title: Posterior Vault Distance of Ciliary Sulcus-Implanted Three-piece Intraocular Lenses According to Ciliary Sulcus Diameter.
abstract: OBJECTIVE
  To investigate the correlation among preoperative biometry data, postoperative ciliary sulcus diameter, posterior vault distance, and effective lens position of ciliary sulcus-implanted intraocular lenses (IOLs).
  
  
  METHODS
  Retrospective interventional case series.
  
  
  METHODS
  Twenty-six eyes of 26 patients underwent phacoemulsification with implantation of a ZA9003 IOL (Abbott Medical Optics Inc, Santa Ana, California, USA) in the ciliary sulcus. We analyzed correlations among preoperative biometry data and ultrasound biomicroscopy measurements, ciliary sulcus diameter, posterior vault distance, and effective lens position. Regression analyses were performed to identify which combination of preoperative biometry data, average corneal power (keratometry [K]), anterior chamber depth (ACD), and axial length (AL) was best for predicting effective lens position.
  
  
  RESULTS
  The sulcus diameter was shorter in eyes that had a steep cornea and shorter AL. The posterior vault distance was negatively correlated with sulcus diameter in subjects who had shorter postoperative time intervals (≤24 months) (R2= 0.336 and P = .038). The posterior vault distance decreased with each passing postoperative month (R2= 0.158 and P = .045). The R2value for predicting the effective lens positions of sulcus-implanted IOLs based on the entire average K, ACD, and AL was higher than those based on parts of these values.
  
  
  CONCLUSIONS
  The effective lens position of sulcus-implanted IOLs can be affected by sulcus diameter, and lens position can change, especially in the early postoperative period. We recommend using the entire average K, ACD, and AL to predict the effective position of sulcus-implanted IOLs.
authors.affiliation: Department of Ophthalmology, Korea University College of Medicine, Seoul, South Korea.
authors.forename: Youngsub
authors.initials: Y
authors.lastname: Eom
authors.affiliation: Department of Ophthalmology, Chuncheon Sacred Heart Hospital, Hallym University, Chuncheon, South Korea.
authors.forename: Ho Sik
authors.initials: HS
authors.lastname: Hwang
authors.affiliation: Department of Ophthalmology, Korea University College of Medicine, Seoul, South Korea.
authors.forename: Jin Young
authors.initials: JY
authors.lastname: Hwang
authors.affiliation: Department of Ophthalmology, Korea University College of Medicine, Seoul, South Korea.
authors.forename: Jong Suk
authors.initials: JS
authors.lastname: Song
authors.affiliation: Department of Ophthalmology, Korea University College of Medicine, Seoul, South Korea. Electronic address: hyomkim@kumc.or.kr.
authors.forename: Hyo Myung
authors.initials: HM
authors.lastname: Kim
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000867:Anterior Chamber / Q000000981:diagnostic imaging*; D001699:Biometry; D002924:Ciliary Body / Q000000981:diagnostic imaging* / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D019654:Lens Implantation, Intraocular / Q000379:methods*; D007910:Lenses, Intraocular; D008297:Male; D033401:Microscopy, Acoustic; D008875:Middle Aged; D011474:Prosthesis Design; D012189:Retrospective Studies