Long-term changes in visual outcomes and ocular morphometrics after myopic and toric phakic intraocular lens implantation: five- and 10-year results

Soraya M.R. Jonker (Corresponding author), Tos T.J.M. Berendschot, Annick E. Ronden, Isabelle E.Y. Saelens, Noël J.C. Bauer, Rudy M.M.A. Nuijts

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Uittreksel

Purpose To evaluate the long-term refractive and visual, anterior chamber depth, and axial length (AL) changes and complications after rigid iris-fixated phakic intraocular lens (pIOL) implantation to treat myopia or astigmatism. Setting University Eye Clinic Maastricht, Maastricht UMC+, the Netherlands. Design Prospective case series. Methods The study evaluated patients who had implantation of an Artisan myopic or toric iris-fixated pIOL as of January 1998. Changes were measured annually and reported after 1, 5, and 10 years postoperatively. Results The study comprised 460 eyes (250 patients; mean age 41.1 years ± 10.7 [SD]). Over 10 years, the mean myopization was −0.79 diopters (D) (P < .001), with 52% of eyes within ±1.0 D of target. The mean increase in the logarithm of the minimum angle of resolution (logMAR) corrected distance visual acuity (CDVA) over 10 years was 0.05 (P < .001); 95% of eyes had a CDVA of 20/40 or more and 7% lost 2 or more lines of CDVA. The mean logMAR uncorrected visual acuity (UDVA) increased by 0.14 over 10 years (P < .001); 96% had a UDVA 20/40 or better. The AL increased by 1.14 mm over 10 years (P = .009). Ten percent of pIOLs were explanted because of cataract formation after a mean of 97.9 ± 34.9 months. A higher preoperative age (hazard ratio [HR], 1.08; P < .001) and longer AL (HR, 1.34; P < .001) were risk factors for shorter survival because of cataract formation. Conclusion Ten years after rigid iris-fixated pIOL implantation, the CDVA and UDVA decreased significantly as a result of significant myopization caused by an increased AL unrelated to the pIOL.
TaalEngels
Pagina's1470-1479
Aantal pagina's10
TijdschriftJournal of Cataract and Refractive Surgery
Volume45
Nummer van het tijdschrift10
DOI's
StatusGepubliceerd - okt 2019

Citeer dit

Jonker, Soraya M.R. ; Berendschot, Tos T.J.M. ; Ronden, Annick E. ; Saelens, Isabelle E.Y. ; Bauer, Noël J.C. ; Nuijts, Rudy M.M.A./ Long-term changes in visual outcomes and ocular morphometrics after myopic and toric phakic intraocular lens implantation : five- and 10-year results. In: Journal of Cataract and Refractive Surgery. 2019 ; Vol. 45, Nr. 10. blz. 1470-1479
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title = "Long-term changes in visual outcomes and ocular morphometrics after myopic and toric phakic intraocular lens implantation: five- and 10-year results",
abstract = "Purpose To evaluate the long-term refractive and visual, anterior chamber depth, and axial length (AL) changes and complications after rigid iris-fixated phakic intraocular lens (pIOL) implantation to treat myopia or astigmatism. Setting University Eye Clinic Maastricht, Maastricht UMC+, the Netherlands. Design Prospective case series. Methods The study evaluated patients who had implantation of an Artisan myopic or toric iris-fixated pIOL as of January 1998. Changes were measured annually and reported after 1, 5, and 10 years postoperatively. Results The study comprised 460 eyes (250 patients; mean age 41.1 years ± 10.7 [SD]). Over 10 years, the mean myopization was −0.79 diopters (D) (P < .001), with 52{\%} of eyes within ±1.0 D of target. The mean increase in the logarithm of the minimum angle of resolution (logMAR) corrected distance visual acuity (CDVA) over 10 years was 0.05 (P < .001); 95{\%} of eyes had a CDVA of 20/40 or more and 7{\%} lost 2 or more lines of CDVA. The mean logMAR uncorrected visual acuity (UDVA) increased by 0.14 over 10 years (P < .001); 96{\%} had a UDVA 20/40 or better. The AL increased by 1.14 mm over 10 years (P = .009). Ten percent of pIOLs were explanted because of cataract formation after a mean of 97.9 ± 34.9 months. A higher preoperative age (hazard ratio [HR], 1.08; P < .001) and longer AL (HR, 1.34; P < .001) were risk factors for shorter survival because of cataract formation. Conclusion Ten years after rigid iris-fixated pIOL implantation, the CDVA and UDVA decreased significantly as a result of significant myopization caused by an increased AL unrelated to the pIOL.",
author = "Jonker, {Soraya M.R.} and Berendschot, {Tos T.J.M.} and Ronden, {Annick E.} and Saelens, {Isabelle E.Y.} and Bauer, {No{\"e}l J.C.} and Nuijts, {Rudy M.M.A.}",
year = "2019",
month = "10",
doi = "10.1016/j.jcrs.2019.05.044",
language = "English",
volume = "45",
pages = "1470--1479",
journal = "Journal of Cataract and Refractive Surgery",
issn = "0886-3350",
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number = "10",

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Long-term changes in visual outcomes and ocular morphometrics after myopic and toric phakic intraocular lens implantation : five- and 10-year results. / Jonker, Soraya M.R. (Corresponding author); Berendschot, Tos T.J.M.; Ronden, Annick E.; Saelens, Isabelle E.Y.; Bauer, Noël J.C.; Nuijts, Rudy M.M.A.

