[Centering intraocular lenses with reference to capsular incision].
BACKGROUND
Can the capsulotomy with small radial incisions compared to the continuous curvilinear capsulorhexis with perfect IOL centration still be recommended? This problem should be clarified under standard conditions.


METHODS
On 100 patients both procedures were applied alternating with corneoscleral incision, phacoemulsification and endocapsular implantation of a 6 mm one-piece PMMA lens.


RESULTS
The perfect IOL-centration following capsulorhexis (0.25 +/- 0.31 mm) is confirmed. But the circular capsular fibrosis can make it difficult to examine the fundus periphery or to perform a secondary cataract aspiration. The IOL centration after capsulotomy is not always ideal (0.55 +/- 0.51 mm) but sufficient. Advantages are the simplicity of the procedure and an easy approach to the posterior capsule in case of secondary cataract.


CONCLUSIONS
Both methods are still appropriate.
Augenklinik, Städtischen Klinikums Karlsruhe.
M
M
Fetscher
K
K
Müller-Jensen
D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007903:Lens Capsule, Crystalline / Q000601:surgery*; D007910:Lenses, Intraocular; D008297:Male; D008768:Methylmethacrylates; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology; D011446:Prospective Studies
D008768:Methylmethacrylates
Intraokularlinsenzentrierung in Abhängigkeit von der Kapseleröffnung.