title: The Predictability of Preoperative Pilocarpine-Induced Lens Shift on the Outcomes of Accommodating Intraocular Lenses Implanted in Senile Cataract Patients.
abstract: Purpose. To evaluate the predictability of lens shift induced by pilocarpine (LSPilo) on the outcomes of accommodating intraocular lens (Acc-IOL) implantation. Methods. Twenty-four eyes of 24 senile cataract patients who underwent phacoemulsification and Acc-IOL implantation were enrolled. LSPilo was evaluated with anterior segment optical coherence tomography (AS-OCT). At 3 months postoperatively, the best corrected distance visual acuities (BCDVA), distance-corrected near visual acuities (DCNVA), and subjective and objective accommodations were measured. IOL shifts under accommodation stimulus (IOLSAcc) were evaluated with AS-OCT. Results. The mean LSPilo was 112.29 ± 30.72 µm. LSPilo was not associated with any preoperative parameters. The mean IOLSAcc was 130.46 ± 42.71 µm. The mean subjective and objective accommodation were 1.54 ± 0.39 D and 1.27 ± 0.41 D, respectively. The mean postoperative BCDVA and DCNVA (log MAR value) were 0.22 ± 0.11 and 0.24 ± 0.12, respectively. LSPilo positively correlated with IOLSAcc (r = 0.541; P = 0.006), subjective accommodation (r = 0.412; P = 0.022), and objective accommodation (r = 0.466; P = 0.045), respectively. Conclusion. LSPilo is an independent preoperative parameter associated with the postoperative Acc-IOL mobility and pseudophakic accommodation. It may offer valuable information for ophthalmologists in determining the suitable candidates for Acc-IOL implantation.
authors: Eye Hospital, Wenzhou Medical University, Wenzhou, Zhejiang 325027, China.
authors: Jin
authors: J
authors: Li
authors: Eye Hospital, Wenzhou Medical University, Wenzhou, Zhejiang 325027, China.
authors: Qi
authors: Q
authors: Chen
authors: Eye Hospital, Wenzhou Medical University, Wenzhou, Zhejiang 325027, China.
authors: Zhibo
authors: Z
authors: Lin
authors: Eye Hospital, Wenzhou Medical University, Wenzhou, Zhejiang 325027, China.
authors: Lin
authors: L
authors: Leng
authors: Eye Hospital, Wenzhou Medical University, Wenzhou, Zhejiang 325027, China.
authors: Fang
authors: F
authors: Huang
authors: Eye Hospital, Wenzhou Medical University, Wenzhou, Zhejiang 325027, China.
authors: Ding
authors: 0000-0002-6890-7384
authors: D
authors: Chen