Postoperative change in effective lens position of a 3-piece acrylic intraocular lens.
OBJECTIVE
To study the change in postoperative position of an angulated, 3-piece, foldable acrylic intraocular lenses (IOLs) and evaluate the effect of a sharp posterior optic edge compared with that of a round optic edge on the change in postoperative anterior chamber depth (ACD).


METHODS
Department of Ophthalmology, University of Vienna, Vienna, Austria.


METHODS
This randomized intraindividual-comparison study comprised 104 eyes of 52 patients with age-related cataract. Patient received a sharp-edged Sensar OptiEdge AR40e IOL (Allergan Surgical) in 1 eye and a round-edged Sensar AR40 IOL in the other eye. Postoperative follow-up included ACD measurement by partial coherence interferometry and evaluation of the capsulorhexis area by standardized retroillumination photography at 1 day, 1 week, and 1 and 6 months.


RESULTS
A decrease in ACD during the first postoperative week was followed by a small increase in ACD during the first 6 months. There was no significant difference between the sharp-edged group and the round-edged group.


CONCLUSIONS
The angulated 3-piece acrylic IOLs showed significant forward movement over the first postoperative 6 months. Although the change in refraction was small, there was variability among patients. The sharp posterior optic edge design did not affect the IOL's movement in the capsular bag.
Koeppl
Christina
C
Department of Ophthalmology, University of Vienna, Vienna, Austria.
Findl
Oliver
O
Kriechbaum
Katharina
K
Buehl
Wolf
W
Wirtitsch
Matthias
M
Menapace
Rupert
R
Drexler
Wolfgang
W
D000180:Acrylic Resins; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000867:Anterior Chamber / Q000473:pathology; D019923:Capsulorhexis; D004311:Double-Blind Method; D005548:Foreign-Body Migration / Q000209:etiology*; D006801:Humans; D007368:Interferometry; D019654:Lens Implantation, Intraocular; D007910:Lenses, Intraocular; D008027:Light; D008875:Middle Aged; D018918:Phacoemulsification; D011183:Postoperative Complications; D011446:Prospective Studies; D011474:Prosthesis Design
D000180:Acrylic Resins