title: Comparison of long-term visual outcome and IOL position with a single-optic accommodating IOL After 5.5- or 6.0-mm Femtosecond laser capsulotomy.
abstract: OBJECTIVE
  To evaluate the long-term visual outcome and intraocular (IOL) position parameters with a single-optic accommodating IOL after 5.5- or 6.0-mm femtosecond laser capsulotomy.
  
  
  METHODS
  This prospective, randomized, pilot study comprised 17 eyes from 11 patients (7 men) with a mean age of 65.82±10.64 years (range: 51 to 79 years). All patients received a Crystalens AT-50AO (Bausch & Lomb) accommodating IOL after femtosecond laser refractive cataract surgery using either a 5.5-mm capsulotomy (5.5-mm group; 9 eyes) or 6.0-mm capsulotomy (6.0-mm group; 8 eyes). Near and distance visual acuities, manifest refraction spherical equivalent (MRSE), and IOL tilt and decentration were evaluated 1 year postoperatively.
  
  
  RESULTS
  No significant differences were noted between groups for postoperative uncorrected distance visual acuity, uncorrected near visual acuity, distance-corrected near visual acuity, and MRSE. Vertical and horizontal tilt were significantly higher in the 6.0-mm group than in the 5.5-mm group (P=.014 and P=.015, respectively). No significant difference was observed between groups regarding IOL decentration.
  
  
  CONCLUSIONS
  A 5.5-mm capsulotomy created with a femtosecond laser is associated with less IOL tilt and therefore may be superior to a 6.0-mm capsulotomy when implanting a single-optic accommodating IOL.
authors.affiliation: Semmelweis University Budapest, Faculty of Medicine, Department of Ophthalmology, Hungary. szigandi@gmail.com
authors.forename: Andrea
authors.initials: A
authors.lastname: Szigeti
authors.forename: Kinga
authors.initials: K
authors.lastname: Kránitz
authors.forename: Agnes I
authors.initials: AI
authors.lastname: Takacs
authors.forename: Kata
authors.initials: K
authors.lastname: Miháltz
authors.forename: Michael C
authors.initials: MC
authors.lastname: Knorz
authors.forename: Zoltán Z
authors.initials: ZZ
authors.lastname: Nagy
mesh_terms: D000065:Accommodation, Ocular / Q000502:physiology; D000368:Aged; D060437:Artificial Lens Implant Migration / Q000517:prevention & control; D019923:Capsulorhexis / Q000379:methods*; D005260:Female; D006801:Humans; D053685:Laser Therapy / Q000379:methods*; D054018:Lasers, Excimer; D019654:Lens Implantation, Intraocular; D007910:Lenses, Intraocular; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D011474:Prosthesis Design; D012029:Refraction, Ocular / Q000502:physiology; D016896:Treatment Outcome; D014792:Visual Acuity / Q000502:physiology*