Refractive stabilization after temporal phacoemulsification with foldable acrylic intraocular lens implantation.
OBJECTIVE
To determine the rate of stabilization of refractive error after temporal small incision phacoemulsification with insertion of an acrylic foldable intraocular lens (IOL) (AcrySof MA30).


METHODS
A university hospital anterior segment referral practice.


METHODS
The records of 100 consecutive patients with good visual potential having phacoemulsification with acrylic IOL implantation who had good visual acuity on the first postoperative day were reviewed. Refractive data at 1 day, 1 week, and 1 and 4 months were compared.


RESULTS
The mean spherical equivalent refraction was +0.31 diopter (D), -0.33 D, -0.51 D, and -0.35 D at 1 day, 1 week, 1 month, and 4 months, respectively. Cylinder by refraction was 1.17 D, 1.09 D, 0.96 D, and 0.99 D, respectively. From 1 week on, the cylinder power and axis did not differ significantly from that at 4 months. At 1 week, the spherical equivalent was within +/-0.50 D of the 4-month refraction in 66.1% of eyes and the cylinder was within +/-0.50 D in 72.9%. At 1 month, the corresponding values were 87.1% and 85.7%.


CONCLUSIONS
The refractive error stabilized rapidly after temporal phacoemulsification with acrylic IOL implantation.
Sugar
A
A
Department of Ophthalmology and Visual Sciences, Kellogg Eye Center, Ann Arbor, Michigan 48105, USA. asugar@umich.edu
Sadri
E
E
Dawson
D G
DG
Musch
D C
DC
D000180:Acrylic Resins; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D019654:Lens Implantation, Intraocular; D007910:Lenses, Intraocular; D008297:Male; D008875:Middle Aged; D018918:Phacoemulsification; D012029:Refraction, Ocular / Q000502:physiology; D012030:Refractive Errors / Q000503:physiopathology; D054140:Refractive Surgical Procedures; D014792:Visual Acuity
D000180:Acrylic Resins