Publishing Group 2022-10-01
Series:Oftalʹmologiâ
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Online Access:https://www.ophthalmojournal.com/opht/article/view/1911
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author D. F. Belov
V. P. Nikolaenko
author_facet D. F. Belov
V. P. Nikolaenko
author_sort D. F. Belov
collection DOAJ
description Purpose. To assess refractive result of phacoemulsification (PE) with capsular tension ring (CTR) implantation.Patients and methods. In total, 37 eyes of 37 patients who underwent PE with intraocular lens (IOL) implantation were divided into 2 groups: study group (n = 18) with CTR implantation and control group (n = 19) without CTR. Optical biometry (IOL-Master 500) was performed for each patient before PE. Barrett Universal II Formula was used for IOL calculation. IOL power calculation error was assessed by comparing target refraction and final refraction measured by Topcon-8800 autorefractometer 1 month after surgery.Results. Despite almost identical preoperative values in both groups refractive result was different. Patients with CTR implantation had more hyperopic IOL power calculation error of +0.41 ± 0.52 D versus — 0.02 ± 0.54 D in the control group (p = 0.037). Refractive result in control group was more predictable (mean absolute error was 0.55 ± 0.34 D and 0.41 ± 0.30 D for groups respectively, p = 0.180).Conclusion. CTR implantation could help surgeon to perform PE in complicated cases. Nevertheless, CTR implantation could leads to hyperopic shift. To avoid refractive errors optimized A-constants could be used (118.85 for AcrySof SA60AT and 118.47 for Akreos Adapt AO).
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spelling doaj-art-df277c2e423f41a08fbba2fb13f190f52025-08-20T04:00:25ZrusOphthalmology Publishing GroupOftalʹmologiâ1816-50952500-08452022-10-0119348949210.18008/1816-5095-2022-3-489-492932Effect of Capsular Tension Ring Implantation during Phacoemulsification on Postoperative RefractionD. F. Belov0V. P. Nikolaenko1Saint-Petersburg Multifield Hospital No. 2Saint-Petersburg Multifield Hospital No. 2; Saint Petersburg State UniversityPurpose. To assess refractive result of phacoemulsification (PE) with capsular tension ring (CTR) implantation.Patients and methods. In total, 37 eyes of 37 patients who underwent PE with intraocular lens (IOL) implantation were divided into 2 groups: study group (n = 18) with CTR implantation and control group (n = 19) without CTR. Optical biometry (IOL-Master 500) was performed for each patient before PE. Barrett Universal II Formula was used for IOL calculation. IOL power calculation error was assessed by comparing target refraction and final refraction measured by Topcon-8800 autorefractometer 1 month after surgery.Results. Despite almost identical preoperative values in both groups refractive result was different. Patients with CTR implantation had more hyperopic IOL power calculation error of +0.41 ± 0.52 D versus — 0.02 ± 0.54 D in the control group (p = 0.037). Refractive result in control group was more predictable (mean absolute error was 0.55 ± 0.34 D and 0.41 ± 0.30 D for groups respectively, p = 0.180).Conclusion. CTR implantation could help surgeon to perform PE in complicated cases. Nevertheless, CTR implantation could leads to hyperopic shift. To avoid refractive errors optimized A-constants could be used (118.85 for AcrySof SA60AT and 118.47 for Akreos Adapt AO).https://www.ophthalmojournal.com/opht/article/view/1911capsular tension ringiol power calculationrefractionphacoemulsificationzonular weaknesspseudoexfoliation syndromebarrett universal ii formula
spellingShingle D. F. Belov
V. P. Nikolaenko
Effect of Capsular Tension Ring Implantation during Phacoemulsification on Postoperative Refraction
Oftalʹmologiâ
capsular tension ring
iol power calculation
refraction
phacoemulsification
zonular weakness
pseudoexfoliation syndrome
barrett universal ii formula
title Effect of Capsular Tension Ring Implantation during Phacoemulsification on Postoperative Refraction
title_full Effect of Capsular Tension Ring Implantation during Phacoemulsification on Postoperative Refraction
title_fullStr Effect of Capsular Tension Ring Implantation during Phacoemulsification on Postoperative Refraction
title_full_unstemmed Effect of Capsular Tension Ring Implantation during Phacoemulsification on Postoperative Refraction
title_short Effect of Capsular Tension Ring Implantation during Phacoemulsification on Postoperative Refraction
title_sort effect of capsular tension ring implantation during phacoemulsification on postoperative refraction
topic capsular tension ring
iol power calculation
refraction
phacoemulsification
zonular weakness
pseudoexfoliation syndrome
barrett universal ii formula
url https://www.ophthalmojournal.com/opht/article/view/1911
work_keys_str_mv AT dfbelov effectofcapsulartensionringimplantationduringphacoemulsificationonpostoperativerefraction
AT vpnikolaenko effectofcapsulartensionringimplantationduringphacoemulsificationonpostoperativerefraction