Anterior segment parameters: comparison of 1-piece and 3-piece acrylic foldable intraocular lenses.
OBJECTIVE
To compare anterior segment parameters between 1-piece and 3-piece acrylic foldable intraocular lenses (IOLs).


METHODS
Farabi Eye Hospital, Tehran, Iran.


METHODS
Prospective randomized comparative case series.


METHODS
Eyes scheduled for phacoemulsification were randomized into 2 equal groups to receive a 1-piece (AcrySof SA60AT) or 3-piece (AcrySof MA60AC) foldable acrylic IOL. Scheimpflug imaging (Pentacam) was used to measure anterior segment parameters, including anterior chamber depth (ACD), anterior chamber angle (ACA), and anterior chamber volume (ACV), preoperatively and 1 week and 3 months postoperatively.


RESULTS
The study evaluated 125 eyes (123 patients). There was a statistically significant postoperative increase in ACD, ACA, and ACV at 1 week and 3 months in both IOL groups. Although the mean ACD was significantly higher in the 3-piece group at 1 week, there was no significant between-group difference in ACD, ACA, or ACV at 3 months. There was no significant change in anterior segment parameters from 1 week to 3 months in the 1-piece group; however, the 3-piece group had statistically significant decreases in ACD, ACA, and ACV. Refraction remained stable throughout the follow-up in the 1-piece group but showed a significant myopic shift from 1 week to 3 months in the 3-piece group.


CONCLUSIONS
After phacoemulsification, the 1-piece acrylic foldable IOL showed little axial movement and provided stable refraction throughout the follow-up. The 3-piece IOL had significant forward movement and led to a myopic shift within 3 months postoperatively. Results indicate that spectacles can be prescribed earlier in eyes with a 1-piece IOL.
Behrouz
Mahmoud Jabbarvand
MJ
Farabi Eye Hospital, Eye Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Kheirkhah
Ahmad
A
Hashemian
Hesam
H
Nazari
Rahman
R
D000180:Acrylic Resins; D000368:Aged; D000369:Aged, 80 and over; D000869:Anterior Eye Segment / Q000473:pathology*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D019654:Lens Implantation, Intraocular; D007910:Lenses, Intraocular; D008297:Male; D008875:Middle Aged; D009216:Myopia / Q000209:etiology*; D018918:Phacoemulsification; D011183:Postoperative Complications; D011446:Prospective Studies; D011474:Prosthesis Design; D012029:Refraction, Ocular
D000180:Acrylic Resins