In: Journal of Cataract and Refractive Surgery, Vol. 45, Nr. 10, 10.2019, blz. 1470-1479.

Onderzoeksoutput: Bijdrage aan tijdschriftTijdschriftartikelAcademicpeer review

TY - JOUR

T1 - Long-term changes in visual outcomes and ocular morphometrics after myopic and toric phakic intraocular lens implantation

T2 - Journal of Cataract and Refractive Surgery

AU - Jonker,Soraya M.R.

AU - Berendschot,Tos T.J.M.

AU - Ronden,Annick E.

AU - Saelens,Isabelle E.Y.

AU - Bauer,Noël J.C.

AU - Nuijts,Rudy M.M.A.

PY - 2019/10

Y1 - 2019/10

N2 - Purpose To evaluate the long-term refractive and visual, anterior chamber depth, and axial length (AL) changes and complications after rigid iris-fixated phakic intraocular lens (pIOL) implantation to treat myopia or astigmatism. Setting University Eye Clinic Maastricht, Maastricht UMC+, the Netherlands. Design Prospective case series. Methods The study evaluated patients who had implantation of an Artisan myopic or toric iris-fixated pIOL as of January 1998. Changes were measured annually and reported after 1, 5, and 10 years postoperatively. Results The study comprised 460 eyes (250 patients; mean age 41.1 years ± 10.7 [SD]). Over 10 years, the mean myopization was −0.79 diopters (D) (P < .001), with 52% of eyes within ±1.0 D of target. The mean increase in the logarithm of the minimum angle of resolution (logMAR) corrected distance visual acuity (CDVA) over 10 years was 0.05 (P < .001); 95% of eyes had a CDVA of 20/40 or more and 7% lost 2 or more lines of CDVA. The mean logMAR uncorrected visual acuity (UDVA) increased by 0.14 over 10 years (P < .001); 96% had a UDVA 20/40 or better. The AL increased by 1.14 mm over 10 years (P = .009). Ten percent of pIOLs were explanted because of cataract formation after a mean of 97.9 ± 34.9 months. A higher preoperative age (hazard ratio [HR], 1.08; P < .001) and longer AL (HR, 1.34; P < .001) were risk factors for shorter survival because of cataract formation. Conclusion Ten years after rigid iris-fixated pIOL implantation, the CDVA and UDVA decreased significantly as a result of significant myopization caused by an increased AL unrelated to the pIOL.

AB - Purpose To evaluate the long-term refractive and visual, anterior chamber depth, and axial length (AL) changes and complications after rigid iris-fixated phakic intraocular lens (pIOL) implantation to treat myopia or astigmatism. Setting University Eye Clinic Maastricht, Maastricht UMC+, the Netherlands. Design Prospective case series. Methods The study evaluated patients who had implantation of an Artisan myopic or toric iris-fixated pIOL as of January 1998. Changes were measured annually and reported after 1, 5, and 10 years postoperatively. Results The study comprised 460 eyes (250 patients; mean age 41.1 years ± 10.7 [SD]). Over 10 years, the mean myopization was −0.79 diopters (D) (P < .001), with 52% of eyes within ±1.0 D of target. The mean increase in the logarithm of the minimum angle of resolution (logMAR) corrected distance visual acuity (CDVA) over 10 years was 0.05 (P < .001); 95% of eyes had a CDVA of 20/40 or more and 7% lost 2 or more lines of CDVA. The mean logMAR uncorrected visual acuity (UDVA) increased by 0.14 over 10 years (P < .001); 96% had a UDVA 20/40 or better. The AL increased by 1.14 mm over 10 years (P = .009). Ten percent of pIOLs were explanted because of cataract formation after a mean of 97.9 ± 34.9 months. A higher preoperative age (hazard ratio [HR], 1.08; P < .001) and longer AL (HR, 1.34; P < .001) were risk factors for shorter survival because of cataract formation. Conclusion Ten years after rigid iris-fixated pIOL implantation, the CDVA and UDVA decreased significantly as a result of significant myopization caused by an increased AL unrelated to the pIOL.

U2 - 10.1016/j.jcrs.2019.05.044

DO - 10.1016/j.jcrs.2019.05.044

M3 - Article

VL - 45

SP - 1470

EP - 1479

JO - Journal of Cataract and Refractive Surgery

JF - Journal of Cataract and Refractive Surgery

SN - 0886-3350

IS - 10

ER -